State

45

Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico

MACStats

Total
$5,265
1,405
10,618
5,470
84,983
7,301
7,183
1,860
2,370
21,320
9,665
1,958
1,715
16,938
9,250
4,476
3,011
9,423
7,863
2,477
9,410
15,378
15,867
10,705
5,136
9,518
1,132
1,846
3,106
1,716
14,049
4,920

Benefits
Federal
$3,663
826
7,897
4,302
53,209
4,410
4,211
1,115
1,759
12,877
6,526
1,259
1,234
10,182
6,366
2,859
1,714
7,506
4,923
1,549
5,632
8,632
11,538
6,275
3,807
6,099
767
990
2,341
1,011
8,631
3,898

State
$1,602
580
2,721
1,168
31,774
2,891
2,972
745
611
8,443
3,139
699
481
6,756
2,884
1,617
1,297
1,918
2,940
928
3,779
6,746
4,329
4,429
1,330
3,419
366
856
765
705
5,418
1,023

State program administration

Total
Federal
State
$231
130
277
383
5,631
385
414
163
151
703
580
119
105
1,024
472
196
183
243
289
143
471
786
694
590
177
350
75
127
160
124
780
163

$152
79
199
264
3,509
244
278
120
94
431
398
92
72
602
285
140
120
173
192
99
306
485
479
357
117
219
53
87
113
91
455
107

$79
51
78
119
2,122
141
135
43
57
272
183
27
33
422
186
56
62
70
97
44
166
300
215
233
60
132
21
40
47
33
326
56

Total
$5,496
1,535
10,895
5,853
90,614
7,686
7,597
2,024
2,521
22,023
10,245
2,077
1,820
17,962
9,722
4,672
3,194
9,666
8,152
2,620
9,882
16,164
16,561
11,295
5,314
9,869
1,207
1,974
3,266
1,841
14,830
5,083

Section 3

Total Medicaid
Federal
$3,815
904
8,096
4,566
56,718
4,654
4,490
1,235
1,853
13,308
6,924
1,351
1,306
10,784
6,651
2,999
1,834
7,679
5,116
1,648
5,937
9,117
12,017
6,633
3,924
6,318
820
1,077
2,454
1,102
9,086
4,005

State
$1,681
631
2,799
1,287
33,896
3,032
3,107
788
668
8,715
3,321
726
514
7,178
3,070
1,673
1,360
1,987
3,037
973
3,944
7,047
4,544
4,662
1,390
3,551
387
896
812
738
5,744
1,078

Section 3: Program Enrollment and SpendingMedicaid Overall

MACStats: Medicaid and CHIP Data Book

EXHIBIT 16. Medicaid Spending by State, Category, and Source of Funds, FY 2015 (millions)

Section 3

MACStats
46

EXHIBIT 16. (continued)

State

Total

State program administration

Total
Federal
State

State

$31,757
8,743
319
14,787
2,987
6,251
12,978
1,530
4,083
452
5,917
20,430
1,523
987
4,070
6,818
2,801
4,644
285
$329,371
17
47
15
1,467
23
$330,942

$26,140
4,470
215
6,636
1,716
1,776
10,246
1,054
1,685
354
3,177
14,261
625
646
3,963
3,676
845
3,249
274
$194,338
13
26
11
813
16
$195,217

$1,784
665
16
860
245
541
876
144
260
55
412
1,456
152
33
478
581
189
319
62
$25,451
4
3
1
82
8
$25,547

$1,040
486
9
546
158
327
557
99
172
37
251
972
108
30
330
358
128
207
44
$16,271
3
2
0
54
5
$16,336

$745
180
6
315
87
215
319
45
88
18
162
484
44
3
148
223
61
112
18
$9,180
0
1
0
28
3
$9,212

145

109

36

$330,942

$195,217

326

$26,019

245

$16,689

82

$9,330

Total

Total Medicaid
Federal

State

$59,681
13,878
549
22,284
4,948
8,569
24,100
2,729
6,028
861
9,507
36,148
2,300
1,666
8,511
11,075
3,836
8,212
621
$549,160
34
76
27
2,362
47
$551,706

$32,797
9,228
329
15,333
3,146
6,578
13,535
1,629
4,255
489
6,168
21,403
1,631
1,017
4,400
7,176
2,929
4,851
329
$345,642
21
49
16
1,522
28
$347,277

$26,884
4,650
221
6,951
1,802
1,991
10,565
1,100
1,773
372
3,339
14,745
669
649
4,111
3,899
907
3,361
292
$203,518
13
27
11
841
19
$204,429

145

109

36

326
3,845
$556,0232

245
3,845
$351,4762

82

$204,547

Section 3: Program Enrollment and SpendingMedicaid Overall

December 2016

New York
$57,897
North Carolina
13,213
North Dakota
534
Ohio
21,423
Oklahoma
4,703
Oregon
8,027
Pennsylvania
23,224
Rhode Island
2,585
South Carolina
5,768
South Dakota
806
Tennessee
9,094
Texas
34,691
Utah
2,148
Vermont
1,633
Virginia
8,033
Washington
10,494
West Virginia
3,647
Wisconsin
7,894
Wyoming
559
Subtotal (states)
$523,709
American Samoa
30
Guam
73
N. Mariana Islands
27
Puerto Rico
2,280
Virgin Islands
39
Subtotal (states and territories)
$526,159
State Medicaid Fraud Control Units
(MFCUs)

Medicaid survey and certification

of nursing and intermediate care
facilities

Vaccines for Children (VFC) program

Total
$526,159

Benefits
Federal

Notes: FY is fiscal year. Total federal spending shown here ($351,476 million) will differ from total federal outlays shown in FY 2017 budget documents due to slight differences
in the timing of data for the states and the treatment of certain adjustments. Federal spending in the territories is capped; however, territories report their total spending
regardless of whether they have reached their caps. As a result, federal spending shown here may exceed the amounts actually paid to the territories. State shares for MFCUs
and survey and certification are MACPAC estimates based on 75 percent federal match. State-level estimates for these items are available but are not shown here. The
VFC program is authorized in the Medicaid statute but is operated as a separate program; 100 percent federal funding finances the purchase of vaccines for children who
are enrolled in Medicaid, uninsured, or privately insured without vaccine coverage. Spending on administration is only for state programs; federal oversight spending is not
included.
Dash indicates zero; $0 indicates an amount less than $0.5 million that rounds to zero.
1
Not all states had certified their CMS-64 Financial Management Report (FMR) submissions as of May 24, 2016. Californias first, second, third, and fourth quarter
submissions are not certified; Colorado and North Dakotas second, third, and fourth quarter submissions are not certified; New Jerseys third and fourth quarter submissions
are not certified. Figures presented in this exhibit may change if states revise their expenditure data after this date.
2

Amounts exceed the sum of benefits and state program administration columns due to the inclusion of the VFC program.

Sources: For state and territory spending: MACPAC, 2016, analysis of CMS-64 FMR net expenditure data as of May 24, 2016. For all other spending (MCFUs, survey and
certification, VFC): Centers for Medicare & Medicaid Services, 2016, Fiscal year 2017 justification of estimates for appropriations committees, Baltimore, MD, https://www.cms.
gov/About-CMS/Agency-Information/PerformanceBudget/Downloads/FY2017-CJ-Final.pdf.

47

MACStats

Section 3

Section 3: Program Enrollment and SpendingMedicaid Overall

MACStats: Medicaid and CHIP Data Book

EXHIBIT 16. (continued)