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.
Frequently Asked Questions
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.