Michigan Medicaid Program Overview
Enrollment, funding, and managed care facts for Michigan Medicaid.
Get Michigan's Medicaid Fee Schedule →Enrollment
Michigan Medicaid covered approximately 2.15-2.29M people. KFF's state indicator gives 2,150,220 (May 2026); healthinsurance.org (citing state data) gives 2,289,229 (October 2025). Close but not identical -- different snapshot months during the ongoing post-unwinding enrollment decline, not a contradiction. Reported as a range rather than a single false-precision number.
Funding & federal match
Michigan has adopted ACA Medicaid expansion, effective 2014-04-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Michigan's Federal Medical Assistance Percentage (FMAP) is 65.3%.
Waivers
Michigan operates Medicaid managed care under the Healthy Michigan Plan Section 1115 Demonstration, a Section 1115 demonstration waiver. Michigan's ACA Medicaid expansion program for adults ages 19-64 with income up to 138% FPL, approved by CMS and launched April 2014. Beneficiaries receive services through managed care plans. Renewed multiple times (e.g. December 2018 for 2019-2023); a community engagement (work requirement) policy implemented January 2020 was vacated by a federal court in March 2020.
Has Michigan expanded Medicaid under the ACA?
Yes. Michigan has adopted ACA Medicaid expansion. Effective 2014-04-01.
How many people are enrolled in Michigan Medicaid?
Approximately 2.15-2.29M people.
What percentage of the federal Medicaid match does Michigan receive?
65.3% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 65 cents of every Michigan Medicaid dollar, and the state pays the rest.
What Medicaid waivers does Michigan operate under?
Healthy Michigan Plan Section 1115 Demonstration, a Section 1115 demonstration waiver. Michigan's ACA Medicaid expansion program for adults ages 19-64 with income up to 138% FPL, approved by CMS and launched April 2014. Beneficiaries receive services through managed care plans. Renewed multiple times (e.g. December 2018 for 2019-2023); a community engagement (work requirement) policy implemented January 2020 was vacated by a federal court in March 2020.
Get Michigan's Free Medicaid Fee Schedule
Request actual Michigan Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- healthinsurance.org - Medicaid eligibility and enrollment in Michigan
- KFF State Health Facts - Federal Medical Assistance Percentage (FMAP) for Medicaid and Multiplier
- Congressional Research Service - Medicaid's Federal Medical Assistance Percentage (FMAP), R43847 (updated April 2, 2025, citing Federal Register FY2026 notice)
- KFF State Health Facts - Total Medicaid Spending
- Center for Health and Research Transformation (CHRT) - Medicaid in Michigan Legislative Brief
- Michigan.gov / MDHHS - Healthy Michigan Plan Section 1115 Demonstration Waiver
- Medicaid.gov - Healthy Michigan Plan Section 1115 Demonstration Summative Evaluation Report
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.