Oklahoma Medicaid Program Overview
Enrollment, funding, and managed care facts for Oklahoma Medicaid.
Get Oklahoma's Medicaid Fee Schedule →Enrollment
Oklahoma Medicaid covered approximately 0.99-1.04M people. Two independent sources give close but not identical total Oklahoma Medicaid/CHIP enrollment figures from different periods: KFF's state indicator (991,558, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (1,040,358 total Medicaid enrollees, ~2024 data). A third source, healthinsurance.org (989,060, October 2025), is close to the KFF figure.
Funding & federal match
Oklahoma has adopted ACA Medicaid expansion, effective 2021-07-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Oklahoma's Federal Medical Assistance Percentage (FMAP) is 66.47%.
Waivers
Oklahoma operates Medicaid managed care under the SoonerCare Section 1115(a) Research and Demonstration Waiver, a Section 1115 demonstration waiver. Oklahoma's foundational Medicaid demonstration, originally approved in the 1990s, most recently authorizing the SoonerCare Choice Patient-Centered Medical Home (PCCM) model and related programs (care coordination payments, Health Access Networks, Insure Oklahoma). CMS granted a temporary extension through December 31, 2026.
Has Oklahoma expanded Medicaid under the ACA?
Yes. Oklahoma has adopted ACA Medicaid expansion. Effective 2021-07-01.
How many people are enrolled in Oklahoma Medicaid?
Approximately 0.99-1.04M people.
What percentage of the federal Medicaid match does Oklahoma receive?
66.47% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 66 cents of every Oklahoma Medicaid dollar, and the state pays the rest.
What Medicaid waivers does Oklahoma operate under?
SoonerCare Section 1115(a) Research and Demonstration Waiver, a Section 1115 demonstration waiver. Oklahoma's foundational Medicaid demonstration, originally approved in the 1990s, most recently authorizing the SoonerCare Choice Patient-Centered Medical Home (PCCM) model and related programs (care coordination payments, Health Access Networks, Insure Oklahoma). CMS granted a temporary extension through December 31, 2026.
Get Oklahoma's Free Medicaid Fee Schedule
Request actual Oklahoma 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 Oklahoma
- Oklahoma Health Care Authority - SoonerCare Choice Demonstration Waiver Renewal
- Oklahoma Policy Institute - Section 1115 Waivers
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.