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Medicaid and CHIP enrollees per 1,000: U.S. states ranked (2026)

Measure: Medicaid and CHIP enrollees per 1,000 residents (derived). All 50 states and District of Columbia with data in Medicaid and CHIP enrollment by state, June 2026, ranked from highest to lowest. Reference period: June 2026.

Licence: Public domain (U.S. federal government work).
Data last updated: 2026-11-09

Download full table CSV Source: Centers for Medicare & Medicaid Services (opens in a new tab)Source: U.S. Census Bureau (opens in a new tab)

National value: 215 (United States).

Small states, hard to see on the map:

DC 346
RI 255
DE 222
CT 243
NJ 185
MD 223
MA 215
VT 227
NH 120

Lowest: 92 to 166
Group 2: 166 to 199
Group 3: 199 to 223
Group 4: 223 to 255
Highest: 255 to 346

The map is a visual summary; every value is in the table below, which is the keyboard and screen-reader path. Groups are quintiles of the values shown (a derived grouping). Boundaries: Natural Earth (public domain), simplified. Alaska and Hawaii are shown as insets, not to scale.

Rank is derived by Quadranac: 1 = highest value; ties share a rank. The ranked value is itself derived; see the source table for the method. Values are as published in the source table.

Note: Monthly enrollment reported by states to CMS; definitions of child and adult enrollment vary somewhat by state.


1	District of Columbia	346
2	New York	320
3	New Mexico	318
4	California	298
5	Oregon	297
6	Alaska	283
7	Louisiana	277
8	Kentucky	276
9	West Virginia	275
10	Hawaii	274
11	Rhode Island	255
12	North Carolina	253
13	Arkansas	250
14	Connecticut	243
15	Oklahoma	241
16	Illinois	233
16	Maine	233
18	Pennsylvania	227
18	Vermont	227
20	Maryland	223
20	Washington	223
22	Delaware	222
23	Ohio	218
24	Nevada	217
25	Massachusetts	215
26	Michigan	213
27	Arizona	211
28	Iowa	209
29	Missouri	201
30	Mississippi	200
31	Colorado	199
32	Indiana	198
33	Minnesota	195
34	Tennessee	190
35	Wisconsin	187
36	Virginia	186
37	New Jersey	185
38	Alabama	181
39	Montana	179
40	South Carolina	172
41	Nebraska	166
42	Georgia	163
43	Florida	152
44	Idaho	151
45	South Dakota	150
46	North Dakota	133
47	Kansas	132
48	Texas	125
49	New Hampshire	120
50	Wyoming	102
51	Utah	92

Source: Centers for Medicare & Medicaid Services, State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data (Performance Indicator data), reporting period June 2026, updated reports
Source: U.S. Census Bureau, Population Estimates Program, July 1, 2025 resident population (denominator). Reference period: June 2026.

Cite this ranking

U.S. states ranked by Medicaid and CHIP enrollees per 1,000 residents (derived) (June 2026). Data: Centers for Medicare & Medicaid Services (with Census population), State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data (Performance Indicator data), reporting period June 2026, updated reports; rank derived by Quadranac. Data last updated 2026-11-09. https://quadranac.com/rankings/us-states-by-medicaid-and-chip-enrollees-per-1000-residents/

Download source table CSV All rankings