The State of America’s Direct Support Workforce Crisis 2022

The longstanding direct support workforce crisis, exacerbated by the COVID-19 pandemic, has led to closures of critically needed services and a denial of access to community-based supports.
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Capitol Correspondence - 11.01.22

Kaiser Family Foundation Releases Medicaid Enrollment & Spending Growth: FY 2022 & 2023 Report

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Last week, the Kaiser Family Foundation released a new report that analyzes Medicaid enrollment and spending trends for state fiscal year (FY) 2022 and FY 2023. The report notes that increases in total enrollment and spending—as a result of that enrollment—is due to the continuing public health emergency (PHE) declaration, which provides a 6.2 percentage point increase in the federal Medicaid match rate (FMAP) for states that meet certain “maintenance of eligibility” (MOE) requirements, including a continuous enrollment requirement, during the PHE.

According to the report, Medicaid agencies expect total Medicaid spending to reach a peak growth rate of 12.5% in FY 2022 and slow to 4.2% in FY 2023. While enrollment has been the driving force of increased spending, state Medicaid agencies surveyed identified a number of factors beyond enrollment that were driving total spending growth, including provider rate or cost increases, rising inflation, and spending on home- and community-based services.

For more data, view the view the full report.