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.
Frequently Asked Questions
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.