Mississippi Medicaid Program Overview
Enrollment, funding, and managed care facts for Mississippi Medicaid.
Get Mississippi's Medicaid Fee Schedule →Enrollment
Mississippi Medicaid covered approximately 0.58-0.59M people. KFF's state indicator gives 584,206 (May 2026); healthinsurance.org (citing state data) gives 590,816 (October 2025). Close but not identical -- different snapshot months, not a contradiction. Mississippi's own Division of Medicaid FY2025 Annual Report separately reports an average monthly Medicaid enrollment (excluding CHIP) of 654,906 for state fiscal year 2025 (July 2024-June 2025) -- a third, higher figure on a different basis (state-fiscal-year average vs. point-in-time snapshot, and possibly a different population scope); not merged into the range for that reason, see single_source_candidates.
Funding & federal match
Mississippi has not adopted ACA Medicaid expansion.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Mississippi's Federal Medical Assistance Percentage (FMAP) is 76.9%.
Delivery system & managed care
A large share of Mississippi Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 72.6-74.2% of Medicaid enrollees.
Waivers
Mississippi operates Medicaid managed care under the Healthier Mississippi, a Section 1115 demonstration waiver. Provides coverage to aged and disabled individuals with income up to 135% FPL who are not eligible for Medicare. Current approval period October 1, 2024 - September 30, 2029.
Mississippi operates Medicaid managed care under the Mississippi Family Planning Medicaid Expansion Project, a Section 1115 demonstration waiver. Provides family planning and family-planning-related services to women of childbearing age with family income at or below 185% FPL who are not otherwise eligible for Medicare, Medicaid, or CHIP, or do not have other health insurance coverage.
Has Mississippi expanded Medicaid under the ACA?
No. Mississippi has not adopted full Medicaid expansion under the Affordable Care Act as of 2026.
How many people are enrolled in Mississippi Medicaid?
Approximately 0.58-0.59M people.
What percentage of the federal Medicaid match does Mississippi receive?
76.9% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 77 cents of every Mississippi Medicaid dollar, and the state pays the rest.
Is most of Mississippi Medicaid delivered through managed care?
Estimates range from 72.6-74.2% of Medicaid enrollees in managed care.
What Medicaid waivers does Mississippi operate under?
Healthier Mississippi, a Section 1115 demonstration waiver. Provides coverage to aged and disabled individuals with income up to 135% FPL who are not eligible for Medicare. Current approval period October 1, 2024 - September 30, 2029.
What Medicaid waivers does Mississippi operate under?
Mississippi Family Planning Medicaid Expansion Project, a Section 1115 demonstration waiver. Provides family planning and family-planning-related services to women of childbearing age with family income at or below 185% FPL who are not otherwise eligible for Medicare, Medicaid, or CHIP, or do not have other health insurance coverage.
Get Mississippi's Free Medicaid Fee Schedule
Request actual Mississippi 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 Mississippi
- 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
- Mississippi Division of Medicaid - FY2025 Annual Report
- KFF - Status of State Medicaid Expansion Decisions
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Medicaid.gov - Healthier Mississippi Section 1115 Demonstration
- Mississippi Division of Medicaid - Healthier Mississippi Extension
- Medicaid.gov - Mississippi Family Planning Medicaid Waiver
- Mississippi Division of Medicaid - Waivers
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.