11/13/2025
Medicaid Enrollment Is Down — But Spending Keeps Rising
A new KFF report shows:
Medicaid enrollment declined 7.6% in FY 2025 and is projected to grow just 0.2% in FY 2026.
Yet overall Medicaid spending continues to climb, with growth of 8.6% this year and 7.9% expected in FY 2026.
Rising costs for long-term care, pharmacy, and behavioral health are putting added pressure on states.
What this means for care managers and professionals:
With Medicaid costs rising and enrollment stabilizing, families needing long-term care support may face even more complexity and financial strain.
At Eldercare Resource Planning, we help families navigate Medicaid long-term care eligibility and planning — so care managers and professionals can focus on what they do best: providing care and guidance.
Let’s connect about how we can support your clients and ease the process.
Call: 1-833-260-4445
🔗 Read more:
As states completed the “unwinding” of pandemic-era continuous coverage, Medicaid enrollment fell 7.6% in FY 2025 and is expected to be largely flat in FY 2026, according to KFF’s 25th annual Medicaid Budget Survey. At the same time, total Medicaid spending grew by 8.6% in FY 2025 and is expec...
