Under federal regulations, the federal government covers 90% of states' costs to develop and implement state Medicaid eligibility systems and 75% of ongoing maintenance and operations expenses.
October 10, 2025
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policy
Federal cost-sharing rules for state Medicaid eligibility system development and ongoing operations.
Most U.S. states rely on private contractors to build and operate their Medicaid eligibility and enrollment systems, while a minority of states operate their own systems.
October 10, 2025
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process
Description of how Medicaid eligibility and enrollment system operations are commonly organized across states.
Medicaid is a joint federal-state U.S. health insurance program that provides health coverage to eligible low-income individuals and families, including many children.
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definition
Provides a general definition of the Medicaid program referenced in policy debates about healthcare funding.