Meet the Many Faces of Medicaid

Meet The Many Faces of Medicaid

Meet The Many Faces of Medicaid

You might be surprised to learn who is covered by Medicaid and the importance of the program in your community. Explore the Many Faces of Medicaid to learn more about Medicaid in your state and hear from real patients who have benefited from this essential program.

Medicaid is a lifeline and a safety net

Guided by our Mission and values, Providence believes that health is a human right. Medicaid is a joint federal and state program that, together with the Children’s Health Insurance Program (CHIP), provides coverage to nearly 79 million Americans, including 40% of children. It is the single largest source of health coverage in the U.S. Of the total enrolled,18.6 million have Medicaid coverage thanks to the Affordable Care Act’s Medicaid expansion. Medicaid is an essential part of the safety net which serves the most vulnerable Americans. They are part of our human family, and each one deserves access to care.

Medicaid infographic showcasing the following coverages: 79 million Americans, 18.5 million are low-income women, 60% are nursing home residents. Americans value Medicaid
  • Two thirds of U.S. adults have a connection to Medicaid
  • The majority of Americans, 61%, view Medicaid primarily as an insurance program and not a welfare program
  • According to surveys conducted by KFF, 76% of Americans hold favorable views of Medicaid

Medicaid provides vital coverage for:

  • Pregnant women
  • Children and newborns
  • Seniors, especially those in nursing homes
  • People with disabilities
  • Individuals with low-income
Medicaid and...
Rural health

Medicaid’s vital role in providing coverage for families with low-income, children, and people needing long term care, including seniors and people with disabilities, has grown over the past decade. This is especially true in rural areas where residents are less likely to have jobs with health coverage, poverty rates are higher, and people more likely to be uninsured or underinsured. Medicaid also provides unique support and funding to providers in rural communities. Medicaid preserves access to care in rural areas by ensuring people have the affordable and comprehensive coverage they need while helping rural hospitals remain open. (Source: Georgetown University).

Maternal health

Medicaid finances half of all births in the U.S. and covers 60 days of postpartum care. 49 states have adopted extended postpartum coverage for 12 months which improves mental and physical health outcomes for both parent and child.

Behavioral health

Our nation's mental health crisis has accelerated in the last decade, and as the single largest payor for mental health services, Medicaid has been a beacon of hope for the growing number of Americans needing mental health care, particularly low-income individuals who might otherwise be unable to access these essential treatments. Individuals with mental health conditions and substance use disorders comprise approximately 40 percent of non-elderly adults covered by Medicaid.

Medicaid expansion allows for more individuals to receive timely mental health interventions, reducing the reliance on emergency room visits which results in more efficient, cost-effective care management and eases the overall burden on the health care system.

Medicaid makes necessary care possible.

Seniors

While seniors account for just 10% of Medicaid enrollees, 20% of Medicaid spending covers their care. This is in part because Medicaid covers long term care services, including nursing facilities and home health care. In fact, 60% of nursing home residents are covered by Medicaid.

Medicaid is often used to fill the gap in covered care for seniors with commercial insurance or Medicare.

There are 12.5 million people who are dually enrolled in Medicare and Medicaid, representing 17% of Medicare enrollees. They include people over 65 who are in good health but have limited financial resources, people who have lifelong disabilities, and people who need long term care.

For more than 79 million Americans, including 37.6 million children, Medicaid coverage helps keep them healthy or cares for them during vulnerable times of illness.

 

  • A temporary helping hand: Medicaid often fills the coverage gap for a short time to help people get on their feet.
  • Affordable coverage for working people: Medicaid covers working people who don’t have employer insurance or don’t have access to resources to afford private insurance. Six in 10 adults with Medicaid coverage are working (and are not an older adult, covered by Medicare or a person with a disability).
  • Care for veterans: Nearly one in 10 veterans have Medicaid coverage.
  • Coverage for senior women: In 2021, 20% of women with Medicare were also enrolled in Medicaid. Medicaid helps cover premiums, deductibles, and cost-sharing as well as services not typically covered by Medicare such as long-term care.
  • Coverage for women with lower incomes: In 2023, Medicaid covered more than 33 million women or 20% of all non-elderly adult women in the U.S. Six in ten women with Medicaid (62%) are working and another quarter are caring for family members.
  • Coverage for women with disabilities: Nearly half of all non-elderly women with physical and mental disabilities are covered by Medicaid.
  • Coverage for pregnant people, including postpartum coverage: To help improve maternal health and coverage stability and to help address racial disparities in maternal health, 49 states including D.C. have expanded Medicaid postpartum coverage to 12 months under a provision in the American Rescue Plan Act of 2021.
  • Cares for older adults: Medicaid supports more than 60% people living in nursing homes – our parents and grandparents.
  • Helps older adults and others with Medicare costs: About 12 million seniors and younger people with disabilities, or 1 in 6 Medicare beneficiaries, get help from Medicaid as well.
  • Covers services not available in Medicare: Medicaid covers long-term care in nursing facilities and community care in older adult’s homes, which are not covered by Medicare.
  • Helps people with mental health needs and prevents suicide: Medicaid is largest payer for mental health services in the U.S. and covers more services than any other insurer.
  • Cares for people with an opioid use disorder: Medicaid provides treatment for four out of 10 people with opioid use disorder.
  • Ensures healthy babies: Nearly half of all births in the U.S. are covered by Medicaid.
  • Prevents infant deaths: Medicaid has contributed to dramatic declines in infant and child mortality in our country since the 1960s.
  • Medicaid covers millions of children: Medicaid and the Children’s Health Insurance Program cover 40 percent of children in the U.S, nearly 38 million kids.
  • Supports vulnerable children: Together with CHIP, Medicaid covers almost half of all children with special health care needs and is the only source of coverage for nearly four in 10 children with special health care needs.
  • Helps children with mental health needs: 42 states cover primary care for children’s mental health. More than 3 million children benefit from these services.
  • Care for foster kids: Most foster children depend on Medicaid for their health care.
  • Ensures access for rural communities: Medicaid plays a critical role in providing health coverage to children and families in small towns and rural areas where people are more likely to be uninsured and face challenges accessing health care. Medicaid/CHIP covers 47% of children and 18% of adults in small towns and rural areas

Medicaid is a little different in each state, many states even give their Medicaid programs a unique name. Click on your state below to learn more about the impact of Medicaid and CHIP in your community.

  • Fact sheet
  • DenaliCare and Denali KidCare are the Medicaid and CHIP programs, respectively, in Alaska
  • More than 250,000 Alaskans rely on Medicaid & CHIP for health care coverage, roughly 34% of the state’s population
  • 41% of enrollees are children
  • 28% of enrollees are eligible under expansion and stand to lose coverage if federal funding is cut
  • Providence serves more than 29,000 Medicaid patients every year in Alaska
  • Fact sheet
  • MediCal is the Medicaid and CHIP program in California.
  • More than 13.4 million Californians rely on Medicaid & CHIP for health care coverage, roughly 26% of the state’s population.
  • 5.3 million enrollees are eligible under expansion.
  • Providence serves more than 423,000 Medicaid patients every year in California.

  • Fact sheet
  • Montana Medicaid and Healthy Montana Kids are the Medicaid and CHIP programs, respectively, in Montana.
  • The Montana legislature recently voted to preserve Medicaid expansion in the state. However, Montana is one of nine states in the U.S. that has what is known as a trigger law for Medicaid. If the federal share of Medicaid falls below a certain threshold, expansion ends in the state unless the state appropriates additional fund and/or increases premiums. An end to expansion would leave 36% of Montana’s Medicaid population, totaling 81,000 people, without health coverage.
  • More than 218,000 Montanans rely on Medicaid & CHIP for health care coverage, roughly 21% of the state’s population.
  • 37% of Montana’s children are covered by CHIP
  • Providence serves more than 19,000 Medicaid patients every year in Montana.
  • Fact sheet
  • Centennial Care and Centennial Care for Kids are the Medicaid and CHIP programs, respectively, in New Mexico.
  • More than 764,000 people in New Mexico rely on Medicaid & CHIP for health care coverage, roughly 33% of the state’s population.
  • 57% of New Mexican children are covered by Medicaid/CHIP
  • Fact sheet
  • The Oregon Health Plan is the Medicaid and CHIP program in Oregon.
  • More than 1.4 million Oregonians rely on Medicaid & CHIP for health care coverage.
  • Nearly half of Oregon’s children are covered by Medicaid/CHIP.
  • 54% of enrollees are eligible under expansion.
  • Providence serves nearly 172,000 Medicaid patients every year in Oregon.
  • Fact sheet
  • Star Medicaid and Star Plus are the Medicaid programs in Texas, while Star Kids covers CHIP enrollees.
  • More than 4 million Texans rely on Medicaid & CHIP for health care coverage, roughly 17% of the state’s population.
  • Texas is one of nine states that have not expanded Medicaid under the Affordable Care Act.
  • Providence serves more than 60,000 Medicaid patients every year in Texas.
  • Fact sheet
  • Apple Health and Apple Health for Kids are the Medicaid and CHIP programs, respectively, in Washington.
  • More than 1.8 million Washingtonians rely on Medicaid & CHIP for health care coverage, roughly 20% of the state’s population.
  • Providence serves nearly 357,000 Medicaid patients every year in Washington.
Mother and daughter researching on laptop smiling

Take Action to Protect Medicaid

Congress is moving quickly to pass legislation related to government funding and issue priorities. Current proposals include massive and drastic cuts to the Medicaid program that will lead to loss of coverage to beneficiaries and restricted access to vital health services, especially for vulnerable populations.

Guided by our Mission to serve the poor and vulnerable, Providence believes that health care is a human right. Join us in protecting this vital program and the people it serves.

Medicaid matters. Your voice matters. Raise your voice to protect this vital program by visiting our action center.