How much does Medicaid cost in Missouri?
Updated monthly
A combined $16.4 billion in state and federal spending in fiscal year (FY) 2023, the most recent data available. A health insurance program for low-income individuals, Medicaid is jointly funded by both levels of government, with the federal government covering 78% of the spending and Missouri’s state government covering 22%. The cost came out to $2,700 per enrollee or $2,600 for every Missouri resident.
In FY 2022, the latest year of data available, Medicaid accounted for 38.0% of the state's budget (this includes federal funding), higher than the 28.8% average among all states.
$16.4B
combined federal and state spending on Medicaid in Missouri (FY 2023)
38%
Medicaid’s share of Missouri state government spending (FY 2022)
The $894 billion spent on Medicaid in FY 2023 was the most since the program was created in 1965. FY 2023 spending was up 3.3% over the previous year.
In FY 2023, the federal and Missouri government spent a combined $16.4 billion in the state on Medicaid.
Medicaid spending by level of government
Medicaid is a state-administered program and one of the largest categories of spending for state governments. In Missouri during FY 2022, the latest year of data available, Medicaid accounted for 38.0% of the state’s budget. This includes funds that came from the federal government.
In FY 2022, Medicaid accounted for 38% of Missouri state government spending.
Shares of state government spending, including federally funded, by category
About 34.2% of Missouri’s Medicaid benefit spending in FY 2023 went to managed care. These are payments to private health plans that states contract with to deliver Medicaid services.
Unlike Medicare or most private insurance, Medicaid pays for long-term services and supports like nursing home care and home health (32.4% of Medicaid benefit spending in FY 2023). Medicaid also helps low-income seniors and people with disabilities afford Medicare by covering their premiums and out-of-pocket costs (3.1%).
In FY 2023, 32.4% of Medicaid benefit spending in Missouri went toward long-term services and supports.
Medicaid benefit spending, by service type
Medicaid spending per enrollee
In FY 2023, state and federal governments spent a combined $9,109 per Medicaid enrollee.

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Methodology
USAFacts standardizes data, in areas such as time and demographics, to make it easier to understand and compare.
The analysis was generated with the help of AI and reviewed by USAFacts for accuracy.
Page sources
USAFacts endeavors to share the most up-to-date information available. We sourced the data on this page directly from government agencies; however, the intervals at which agencies publish updated data vary.