Ohio Medicaid Program Overview
Enrollment, funding, and managed care facts for Ohio Medicaid.
Get Ohio's Medicaid Fee Schedule →Enrollment
Ohio Medicaid covered approximately 2.62-3.02M people. Two independent sources give total Ohio Medicaid/CHIP enrollment figures from different periods: KFF's state indicator (2,620,167, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (3,018,792 total Medicaid enrollees, ~2024 data). A third source, healthinsurance.org (2,768,467, October 2025), falls between the two and is consistent with a declining trend over 2024-2026 attributable to post-pandemic continuous-enrollment 'unwinding' redeterminations, not a data error.
Funding & federal match
Ohio has adopted ACA Medicaid expansion, effective 2014-01-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Ohio's Federal Medical Assistance Percentage (FMAP) is 64.85%.
Delivery system & managed care
A large share of Ohio Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 86.5-90.09% of Medicaid enrollees.
Has Ohio expanded Medicaid under the ACA?
Yes. Ohio has adopted ACA Medicaid expansion. Effective 2014-01-01.
How many people are enrolled in Ohio Medicaid?
Approximately 2.62-3.02M people.
What percentage of the federal Medicaid match does Ohio receive?
64.85% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 65 cents of every Ohio Medicaid dollar, and the state pays the rest.
Is most of Ohio Medicaid delivered through managed care?
Estimates range from 86.5-90.09% of Medicaid enrollees in managed care.
Get Ohio's Free Medicaid Fee Schedule
Request actual Ohio Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GPO - Federal Financial Participation in State Assistance Expenditures, FFY2026 FMAP Notice (2024-27910)
- KFF State Health Facts - Federal Matching Rate (FMAP) for Medicaid
- KFF - Status of State Medicaid Expansion Decisions
- healthinsurance.org - Medicaid eligibility and enrollment in Ohio
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 29 (Percentage of Medicaid Enrollees in Managed Care by State, July 1, 2022)
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.