RANKING · 2024 ACS · 500 SHOWN OF 3,144

Highest Medicaid coverage, US counties

US counties ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2024 ACS). Kusilvak Census Area, Alaska leads at 73.1%. 3,144 counties qualify in total. Kentucky carries 9 of the top 25 entries.

All statesAll rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

USUnited States334,922,49920.9%–

01Kusilvak Census Area, AKAK7,93273.1%+9.3 pts

02Wolfe County, KYKY6,29864.6%+1.4 pts

03Loving County, TXTX5263.6%+31.1 pts

04Bethel Census Area, AKAK18,39160.6%+9.1 pts

05McKinley County, NMNM68,11957.4%+4.3 pts

06Owsley County, KYKY3,93257.1%+2.2 pts

07Breathitt County, KYKY12,55854.5%+6.4 pts

08Tensas Parish, LALA3,70053.5%+9.5 pts

09Luna County, NMNM25,40753.3%+4.4 pts

10East Carroll Parish, LALA6,76052.8%−3.9 pts

11Bronx County, NYNY1,406,33252.5%+4.1 pts

12Knox County, KYKY29,53252.5%+4.2 pts

13Madison Parish, LALA8,84452.0%+5.3 pts

14McCreary County, KYKY17,12451.8%+1.9 pts

15McDowell County, WVWV16,87851.6%+5.3 pts

16Magoffin County, KYKY11,11051.4%+5.7 pts

17Todd County, SDSD8,86350.7%−0.5 pts

18Guadalupe County, NMNM4,34350.5%+15.4 pts

19Imperial County, CACA181,41149.8%+2.9 pts

20Cibola County, NMNM26,80749.6%+2.4 pts

21Perry County, KYKY26,55549.6%+8.8 pts

22Lee County, KYKY7,29749.3%+2.1 pts

23Martin County, KYKY10,69749.0%+13.9 pts

24Northwest Arctic, AKAK7,09548.7%+5.0 pts

25Randolph County, GAGA6,15648.4%+3.4 pts

26Dillingham Census Area, AKAK4,48348.3%+4.2 pts

27Nome Census Area, AKAK9,83048.3%+4.3 pts

28Clay County, KYKY19,46547.6%−6.2 pts

29Phillips County, ARAR14,25547.5%+1.1 pts

30Letcher County, KYKY19,95247.4%+1.4 pts

31Corson County, SDSD3,78147.2%+7.8 pts

32St. Helena Parish, LALA10,75846.7%+14.5 pts

33Harlan County, KYKY24,72546.4%+0.7 pts

34Emporia, VAVA5,44746.3%+8.3 pts

35Clay County, WVWV7,53845.7%−1.8 pts

36Tulare County, CACA485,14645.7%+3.6 pts

37Avoyelles Parish, LALA37,94145.5%+8.8 pts

38Johnson County, KYKY22,05145.4%+5.6 pts

39Glacier County, MTMT13,46345.3%+13.9 pts

40Sioux County, NDND3,66745.1%+17.2 pts

41Leslie County, KYKY9,62745.1%+0.5 pts

42Big Horn County, MTMT12,75245.0%+11.2 pts

43Holmes County, MSMS15,46544.9%+1.7 pts

44Mingo County, WVWV21,45544.9%+3.9 pts

45Apache County, AZAZ64,44544.8%+9.0 pts

46Richland Parish, LALA19,58244.7%+4.9 pts

47Elliott County, KYKY7,26544.7%+1.6 pts

48Humphreys County, MSMS7,00144.6%−1.4 pts

49Knott County, KYKY13,32144.5%−3.6 pts

50Morehouse Parish, LALA23,70544.0%+8.6 pts

51Desha County, ARAR9,98443.7%+8.3 pts

52Dimmit County, TXTX8,02443.7%+11.1 pts

53Bell County, KYKY22,82943.6%−5.2 pts

54Lee County, ARAR8,02943.4%+1.6 pts

55Claiborne Parish, LALA13,35443.4%+7.4 pts

56Menifee County, KYKY6,43043.3%+0.1 pts

57Evangeline Parish, LALA31,98042.9%+2.7 pts

58St. Francis County, ARAR21,80042.8%+1.7 pts

59Concordia Parish, LALA17,83642.6%+4.9 pts

60Fulton County, KYKY6,21842.6%+3.1 pts

61Merced County, CACA297,26042.5%−0.3 pts

62Lincoln County, WVWV19,17742.3%+6.1 pts

63Washington Parish, LALA44,93742.3%+4.5 pts

64Caldwell Parish, LALA9,34442.2%+4.0 pts

65Catahoula Parish, LALA8,22342.2%+13.5 pts

66Franklin Parish, LALA19,00242.1%+1.7 pts

67Russell County, KYKY18,60842.1%+6.2 pts

68Webster County, WVWV7,76042.0%−4.2 pts

69Pulaski County, ILIL4,82042.0%+4.4 pts

70West Carroll Parish, LALA9,15641.9%+5.6 pts

71Socorro County, NMNM15,83841.9%+2.1 pts

72Costilla County, COCO3,67941.9%−1.2 pts

73Lawrence County, KYKY15,76541.6%+5.8 pts

74Bent County, COCO5,71641.5%+4.0 pts

75Floyd County, KYKY34,40141.5%−1.8 pts

76Chaves County, NMNM63,36441.5%+2.1 pts

77Iberia Parish, LALA66,84641.4%+7.1 pts

78San Juan County, NMNM120,34041.4%+4.3 pts

79Estill County, KYKY13,96241.4%+0.3 pts

80Whitley County, KYKY37,29741.3%+4.5 pts

81St. Bernard Parish, LALA45,64241.3%+3.0 pts

82Glascock County, GAGA3,14141.3%+9.4 pts

83Roosevelt County, NMNM18,61541.3%+6.0 pts

84Winn Parish, LALA14,96141.1%+12.6 pts

85Lewis County, KYKY12,90141.1%−0.9 pts

86Bullock County, ALAL9,78041.0%+6.6 pts

87Webster Parish, LALA34,94840.9%+5.2 pts

88Lake County, CACA67,77240.8%+0.1 pts

89Allen Parish, LALA22,67240.8%+8.8 pts

90Bienville Parish, LALA12,26940.8%+1.7 pts

91Leflore County, MSMS25,68640.8%+2.0 pts

92Cumberland County, KYKY5,99240.8%+8.1 pts

93Coahoma County, MSMS19,84940.5%−1.2 pts

94Kern County, CACA927,06840.4%+1.1 pts

95Robertson County, KYKY2,32540.4%+3.7 pts

96Wayne County, KYKY19,59740.3%+7.7 pts

97St. Landry Parish, LALA80,76540.3%+12.4 pts

98San Miguel County, NMNM26,26040.3%−3.4 pts

99Tehama County, CACA64,66540.3%+4.4 pts

100Benson County, NDND5,75940.2%−0.3 pts

101Lake County, TNTN6,24940.1%+5.7 pts

102Clinton County, KYKY9,13940.1%−4.3 pts

103Washington County, MSMS40,44640.0%+3.5 pts

104Metcalfe County, KYKY10,58340.0%+4.6 pts

105St. Mary Parish, LALA46,55239.9%−2.0 pts

106Alamosa County, COCO16,68839.9%+4.1 pts

107Hidalgo County, NMNM3,92939.8%+0.7 pts

108Perry County, ALAL7,42539.7%+4.1 pts

109Trinity County, CACA15,72039.7%+7.4 pts

110Mahnomen County, MNMN5,15339.6%−0.5 pts

111Pemiscot County, MOMO14,46539.6%+1.5 pts

112Chicot County, ARAR9,10739.5%−2.3 pts

113Rolette County, NDND11,68839.5%+8.0 pts

114Madera County, CACA167,92739.4%−1.6 pts

115Quitman County, MSMS5,36439.4%−1.2 pts

116Mora County, NMNM4,05139.4%−1.1 pts

117Randolph County, ARAR18,87639.3%+4.8 pts

118Fresno County, CACA1,035,45639.3%+0.4 pts

119Acadia Parish, LALA57,03239.3%+7.0 pts

120Pondera County, MTMT6,07239.1%+7.2 pts

121Zavala County, TXTX9,03739.1%−3.4 pts

122Powell County, KYKY12,81239.0%+3.9 pts

123Otero County, COCO17,68338.9%+4.6 pts

124Kings County, NYNY2,653,96338.8%+2.3 pts

125Poinsett County, ARAR22,48338.8%+1.2 pts

126Sunflower County, MSMS22,89338.8%+3.6 pts

127Valencia County, NMNM82,01338.8%+4.3 pts

128Huerfano County, COCO7,01138.8%+9.2 pts

129Adams County, WAWA21,48838.8%+1.2 pts

130Natchitoches Parish, LALA36,08938.7%+4.8 pts

131Quay County, NMNM8,45438.7%−3.3 pts

132Curry County, NMNM46,65538.6%+4.6 pts

133Torrance County, NMNM16,10038.6%+2.2 pts

134Red River Parish, LALA7,16538.4%−0.3 pts

135Issaquena County, MSMS1,26338.3%−20.5 pts

136Liberty County, MTMT1,95738.3%−0.2 pts

137Santa Cruz County, AZAZ50,02038.2%−1.5 pts

138Colusa County, CACA21,83638.2%+3.7 pts

139Humboldt County, CACA131,64738.2%+5.6 pts

140Dallas County, ALAL35,14038.1%+4.0 pts

141Bolivar County, MSMS28,26238.1%+2.0 pts

142Franklin, VAVA8,47838.0%+10.6 pts

143Union County, NMNM3,84437.9%+9.5 pts

144Galax, VAVA6,67037.9%+14.5 pts

145Turner County, GAGA8,98337.8%+5.8 pts

146Wilcox County, ALAL9,66637.7%+0.4 pts

147Glenn County, CACA28,14137.7%+3.2 pts

148Danville, VAVA41,64737.7%+9.4 pts

149Martinsville, VAVA13,84937.7%+5.7 pts

150Kings County, CACA154,32737.6%+4.2 pts

151Pike County, KYKY54,72137.6%+3.7 pts

152Del Norte County, CACA26,41037.5%−1.9 pts

153Caddo Parish, LALA224,22637.5%+5.5 pts

154Tangipahoa Parish, LALA141,34637.5%+6.8 pts

155Tunica County, MSMS8,81937.5%−0.8 pts

156St. John the Baptist Parish, LALA39,87537.5%+7.7 pts

157Petersburg, VAVA33,73437.4%+7.2 pts

158De Soto Parish, LALA27,38137.3%+3.7 pts

159Dewey County, SDSD5,41937.3%−1.5 pts

160Jackson County, ARAR16,74137.2%−0.6 pts

161Yakima County, WAWA259,18537.2%+0.7 pts

162Sherman County, OROR2,05137.2%+14.1 pts

163Sierra County, NMNM11,39537.1%−0.9 pts

164Hancock County, TNTN7,07537.1%−0.7 pts

165Alexander County, ILIL4,57037.1%+0.5 pts

166Grant County, NMNM27,25237.0%−0.1 pts

167Crittenden County, ARAR46,21036.8%+1.4 pts

168Rockcastle County, KYKY16,14836.8%−1.9 pts

169Colfax County, NMNM12,18436.7%−1.0 pts

170Marlboro County, SCSC25,48836.7%+3.6 pts

171Lincoln County, KYKY25,35336.7%+4.8 pts

172Doña Ana County, NMNM229,09136.6%−1.7 pts

173Conecuh County, ALAL10,89936.5%+11.4 pts

174Lake County, MIMI13,18236.4%+3.9 pts

175Starr County, TXTX66,31936.4%+0.7 pts

176Laurel County, KYKY63,74636.4%+2.6 pts

177Casey County, KYKY16,20536.4%−0.2 pts

178Hart County, KYKY20,11736.4%+1.5 pts

179Van Buren County, ARAR16,23836.3%+1.4 pts

180Sabine Parish, LALA21,83436.3%+4.1 pts

181Jefferson County, ARAR62,98736.2%+4.0 pts

182Mellette County, SDSD2,13736.2%+1.4 pts

183Jackson County, KYKY13,32536.2%−4.7 pts

184Stone County, ARAR12,70336.1%−2.5 pts

185Rapides Parish, LALA125,87736.1%+5.6 pts

186Union Parish, LALA20,56136.1%+7.5 pts

187Lee County, VAVA21,64236.1%+4.9 pts

188Taylor County, GAGA7,81836.1%+7.3 pts

189Sharp County, ARAR18,12236.0%−2.8 pts

190Hickman County, KYKY4,37236.0%+4.7 pts

191Josephine County, OROR87,86736.0%+1.9 pts

192Dillon County, SCSC27,45836.0%+2.4 pts

193Yuba County, CACA88,69136.0%+2.4 pts

194Greene County, ALAL7,06735.9%+5.6 pts

195Macon County, GAGA11,75635.9%+6.1 pts

196Ouachita Parish, LALA158,54235.9%+3.1 pts

197Lea County, NMNM74,74935.9%+5.0 pts

198Wyoming County, WVWV19,80135.9%−0.3 pts

199Prowers County, COCO11,88435.9%−0.3 pts

200Pulaski County, KYKY67,38435.9%+2.2 pts

201Cross County, ARAR16,18635.8%+3.5 pts

202Rockland County, NYNY357,39735.8%+5.5 pts

203Roane County, WVWV13,31735.8%+3.0 pts

204Monroe County, KYKY11,19135.8%+1.4 pts

205Hopewell, VAVA23,26135.8%+5.3 pts

206Norton, VAVA3,47735.8%+2.8 pts

207Jefferson Davis County, MSMS10,94135.7%+4.4 pts

208Morgan County, KYKY14,41535.7%−0.9 pts

209Blaine County, MTMT6,86035.5%−2.9 pts

210Meigs County, OHOH21,58735.5%+1.9 pts

211Bennett County, SDSD3,30735.5%+1.4 pts

212Wayne County, MIMI1,769,03835.4%+1.9 pts

213Robeson County, NCNC119,94135.4%+2.2 pts

214Baca County, COCO3,34735.4%+3.7 pts

215Yukon-Koyukuk Census Area, AKAK5,02835.3%−5.5 pts

216Catron County, NMNM3,82735.3%−3.7 pts

217Scotland County, NCNC33,32235.3%+3.1 pts

218Sharkey County, MSMS3,09735.2%+1.2 pts

219Mississippi County, MOMO12,00335.2%+1.6 pts

220Conejos County, COCO7,52935.2%−6.6 pts

221Tallahatchie County, MSMS10,87735.1%−1.1 pts

222Pike County, OHOH27,06135.1%+0.9 pts

223Green County, KYKY11,64435.1%−3.2 pts

224Lawrence County, ARAR16,27335.0%+1.9 pts

225Miller County, ARAR42,35735.0%+2.4 pts

226Sevier County, ARAR15,75835.0%+2.6 pts

227Chouteau County, MTMT5,86535.0%+6.5 pts

228Otero County, NMNM70,36835.0%−0.8 pts

229Oglala Lakota County, SDSD13,33835.0%−8.3 pts

230Mason County, KYKY16,93635.0%+7.9 pts

231Nevada County, ARAR7,94234.9%−3.5 pts

232Searcy County, ARAR7,84834.9%−0.1 pts

233Bracken County, KYKY8,51134.9%+8.3 pts

234Hampden County, MAMA464,33834.9%+0.0 pts

235Washington County, NCNC10,63834.9%+10.0 pts

236Summers County, WVWV11,53234.9%−0.7 pts

237Grayson County, KYKY27,40634.9%−1.3 pts

238Dorchester County, MDMD33,62834.9%+2.8 pts

239Navajo County, AZAZ109,94634.7%−3.5 pts

240Monroe County, ARAR6,24434.7%−3.3 pts

241Scott County, ARAR9,96534.7%+1.1 pts

242Thurston County, NENE6,75234.7%+8.8 pts

243Logan County, WVWV30,37534.7%−0.2 pts

244Sutter County, CACA98,78734.7%+1.0 pts

245Hempstead County, ARAR19,08034.6%+1.1 pts

246Woodruff County, ARAR5,71034.6%+3.0 pts

247Crowley County, COCO5,67734.6%−12.6 pts

248Fleming County, KYKY15,78734.6%+0.1 pts

249Mississippi County, ARAR37,82834.5%+0.1 pts

250Richmond County, NCNC42,04134.5%+4.9 pts

251Adair County, KYKY19,42334.5%+3.1 pts

252Marion County, SCSC28,24234.4%+1.7 pts

253Caroline County, MDMD34,11634.4%+2.0 pts

254Ouachita County, ARAR21,73134.3%+0.4 pts

255Grant Parish, LALA22,07534.3%+4.6 pts

256Adair County, OKOK19,82834.3%+4.4 pts

257Philadelphia County, PAPA1,574,28134.3%+0.1 pts

258Ashley County, ARAR17,83134.2%+0.8 pts

259Drew County, ARAR17,05434.2%+4.8 pts

260Mendocino County, CACA88,12234.2%−1.5 pts

261Lee County, SCSC15,73034.2%−0.9 pts

262Taliaferro County, GAGA1,66234.2%+5.5 pts

263Orangeburg County, SCSC83,17734.2%+2.9 pts

264Cameron County, PAPA4,21134.1%+3.5 pts

265Clay County, TNTN7,82134.1%+6.2 pts

266Yalobusha County, MSMS12,37534.0%+6.4 pts

267Wayne County, MOMO10,78234.0%+2.4 pts

268Vance County, NCNC42,63834.0%+1.6 pts

269Fulton County, ARAR12,49233.9%+5.0 pts

270Jefferson County, MSMS6,82533.9%−5.0 pts

271Noxubee County, MSMS9,79833.9%−1.9 pts

272Scioto County, OHOH71,36533.9%−0.7 pts

273Klamath County, OROR70,27433.9%+3.2 pts

274Hampton County, SCSC18,17433.9%+9.3 pts

275Stanislaus County, CACA557,71933.9%−0.1 pts

276Ohio County, KYKY23,93433.9%+0.4 pts

277Wise County, VAVA34,82433.8%+9.4 pts

278LaSalle Parish, LALA15,15433.8%+5.8 pts

279Malheur County, OROR32,26133.8%−2.3 pts

280Halifax County, NCNC46,53433.8%+4.3 pts

281Conway County, ARAR21,39333.7%−1.9 pts

282St. Martin Parish, LALA51,10633.7%+2.2 pts

283Yazoo County, MSMS22,94733.7%−3.7 pts

284Adams County, OHOH27,86533.7%+0.6 pts

285Morrow County, OROR12,60233.6%+7.6 pts

286Monterey County, CACA433,72933.5%+3.1 pts

287Baltimore, MDMD569,99733.5%+1.2 pts

288Essex County, VTVT6,05133.5%−0.7 pts

289Yell County, ARAR19,95633.4%+2.2 pts

290Claiborne County, MSMS8,05833.4%+1.4 pts

291Pocahontas County, WVWV7,60233.4%+0.3 pts

292Chattooga County, GAGA25,30033.4%+1.8 pts

293Dougherty County, GAGA82,61633.3%+3.4 pts

294Nicholas County, KYKY7,94933.3%−7.7 pts

295Prince of Wales-Hyder Census Area, AKAK5,77733.2%+5.4 pts

296Calhoun County, WVWV5,97833.2%−6.6 pts

297Fayette County, WVWV38,16533.2%+1.1 pts

298Vermilion Parish, LALA57,67133.2%+5.0 pts

299Pueblo County, COCO169,27733.2%−0.6 pts

300Wadena County, MNMN14,38833.1%+0.1 pts

301Dunklin County, MOMO26,85533.1%+2.8 pts

302Ziebach County, SDSD2,38933.1%−1.0 pts

303Zapata County, TXTX13,75333.1%+1.0 pts

304Boone County, WVWV20,25133.1%−2.3 pts

305San Bernardino County, CACA2,224,09133.1%+0.7 pts

306Carlisle County, KYKY4,74733.1%−2.4 pts

307Ferry County, WAWA7,51733.1%−2.8 pts

308Wilkinson County, MSMS7,58233.0%−2.1 pts

309Queens County, NYNY2,358,18233.0%+3.6 pts

310Jackson County, SDSD2,66633.0%−0.6 pts

311Hardeman County, TNTN25,27433.0%+4.3 pts

312McCurtain County, OKOK30,74432.9%+6.3 pts

313Terrell County, GAGA8,65632.9%+3.0 pts

314Jefferson County, OROR25,74032.9%+1.6 pts

315Jackson Parish, LALA15,83432.8%+1.0 pts

316Cochran County, TXTX2,54632.8%+6.7 pts

317Hopkins County, KYKY45,12732.8%+4.5 pts

318Bath County, KYKY13,17632.7%−5.4 pts

319Clare County, MIMI31,54332.7%+1.0 pts

320Union County, ILIL16,65632.7%+6.1 pts

321Montgomery County, KYKY28,82232.7%+1.8 pts

322Taos County, NMNM34,56432.6%−4.7 pts

323Sullivan County, NYNY80,58632.5%+6.9 pts

324Barnwell County, SCSC20,65332.5%+2.1 pts

325Scott County, TNTN22,67132.4%−0.1 pts

326Cattaraugus County, NYNY75,39032.4%+4.8 pts

327Atkinson County, GAGA8,45432.4%−2.8 pts

328Emanuel County, GAGA23,14732.4%+2.3 pts

329Lowndes County, ALAL9,35932.3%−1.4 pts

330Yuma County, AZAZ224,44932.3%+0.6 pts

331Johnson County, ARAR26,22532.3%+0.5 pts

332Pike County, MSMS38,71232.3%+1.6 pts

333Rio Arriba County, NMNM39,83232.3%−3.4 pts

334Douglas County, OROR111,95132.3%+5.1 pts

335Braxton County, WVWV11,88532.3%+2.8 pts

336Edmonson County, KYKY12,74932.3%+1.6 pts

337Carroll County, KYKY11,14132.3%+1.9 pts

338Breckinridge County, KYKY21,50332.2%+2.3 pts

339Winston County, MSMS17,47332.2%+3.5 pts

340Chautauqua County, NYNY124,12632.2%+4.5 pts

341Putnam County, FLFL77,73432.2%+3.2 pts

342Washington County, MEME31,33432.2%+2.7 pts

343Lenoir County, NCNC55,83732.2%+1.7 pts

344Grant County, WAWA105,72732.2%−2.0 pts

345Amite County, MSMS12,48732.1%+3.3 pts

346Okfuskee County, OKOK11,45132.1%+5.4 pts

347Decatur County, GAGA29,43232.1%+1.2 pts

348New Madrid County, MOMO15,08632.0%+5.8 pts

349Taylor County, WVWV16,28732.0%+8.9 pts

350Montgomery County, IAIA10,00232.0%+9.0 pts

351Greene County, ARAR47,41131.9%+1.8 pts

352Adams County, MSMS30,06131.9%−0.5 pts

353Scott County, MSMS28,07331.9%+3.3 pts

354Barren County, KYKY45,64131.9%+0.0 pts

355Taylor County, KYKY26,76331.9%+2.3 pts

356Garfield County, WAWA2,41631.9%+16.4 pts

357Butte County, CACA209,21131.8%+1.0 pts

358Genesee County, MIMI401,09331.8%+0.7 pts

359Clarendon County, SCSC31,04331.8%+0.4 pts

360Evans County, GAGA11,02831.8%+2.2 pts

361Carter County, MOMO5,41831.7%+10.4 pts

362Orleans Parish, LALA362,15431.7%−0.2 pts

363Anson County, NCNC21,75831.7%+4.6 pts

364Logan County, COCO20,65431.7%+7.7 pts

365Hertford County, NCNC19,01531.7%+2.8 pts

366Polk County, ARAR19,48631.6%−0.1 pts

367Greenbrier County, WVWV31,57831.6%+1.6 pts

368Las Animas County, COCO14,39131.6%−0.8 pts

369Charlton County, GAGA13,12131.6%+6.8 pts

370Somerset County, MDMD24,97331.6%−1.0 pts

371Boyd County, KYKY47,75131.5%−0.5 pts

372Brooks County, TXTX6,57931.5%−1.8 pts

373Montezuma County, COCO26,67831.5%+4.4 pts

374Franklin County, ILIL36,91631.5%+1.0 pts

375Garrard County, KYKY18,20731.5%+7.0 pts

376San Joaquin County, CACA823,81531.4%−1.0 pts

377Wexford County, MIMI34,44531.4%+4.1 pts

378Williamsburg County, SCSC29,66231.4%−2.4 pts

379Lauderdale County, TNTN24,61731.4%+1.0 pts

380Okanogan County, WAWA45,23031.4%−4.0 pts

381Lake and Peninsula, AKAK1,35731.3%−2.3 pts

382Jefferson Davis Parish, LALA31,47131.3%+0.8 pts

383Alpena County, MIMI28,85331.3%+3.7 pts

384Fulton County, NYNY52,21631.3%+2.8 pts

385Edgecombe County, NCNC49,12131.3%+0.6 pts

386Tillman County, OKOK6,78031.3%+9.7 pts

387Mitchell County, GAGA20,46731.3%+2.9 pts

388Washington County, GAGA19,45331.3%−0.4 pts

389Howard County, ARAR12,30631.2%−4.6 pts

390Neshoba County, MSMS28,73231.2%−1.4 pts

391Lawrence County, OHOH55,71031.2%+0.6 pts

392Curry County, OROR22,62131.2%+5.7 pts

393Pickett County, TNTN5,21931.2%+1.4 pts

394Buchanan County, VAVA18,49231.2%+7.2 pts

395Raleigh County, WVWV71,77531.2%+0.2 pts

396Lafayette County, ARAR5,88831.1%−3.0 pts

397Hill County, MTMT16,16731.1%−1.7 pts

398Sequoyah County, OKOK40,84231.1%+5.8 pts

399Maverick County, TXTX58,82331.1%+4.0 pts

400Arkansas County, ARAR15,83631.0%−1.5 pts

401Lawrence County, MSMS11,81931.0%+3.6 pts

402Russell County, VAVA25,33231.0%+9.7 pts

403Saguache County, COCO6,73231.0%−4.5 pts

404Terrebonne Parish, LALA104,16330.9%+1.0 pts

405Luce County, MIMI6,33930.9%+3.5 pts

406Franklin County, WAWA102,61230.9%−1.5 pts

407Toombs County, GAGA27,54530.9%−0.9 pts

408Menominee County, WIWI4,19930.9%−5.9 pts

409Bradley County, ARAR9,82830.8%−1.1 pts

410Lafourche Parish, LALA95,50530.8%+3.7 pts

411Oneida County, NYNY226,39230.8%+4.5 pts

412Vermilion County, ILIL71,25930.8%+1.7 pts

413Southeast Fairbanks Census Area, AKAK7,27030.7%+8.2 pts

414Duval County, TXTX9,40230.7%+2.4 pts

415Butler County, KYKY12,52030.7%+0.9 pts

416Johnston County, OKOK10,44830.7%+5.5 pts

417Coos County, OROR63,99230.7%+0.1 pts

418Orleans County, VTVT27,60030.7%−3.0 pts

419Graham County, AZAZ40,15730.7%+0.3 pts

420Union County, ARAR36,92630.6%+4.7 pts

421Crawford County, MIMI13,72230.6%+3.9 pts

422Marion County, MSMS24,00130.6%−2.1 pts

423Chenango County, NYNY45,71530.6%+3.4 pts

424Fentress County, TNTN20,32230.6%−4.7 pts

425Fayette County, ININ23,53330.6%+5.9 pts

426Haywood County, TNTN17,04230.6%+1.7 pts

427Montgomery County, ARAR8,57930.5%+0.5 pts

428Grenada County, MSMS20,86830.5%+3.7 pts

429Wayne County, MSMS19,80730.5%+1.0 pts

430Jim Hogg County, TXTX4,55530.5%−3.9 pts

431Pointe Coupee Parish, LALA19,52030.5%−0.7 pts

432Washington County, COCO4,73230.5%+1.6 pts

433Madison County, FLFL18,75930.5%+7.2 pts

434Gallatin County, ILIL4,61630.5%+0.9 pts

435Jay County, ININ20,11830.5%+6.1 pts

436Henderson County, KYKY44,25530.5%+1.9 pts

437Sumter County, ALAL11,58830.4%−3.8 pts

438Oceana County, MIMI27,17730.4%+2.9 pts

439Oscoda County, MIMI8,72330.4%+2.4 pts

440Choctaw County, OKOK14,05930.4%+1.9 pts

441Dickenson County, VAVA13,23630.4%+3.7 pts

442Henry County, VAVA49,24230.4%+4.3 pts

443Lewis County, WVWV16,39430.4%+0.8 pts

444Clark County, KYKY37,88830.4%+2.2 pts

445Ben Hill County, GAGA17,09930.4%+7.3 pts

446Grays Harbor County, WAWA78,14430.4%+3.9 pts

447Madison County, ARAR18,41030.3%+1.6 pts

448Beltrami County, MNMN47,05530.3%+2.7 pts

449Marion County, OHOH65,11530.3%+3.3 pts

450Umatilla County, OROR81,11930.3%+3.4 pts

451Darlington County, SCSC62,88830.3%+1.5 pts

452Siskiyou County, CACA42,01330.3%−2.0 pts

453Taylor County, FLFL21,21030.3%+4.3 pts

454Kalawao County, HIHI8230.3%+29.1 pts

455Clay County, ILIL12,79330.3%+3.7 pts

456Vernon Parish, LALA45,09130.2%+6.1 pts

457Clarke County, ALAL22,01430.2%+4.1 pts

458Jenkins County, GAGA8,84330.2%−2.4 pts

459Los Angeles County, CACA9,694,93430.1%+1.1 pts

460Tyler County, WVWV7,88130.1%+3.9 pts

461Washington County, KYKY12,36830.0%+7.2 pts

462Ogemaw County, MIMI21,12130.0%−2.2 pts

463Cumberland County, NJNJ157,14830.0%+0.7 pts

464Wheeler County, GAGA7,57030.0%+3.8 pts

465Hendry County, FLFL48,27630.0%+1.3 pts

466Vinton County, OHOH12,64530.0%−2.3 pts

467Independence County, ARAR38,78529.9%+0.9 pts

468Gogebic County, MIMI14,28529.9%+5.3 pts

469Panola County, MSMS32,69129.9%−3.1 pts

470Candler County, GAGA11,27529.9%+5.1 pts

471Hardin County, ILIL3,58829.9%−0.1 pts

472Graves County, KYKY37,05029.9%+0.9 pts

473Muhlenberg County, KYKY30,63429.9%+2.8 pts

474Somerset County, MEME51,62029.9%+0.5 pts

475Hardin County, TNTN27,98329.9%−0.8 pts

476Lincoln Parish, LALA48,36029.8%+3.7 pts

477Chickasaw County, MSMS16,73029.8%+1.1 pts

478Jasper County, MSMS15,78529.8%+2.3 pts

479Hocking County, OHOH27,51229.8%+2.0 pts

480Buffalo County, SDSD1,80229.8%−1.1 pts

481Fayette County, PAPA123,02129.8%+3.1 pts

482Roanoke, VAVA99,11129.8%+6.7 pts

483Stevens County, WAWA49,66829.8%+0.0 pts

484Barbour County, ALAL24,60729.7%−2.9 pts

485Suffolk County, MAMA791,89129.7%−0.1 pts

486Appling County, GAGA19,10029.7%+0.6 pts

487Sumter County, GAGA28,80129.7%+6.1 pts

488Livingston County, KYKY8,86329.7%+7.9 pts

489Pend Oreille County, WAWA14,45729.7%+3.3 pts

490Montgomery County, NYNY50,04629.6%−0.8 pts

491Jefferson County, OKOK5,43129.6%+2.1 pts

492Colleton County, SCSC39,38229.6%+4.9 pts

493Monroe County, WVWV12,49129.6%−0.2 pts

494Portsmouth, VAVA96,77729.6%+7.1 pts

495Willacy County, TXTX19,97129.6%−2.8 pts

496Crawford County, ARAR62,65729.5%−1.2 pts

497Columbus County, NCNC50,48729.5%+1.2 pts

498Carroll County, MSMS9,22629.5%+3.7 pts

499Greene County, NCNC20,70029.5%+3.3 pts

500Rio Grande County, COCO11,08729.5%−4.3 pts

SHOWING 1–500 OF 3,144

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Download CSV (full list, 3,144 rows)

UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES

Frequently asked

Which county has the highest medicaid?

Kusilvak Census Area, Alaska ranks #1 with 73.1% (2024 American Community Survey).

What are the top 5 counties by medicaid?

Kusilvak Census Area, Alaska, Wolfe County, Kentucky, Loving County, Texas, Bethel Census Area, Alaska, McKinley County, New Mexico.

How many counties are in this ranking?

3,144 counties qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is medicaid measured?

Share of the civilian noninstitutionalized population with Medicaid or other means-tested public coverage, alone or in combination (ACS S2704). Source: US Census Bureau, American Community Survey 5-year estimates (2024).