New York Medicaid Program Overview

Enrollment, funding, and managed care facts for New York Medicaid.

Get New York's Medicaid Fee Schedule →
6.39-6.50M
Enrolled
Expanded
ACA expansion status
50%
Federal match (FMAP), FFY2026
68.4-74.3%
In managed care

Enrollment

New York Medicaid covered approximately 6.39-6.50M people. Two independent sources give close but not identical figures: KFF's state indicator reports 6,386,205 (May 2026), while healthinsurance.org (citing Medicaid.gov's 'October 2025 Medicaid & CHIP Enrollment Data Highlights') reports 6,504,286 (October 2025). Different reporting months, not a contradiction, so reported as a range.

Funding & federal match

New York has adopted ACA Medicaid expansion, effective 2014-01-01.

For FFY2026 (Oct 1, 2025 - Sep 30, 2026), New York's Federal Medical Assistance Percentage (FMAP) is 50%.

Delivery system & managed care

A large share of New York Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 68.4-74.3% of Medicaid enrollees.

What you may be thinking

Has New York expanded Medicaid under the ACA?

Yes. New York has adopted ACA Medicaid expansion. Effective 2014-01-01.

How many people are enrolled in New York Medicaid?

Approximately 6.39-6.50M people.

What percentage of the federal Medicaid match does New York receive?

50% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 50 cents of every New York Medicaid dollar, and the state pays the rest.

Is most of New York Medicaid delivered through managed care?

Estimates range from 68.4-74.3% of Medicaid enrollees in managed care.

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