Medical assistance caseload

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