Pennsylvania Medicaid Program Overview
Enrollment, funding, and managed care facts for Pennsylvania Medicaid.
Get Pennsylvania's Medicaid Fee Schedule →Enrollment
Pennsylvania Medicaid covered approximately 2.96-2.97M people. Two independent sources give very close total Pennsylvania Medicaid/CHIP enrollment figures: KFF's state indicator (2,963,790, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (2,967,715 total Medicaid enrollees, ~2024 data). A third source, healthinsurance.org, cites 3,012,566 (October 2025).
Funding & federal match
Pennsylvania has adopted ACA Medicaid expansion, effective 2015-01-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Pennsylvania's Federal Medical Assistance Percentage (FMAP) is 56.06%.
Delivery system & managed care
A large share of Pennsylvania Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 92.55-93.1% of Medicaid enrollees.
Has Pennsylvania expanded Medicaid under the ACA?
Yes. Pennsylvania has adopted ACA Medicaid expansion. Effective 2015-01-01.
How many people are enrolled in Pennsylvania Medicaid?
Approximately 2.96-2.97M people.
What percentage of the federal Medicaid match does Pennsylvania receive?
56.06% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 56 cents of every Pennsylvania Medicaid dollar, and the state pays the rest.
Is most of Pennsylvania Medicaid delivered through managed care?
Estimates range from 92.55-93.1% of Medicaid enrollees in managed care.
Get Pennsylvania's Free Medicaid Fee Schedule
Request actual Pennsylvania 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 Pennsylvania
- 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.