In New York, as in most states, Medicaid is the single largest allocation in the State budget. These graphs intend to provide additional context around these expenditures, which provide vital care.

This page includes two graphs:

Expenditures by Government Payers

Where the Money Goes

Expenditures by Government Payers

New York’s Medicaid program is funded through a combination of federal, state, and local dollars. The federal government reimburses 50% of most New York Medicaid costs, with higher matching rates for ACA Medicaid expansion costs and other special circumstances, which is why the visualizations show the federal proportion as greater than 50%.1


Where the Money Goes

Medicaid members' care is either administered through a Medicaid managed care (MMC) plan or directly through the State in fee-for-service (FFS). MMC plans (mainstream managed care, managed long-term care, etc.) receive risk-adjusted monthly payments from the State to manage and administer all services members receive. Care for specific subpopulations (SSI, MBI-WPD, etc.) is administered through FFS. Both MMC and FFS cover the same comprehensive services for members.

Payments to MMC plans were the single largest New York Medicaid expenditure in federal fiscal year 2013 and 2020.2 In both years, nearly 80% of all Medicaid enrollees were enrolled in a managed care plan. In 2014, an additional 660,000 individuals enrolled in MMC with the Affordable Care Act Expansion.3

Program administration for FFS and premium assistance costs are consistently a small share of overall Medicaid spending (about 3% each).

Footnotes and Sources

Last updated 5/10/22