Understanding Medicaid

Coverage That Keeps Care Within Reach

Learn what Medicaid is, who it covers, and why it matters to the patients and communities we serve in our communities.

Medicaid supports access to care for millions of people, mainly children, seniors, people with disabilities, and working families. As an HCA Healthcare colleague, you’ve likely cared for patients covered by Medicaid, or worked alongside someone who has. Understanding how the program works helps us speak clearly and accurately about the patients and communities who depend on Medicaid for care.

The Basics

Medicaid is a public health insurance program, funded jointly by the federal government and states. It helps eligible people with limited income and resources access the care they need. Because each state runs its own program within federal rules, eligibility and benefits are different depending on where a patient lives.

Medicaid and CHIP by the Numbers

0M

people enrolled in
Medicaid and CHIP

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enrolled in Medicaid

0M

children enrolled in Medicaid or CHIP

0%

of enrollees
are children

Who Medicaid Covers

Medicaid covers a wide range of people, including children, pregnant women, parents and caregivers, seniors, people with disabilities and adults with limited income. 

As of 2026, nearly 74 million people(opens in new tab) rely on Medicaid and the Children’s Health Insurance Program (CHIP). Nearly half are children, and together older adults and people with disabilities account for roughly one in five enrollees. Many adults covered by Medicaid live in working households, often in jobs that don't offer affordable coverage.

What Medicaid Covers

Medicaid helps cover the everyday care people count on: preventive and primary care, hospital and emergency care, maternity care, prescriptions and behavioral health. It is also the nation's largest payer for long-term and nursing-home care, and it covers home- and community-based services that help people stay independent.

Why Coverage Matters

When people have access to coverage, they are more likely to seek preventive care, manage chronic conditions, and follow up after a hospital stay. When coverage is lost, people delay care and often show up later and sicker, and the hospitals and clinics that serve them feel the strain. Medicaid helps people get and stay healthy, strengthens communities and keeps care accessible.

Know the Difference: Medicaid, CHIP and Medicare

Here’s how Medicaid differs from other government-run programs
A joint federal-and-state program that provides coverage for eligible people with limited income and resources. A state-administered program that provides coverage for eligible children whose families may not qualify for Medicaid but need affordable coverage. A federal health insurance program for people ages 65 and older and certain younger people with disabilities or qualifying conditions. When a person qualifies for both Medicare and Medicaid.

Program descriptions are based on information from the Centers for Medicare & Medicaid Services and Medicaid.gov.

Medicaid In Your State

Select your state to learn more about the Medicaid enrollees in your state and how HCA Healthcare serves them every day.

Alaska 282,300 35% 53% 6% 6% 1,712
23% of admissions
14,690
35% of ER visits
California 16,997,800 26% 57% 11% 6% 14,453
22% of admissions
102,715
38% of ER visits
Colorado 1,914,500 33% 55% 7% 6% 18,919
21% of admissions
122,913
37% of ER visits
Florida 6,278,200 8% 30% 14% 48% * 70,789
11% of admissions
629,513
21% of ER visits
Georgia 2,874,300 51% 25% 11% 12% 14,008
18% of admissions
90,527
25% of ER visits
Idaho 503,400 37% 44% 8% 11% 3,621
24% of admissions
20,848
33% of ER visits
Indiana 2,358,800 36% 49% 8% 7% 1,014
27% of admissions
7,658
40% of ER visits
Kansas 532,300 52% 23% 10% 15% 8,482
14% of admissions
55,439
24% of ER visits
Kentucky 1,789,000 31% 50% 7% 11% 2,170
20% of admissions
28,175
37% of ER visits
Louisiana 2,031,400 32% 47% 9% 11% 4,527
30% of admissions
29,879
47% of ER visits
Missouri 1,671,700 43% 38% 8% 11% 8,090
18% of admissions
62,528
30% of ER visits
Nevada 1,028,100 35% 51% 8% 6% 28,338
30% of admissions
160,597
41% of ER visits
New Hampshire 275,600 33% 49% 8% 10% 3,367
12% of admissions
26,063
20% of ER visits
North Carolina 3,024,000 38% 40% 9% 12% 13,349
21% of admissions
63,138
29% of ER visits
South Carolina 1,627,500 42% 40% 8% 11% 7,746
13% of admissions
78,112
22% of ER visits
Tennessee 1,953,400 45% 29% 9% 17% 17,109
14% of admissions
150,716
25% of ER visits
Texas 7,186,300 57% 25% 9% 10% 89,130
13% of admissions
562,458
20% of ER visits
Utah 588,400 43% 43% 5% 9% 5,745
14% of admissions
38,118
19% of ER visits
Virginia 2,236,900 33% 51% 8% 8% 27,177
22% of admissions
200,795
33% of ER visits

Sources: KFF – Medicaid Enrollees by Enrollment Group (2023), CMS/Medicaid.gov enrollment highlights (April 2026), Internal HCA Healthcare Data (2025).

Common Questions

Learn more about government-run programs and get your questions answered.

Talking Points

Review quick-reference language to help you speak confidently and clearly about Medicaid.

  • Medicaid is coverage for people we all know — children, seniors, people with disabilities and working families.
  • As of 2026, nearly 74 million people nationwide rely on Medicaid and CHIP. About half are children.
  • Medicaid benefits and eligibility vary by state, because states run their own programs within federal rules.
  • Medicaid is the nation's largest payer for long-term and nursing-home care.
  • Medicaid helps keep hospitals open and care close to home, especially in rural and safety-net communities.
  • Understanding Medicaid helps HCA Healthcare colleagues have informed conversations about the patients and communities we serve.
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