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Medicaid: Does the state or federal government run it?

Medicaid is run by both the federal and state governments, but states are mainly in charge of handling Medicaid for their residents.

Medicaid graphic with hands holding a stethoscope

This type of coverage gives medical and health coverage for low income adults, pregnant women, and children.

During the pandemic, enrollment rose by 15.5%, which made the number of recipients over 82 million in 2021, according to AS.

State and federal government both fund this service.

States run their programs.


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Who can get Medicaid?

Anyone who meets eligibility requirements laid out are able to get coverage through Medicaid.

States decide who can be eligible.

Mostly adults, pregnant women, and children coming from low income backgrounds qualify.

Disabled individuals and seniors might qualify in some cases.

States decide on income limits for eligibility requirements.


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Medicaid coverage

Not only are there a list of services covered by Medicaid, but states reserve the right to cover other things.

This can include experimental or pilot programs approved by the secretary of Health and Human Services.

A waiver under Section 115 makes this possible.


Other services covered

  • Inpatient hospital services
  • EPSDT for those under 21
  • FQHC services
  • Family planning services
  • Emergency and nonemergency medical transportation
  • Pregnancy-related services
  • Nursing facility care for those 21 and over
  • Physician services
  • Home health
  • Prescription drugs
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