October 26, 2022
  • According to Kaiser Family Foundation’s 22nd annual survey of state Medicaid directors, states expect growth in Medicaid enrollment to slow to 8.4 percent in FY 2022 before declining by 0.4 percent in FY 2023. Simultaneously, total Medicaid spending growth – federal and state spending combined – will peak at 12.5 percent in FY 2022, before slowing to 4.2 percent in FY 2023. State Medicaid officials reported that the state (nonfederal) share of Medicaid spending grew by 9.9 percent in FY 2022 due to enrollment growth inflationary pressures, increased service utilization, and increased home and community-based services (HCBS) spending. They project that the end of the COVID-19 public health emergency could result in state Medicaid outlays growing at a rate of 16.3 percent in FY 2023, even with efforts underway to control future program costs. (Brief here)