Texas Medicaid Program Overview
Enrollment, funding, and managed care facts for Texas Medicaid.
Get Texas's Medicaid Fee Schedule →Enrollment
Texas Medicaid covered approximately 4.14-4.20M people. Two independent sources give close but not identical 2024 figures for total Texas Medicaid enrollment: KFF's state indicator (4,204,878, May 2024) and CMS's own 2024 Medicaid Managed Care Enrollment and Program Characteristics report (4,141,972 total Medicaid enrollees). Reported as a range rather than a single false-precision number.
Funding & federal match
Texas has not adopted ACA Medicaid expansion.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Texas's Federal Medical Assistance Percentage (FMAP) is 59.83%.
Delivery system & managed care
A large share of Texas Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 93.3-97% of Medicaid enrollees.
Waivers
Texas operates Medicaid managed care under the Texas Healthcare Transformation and Quality Improvement Program, a Section 1115 demonstration waiver. Provides federal authority for most of Texas's Medicaid managed care programs (STAR, STAR+PLUS, STAR Kids, Children's Dental Program). Federally approved through September 30, 2030.
Frequently Asked Questions
Get Texas's Free Medicaid Fee Schedule
Request actual Texas 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 - FY2026 FMAP Notice
- TMHP - FMAP and EFMAP to Change on October 1, 2025
- KFF - Status of State Medicaid Expansion Decisions
- healthinsurance.org - Medicaid eligibility and enrollment in Texas
- Texas HHSC - Texas Medicaid and CHIP Reference Guide, 15th Edition
- Texas HHS - Medicaid 1115 Waiver Overview
- Medicaid.gov - Section 1115 Demonstrations, Texas Healthcare Transformation and Quality Improvement Program
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.