Kentucky Medicaid Program Overview
Enrollment, funding, and managed care facts for Kentucky Medicaid.
Get Kentucky's Medicaid Fee Schedule →Enrollment
Kentucky Medicaid covered approximately 1.27-1.45M people. CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report counted 1,449,651 total Kentucky Medicaid enrollees as of July 1, 2024; KFF's Total Monthly Medicaid & CHIP Enrollment indicator shows 1,272,217 as of May 2026. healthinsurance.org separately cites 'approximately 1.3 million' as of March 2026, an intermediate figure consistent with a real decline across this window (post-unwinding), not a data error.
Funding & federal match
Kentucky has adopted ACA Medicaid expansion, effective 2014-01-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Kentucky's Federal Medical Assistance Percentage (FMAP) is 71.41%.
Has Kentucky expanded Medicaid under the ACA?
Yes. Kentucky has adopted ACA Medicaid expansion. Effective 2014-01-01.
How many people are enrolled in Kentucky Medicaid?
Approximately 1.27-1.45M people.
What percentage of the federal Medicaid match does Kentucky receive?
71.41% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 71 cents of every Kentucky Medicaid dollar, and the state pays the rest.
Get Kentucky's Free Medicaid Fee Schedule
Request actual Kentucky 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 Kentucky
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.