Wisconsin Medicaid Program Overview
Enrollment, funding, and managed care facts for Wisconsin Medicaid.
Get Wisconsin's Medicaid Fee Schedule →Enrollment
Wisconsin Medicaid covered approximately 1.11-1.34M people. Two independent sources give different figures for different reporting periods: KFF's monthly enrollment tracker reports 1,108,942 for Wisconsin as of May 2026, while CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report cites 1,339,124 total Medicaid enrollees (2024 data). The gap is consistent with the ongoing post-pandemic continuous-enrollment 'unwinding,' not a data-quality problem.
Funding & federal match
Wisconsin has not adopted ACA Medicaid expansion.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Wisconsin's Federal Medical Assistance Percentage (FMAP) is 60.68%.
Waivers
Wisconsin operates Medicaid managed care under the Wisconsin BadgerCare Reform Demonstration, a Section 1115 demonstration waiver. Covers childless, non-disabled adults with income up to and including 100% of the federal poverty level (over 239,000 enrolled as of January 1, 2024). Current approval period January 1, 2024 through December 31, 2029. Originally approved by CMS in October 2018 with a work/community-engagement requirement component; that component's federal approval was revoked by the Biden administration in April 2021. A proposed expansion of SUD residential (IMD) services under this waiver was still under CMS review as of this profile.
Frequently Asked Questions
Get Wisconsin's Free Medicaid Fee Schedule
Request actual Wisconsin 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
- MACPAC - MACStats: Medicaid and CHIP Data Book, February 2026 (Exhibit 6, compiling HHS Federal Register FMAP notices)
- KFF State Health Facts - Federal Matching Rate (FMAP) and Multiplier
- KFF State Health Facts - Status of State Action on the Medicaid Expansion Decision
- healthinsurance.org - State-by-state Medicaid expansion guide (Wisconsin)
- Wisconsin DHS - Medicaid: BadgerCare Waiver
- Medicaid.gov - Wisconsin BadgerCare Reform (demonstration and waiver list)
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.