Utah Medicaid Program Overview
Enrollment, funding, and managed care facts for Utah Medicaid.
Get Utah's Medicaid Fee Schedule →Enrollment
Utah Medicaid covered approximately 0.32-0.33M people. KFF's total monthly Medicaid & CHIP enrollment tracker gives 324,460 (May 2026); healthinsurance.org's state guide gives 332,621 (October 2025) -- close but not identical. CMS's 2024 Medicaid Managed Care Enrollment report gives 331,012 (July 1, 2024), essentially in between/consistent with the other two.
Funding & federal match
Utah has adopted ACA Medicaid expansion, effective 2020-01-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Utah's Federal Medical Assistance Percentage (FMAP) is 62.46%.
Waivers
Utah operates Medicaid managed care under the Utah's Medicaid Reform 1115 Demonstration, a Section 1115 demonstration waiver. Utah's umbrella Section 1115 demonstration, originally approved February 2002 and implemented July 1, 2002; the current approval period runs through June 30, 2027 (a 2027-2032 renewal was in progress as of this review). The demonstration currently authorizes Utah's ACA Medicaid Adult Expansion population (adults age 19-64 up to ~138% FPL, following a partial expansion that ran April 2019-December 2019 before CMS approved full expansion effective January 1, 2020), plus non-traditional benefit packages, targeted adult dental benefits, and other populations/benefits not otherwise allowable under the state plan.
Has Utah expanded Medicaid under the ACA?
Yes. Utah has adopted ACA Medicaid expansion. Effective 2020-01-01.
How many people are enrolled in Utah Medicaid?
Approximately 0.32-0.33M people.
What percentage of the federal Medicaid match does Utah receive?
62.46% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 62 cents of every Utah Medicaid dollar, and the state pays the rest.
What Medicaid waivers does Utah operate under?
Utah's Medicaid Reform 1115 Demonstration, a Section 1115 demonstration waiver. Utah's umbrella Section 1115 demonstration, originally approved February 2002 and implemented July 1, 2002; the current approval period runs through June 30, 2027 (a 2027-2032 renewal was in progress as of this review). The demonstration currently authorizes Utah's ACA Medicaid Adult Expansion population (adults age 19-64 up to ~138% FPL, following a partial expansion that ran April 2019-December 2019 before CMS approved full expansion effective January 1, 2020), plus non-traditional benefit packages, targeted adult dental benefits, and other populations/benefits not otherwise allowable under the state plan.
Get Utah's Free Medicaid Fee Schedule
Request actual Utah Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- healthinsurance.org - Medicaid eligibility and enrollment in Utah
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GovInfo - FY2026 FMAP Notice (89 FR 94742)
- Congressional Research Service - Medicaid's Federal Medical Assistance Percentage (FMAP), Report R43847 (Table, FY2021-FY2026)
- KFF State Health Facts - State Activity Around Expanding Medicaid Under the ACA
- Medicaid.gov - Utah Medicaid Reform 1115 Demonstration approval documents
- Utah Medicaid (DHHS) - Utah's Medicaid Reform 1115 Demonstration
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.