Kansas Medicaid Program Overview
Enrollment, funding, and managed care facts for Kansas Medicaid.
Get Kansas's Medicaid Fee Schedule →Enrollment
Kansas Medicaid covered approximately 0.40-0.45M people. CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report counted 453,240 total Kansas Medicaid enrollees as of July 1, 2024; KFF's Total Monthly Medicaid & CHIP Enrollment indicator shows 395,191 as of May 2026. healthinsurance.org separately cites 399,717 as of November 2025 (sourced from the same underlying CMS/state data KFF uses, so not counted as an independent third figure) -- consistent with a real post-unwinding enrollment decline across this window rather than a data error.
Funding & federal match
Kansas has not adopted ACA Medicaid expansion.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Kansas's Federal Medical Assistance Percentage (FMAP) is 60.67%.
Waivers
Kansas operates Medicaid managed care under the KanCare, a Section 1115 demonstration waiver. Statewide Section 1115 Medicaid managed care demonstration that moved nearly all Kansas Medicaid populations (including most dual eligibles) into managed care for physical health, behavioral health, and long-term services and supports. Also provides the managed care authority for Kansas's concurrent Section 1915(c) home- and community-based services waivers. Approved December 27, 2012, effective January 1, 2013; current authority runs through December 31, 2028. Does not expand Medicaid eligibility in Kansas -- the state remains non-expansion.
Has Kansas expanded Medicaid under the ACA?
No. Kansas has not adopted full Medicaid expansion under the Affordable Care Act as of 2026.
How many people are enrolled in Kansas Medicaid?
Approximately 0.40-0.45M people.
What percentage of the federal Medicaid match does Kansas receive?
60.67% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 61 cents of every Kansas Medicaid dollar, and the state pays the rest.
What Medicaid waivers does Kansas operate under?
KanCare, a Section 1115 demonstration waiver. Statewide Section 1115 Medicaid managed care demonstration that moved nearly all Kansas Medicaid populations (including most dual eligibles) into managed care for physical health, behavioral health, and long-term services and supports. Also provides the managed care authority for Kansas's concurrent Section 1915(c) home- and community-based services waivers. Approved December 27, 2012, effective January 1, 2013; current authority runs through December 31, 2028. Does not expand Medicaid eligibility in Kansas -- the state remains non-expansion.
Get Kansas's Free Medicaid Fee Schedule
Request actual Kansas Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- KFF State Health Facts - Federal Matching Rate (FMAP) and Multiplier
- Congressional Research Service - Medicaid's Federal Medical Assistance Percentage (FMAP), R43847 (Table A-1)
- KFF State Health Facts - Status of State Action on the Medicaid Expansion Decision
- healthinsurance.org - Medicaid eligibility and enrollment in Kansas
- Kansas Dept. of Health and Environment - KanCare & Medicaid
- Medicaid.gov - Section 1115 Demonstrations, KanCare
- Kansas Health Institute - KanCare: Key Elements of the Medicaid Managed Care Proposal
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.