Medicaid eligibility funding has been described as:

• A. Federal 50%, State 50%
• B. Federal 60%, State 40%
• C. Federal 70%, State 30%
• D. Federal about two-thirds and State about one-third

Answer: (D)

Medicaid is funded jointly by the federal government and the states through the FMAP, which assigns each state a federal matching rate based on its per-capita income relative to the nation. Because the match varies by state and over time, the exact split isn’t fixed. Still, the typical way people describe it is that the federal government pays about two-thirds of Medicaid costs and states pay about one-third. This captures the overall pattern: the federal share is the larger portion of funding, with some variation by state and program. It’s also worth noting that ACA expansion changes can increase the federal share for those new enrollees, but the general description of roughly two-thirds federal remains a common reference point.