Kentucky Medicaid Program Overview

Enrollment, funding, and managed care facts for Kentucky Medicaid.

Get Kentucky's Medicaid Fee Schedule →
1.27-1.45M
Enrolled
Expanded
ACA expansion status
71.41%
Federal match (FMAP), FFY2026

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%.

Frequently Asked Questions

Yes. Kentucky has adopted ACA Medicaid expansion. Effective 2014-01-01.

Get Kentucky's Free Medicaid Fee Schedule

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