Medical assistance caseload

Fiscal Year Average Monthly Caseload
Fiscal Year 2024 Average Monthly Caseload 1,399,413
Fiscal Year 2023 Average Monthly Caseload 1,488,429
Fiscal Year 2022 Average Monthly Caseload 1,427,678
Fiscal Year 2021 Average Monthly Caseload 1,361,556
Fiscal Year 2020 Average Monthly Caseload 1,288,075
Fiscal Year 2019 Average Monthly Caseload 1,276,737
Fiscal Year 2018 Average Monthly Caseload 1,288,885
Fiscal Year 2017 Average Monthly Caseload 1,289,802
Fiscal Year 2016 Average Monthly Caseload 1,243,903
Fiscal Year 2015 Average Monthly Caseload 1,203,654
Fiscal Year 2014 Average Monthly Caseload 1,156,549
Fiscal Year 2013 Average Monthly Caseload 1,136,194
Fiscal Year 2012 Average Monthly Caseload 1,125,384
Fiscal Year 2011 Average Monthly Caseload 1,107,763
Fiscal Year 2010 Average Monthly Caseload 1,052,649
Fiscal Year 2009 Average Monthly Caseload 1,004,894
Fiscal Year 2008 Average Monthly Caseload 940,683
Fiscal Year 2007 Average Monthly Caseload 914,900
Fiscal Year 2006 Average Monthly Caseload 913,070
Fiscal Year 2005 Average Monthly Caseload 880,788
Fiscal Year 2004 Average Monthly Caseload 875,363

Compared to Total Population

There have been several significant policy changes that have impacted the Medical Assistance caseload:

  • July 2007 - Cover All Kids expands health care coverage eligibility.
  • July 1988: First Steps expansion for children and pregnant women.
  • July 1994: Expansion to 200% federal poverty level (FPL) for children.
  • The Affordable Care Act made it possible for the potential enrollment of over 300,000 newly eligible low-income individuals to the medical assistance caseload. That has since expanded to over 686,000 potential individuals in fiscal year 2024. Their budgetary impact is moderated because federal matching funds currently pick up 90% of the cost. More will be added to this tally in the future as the federal matching rates decline.
  • For the first time since 2020, the medical assistance caseload has decreased, showing a year-over-year decline of 5.98%.

Data sources:

E-mail: OFM.Forecasting@ofm.wa.gov

Last updated
Thursday, December 12, 2024
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