RANKING · 2020 CENSUS · 500 SHOWN OF 3,135

Highest Medicaid coverage, US counties · 2020

US counties ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2020 ACS). Kusilvak Census Area, Alaska leads at 63.8%. 3,135 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 –

USUnited States331,449,28120.0%–

01Kusilvak Census Area, AKAK7,93263.8%–

02Wolfe County, KYKY6,29863.2%–

03Issaquena County, MSMS1,26358.8%–

04East Carroll Parish, LALA6,76056.7%–

05Owsley County, KYKY3,93254.9%–

06Clay County, KYKY19,46553.8%–

07McKinley County, NMNM68,11953.1%–

08Bethel Census Area, AKAK18,39151.5%–

09Todd County, SDSD8,86351.2%–

10McCreary County, KYKY17,12449.9%–

11Luna County, NMNM25,40748.9%–

12Bell County, KYKY22,82948.8%–

13Bronx County, NYNY1,406,33248.4%–

14Knox County, KYKY29,53248.3%–

15Breathitt County, KYKY12,55848.1%–

16Knott County, KYKY13,32148.1%–

17Clay County, WVWV7,53847.5%–

18Cibola County, NMNM26,80747.2%–

19Crowley County, COCO5,67747.2%–

20Lee County, KYKY7,29747.2%–

21Imperial County, CACA181,41146.9%–

22Madison Parish, LALA8,84446.7%–

23Phillips County, ARAR14,25546.4%–

24McDowell County, WVWV16,87846.3%–

25Webster County, WVWV7,76046.2%–

26Humphreys County, MSMS7,00146.0%–

27Letcher County, KYKY19,95246.0%–

28Harlan County, KYKY24,72545.7%–

29Magoffin County, KYKY11,11045.7%–

30Randolph County, GAGA6,15645.0%–

31Leslie County, KYKY9,62744.6%–

32Clinton County, KYKY9,13944.4%–

33Dillingham Census Area, AKAK4,48344.1%–

34Nome Census Area, AKAK9,83044.0%–

35Tensas Parish, LALA3,70044.0%–

36Northwest Arctic, AKAK7,09543.7%–

37San Miguel County, NMNM26,26043.7%–

38Oglala Lakota County, SDSD13,33843.3%–

39Floyd County, KYKY34,40143.3%–

40Holmes County, MSMS15,46543.2%–

41Menifee County, KYKY6,43043.2%–

42Costilla County, COCO3,67943.1%–

43Elliott County, KYKY7,26543.1%–

44Merced County, CACA297,26042.8%–

45Zavala County, TXTX9,03742.5%–

46Kenedy County, TXTX31942.2%–

47Tulare County, CACA485,14642.1%–

48Quay County, NMNM8,45442.0%–

49Lewis County, KYKY12,90142.0%–

50St. Mary Parish, LALA46,55241.9%–

51Chicot County, ARAR9,10741.8%–

52Lee County, ARAR8,02941.8%–

53Conejos County, COCO7,52941.8%–

54Coahoma County, MSMS19,84941.7%–

55St. Francis County, ARAR21,80041.1%–

56Estill County, KYKY13,96241.1%–

57Madera County, CACA167,92741.0%–

58Mingo County, WVWV21,45541.0%–

59Nicholas County, KYKY7,94941.0%–

60Jackson County, KYKY13,32540.9%–

61Yukon-Koyukuk Census Area, AKAK5,02840.8%–

62Perry County, KYKY26,55540.8%–

63Lake County, CACA67,77240.7%–

64Quitman County, MSMS5,36440.6%–

65Mora County, NMNM4,05140.5%–

66Benson County, NDND5,75940.5%–

67Franklin Parish, LALA19,00240.4%–

68Evangeline Parish, LALA31,98040.2%–

69Mahnomen County, MNMN5,15340.1%–

70Calhoun County, WVWV5,97839.8%–

71Richland Parish, LALA19,58239.8%–

72Socorro County, NMNM15,83839.8%–

73Johnson County, KYKY22,05139.8%–

74Santa Cruz County, AZAZ50,02039.7%–

75Hardee County, FLFL25,93239.6%–

76Fulton County, KYKY6,21839.5%–

77Del Norte County, CACA26,41039.4%–

78Corson County, SDSD3,78139.4%–

79Chaves County, NMNM63,36439.4%–

80Kern County, CACA927,06839.3%–

81Bienville Parish, LALA12,26939.1%–

82Hidalgo County, NMNM3,92939.1%–

83Catron County, NMNM3,82739.0%–

84Fresno County, CACA1,035,45638.9%–

85Jefferson County, MSMS6,82538.9%–

86Sharp County, ARAR18,12238.8%–

87Leflore County, MSMS25,68638.8%–

88Dewey County, SDSD5,41938.8%–

89Red River Parish, LALA7,16538.7%–

90Rockcastle County, KYKY16,14838.7%–

91Stone County, ARAR12,70338.6%–

92Liberty County, MTMT1,95738.5%–

93Nevada County, ARAR7,94238.4%–

94Blaine County, MTMT6,86038.4%–

95Tunica County, MSMS8,81938.3%–

96Doña Ana County, NMNM229,09138.3%–

97St. Bernard Parish, LALA45,64238.3%–

98Green County, KYKY11,64438.3%–

99Navajo County, AZAZ109,94638.2%–

100Caldwell Parish, LALA9,34438.2%–

101Bath County, KYKY13,17638.1%–

102Pemiscot County, MOMO14,46538.1%–

103Monroe County, ARAR6,24438.0%–

104Sierra County, NMNM11,39538.0%–

105Emporia, VAVA5,44738.0%–

106Jackson County, ARAR16,74137.8%–

107Hancock County, TNTN7,07537.8%–

108Washington Parish, LALA44,93737.8%–

109Concordia Parish, LALA17,83637.7%–

110Colfax County, NMNM12,18437.7%–

111Poinsett County, ARAR22,48337.6%–

112Pulaski County, ILIL4,82037.6%–

113Adams County, WAWA21,48837.6%–

114Bent County, COCO5,71637.5%–

115Yazoo County, MSMS22,94737.4%–

116Wilcox County, ALAL9,66637.3%–

117Taos County, NMNM34,56437.3%–

118Grant County, NMNM27,25237.1%–

119San Juan County, NMNM120,34037.1%–

120Whitley County, KYKY37,29736.8%–

121Menominee County, WIWI4,19936.8%–

122Robertson County, KYKY2,32536.7%–

123Avoyelles Parish, LALA37,94136.7%–

124Casey County, KYKY16,20536.6%–

125Alexander County, ILIL4,57036.6%–

126Morgan County, KYKY14,41536.6%–

127Kings County, NYNY2,653,96336.5%–

128Yakima County, WAWA259,18536.5%–

129Washington County, MSMS40,44636.5%–

130Torrance County, NMNM16,10036.4%–

131West Carroll Parish, LALA9,15636.3%–

132Tallahatchie County, MSMS10,87736.2%–

133Lincoln County, WVWV19,17736.2%–

134Wyoming County, WVWV19,80136.2%–

135Prowers County, COCO11,88436.2%–

136Grayson County, KYKY27,40636.2%–

137Bolivar County, MSMS28,26236.1%–

138Malheur County, OROR32,26136.1%–

139Claiborne Parish, LALA13,35436.0%–

140Tehama County, CACA64,66535.9%–

141Russell County, KYKY18,60835.9%–

142Ferry County, WAWA7,51735.9%–

143Apache County, AZAZ64,44535.8%–

144Howard County, ARAR12,30635.8%–

145Noxubee County, MSMS9,79835.8%–

146Otero County, NMNM70,36835.8%–

147Hudspeth County, TXTX3,43335.8%–

148Alamosa County, COCO16,68835.8%–

149Lawrence County, KYKY15,76535.8%–

150Mendocino County, CACA88,12235.7%–

151Rio Arriba County, NMNM39,83235.7%–

152Starr County, TXTX66,31935.7%–

153Webster Parish, LALA34,94835.7%–

154Perry County, ALAL7,42535.6%–

155Conway County, ARAR21,39335.6%–

156Summers County, WVWV11,53235.6%–

157Saguache County, COCO6,73235.5%–

158Carlisle County, KYKY4,74735.5%–

159Crittenden County, ARAR46,21035.4%–

160Desha County, ARAR9,98435.4%–

161Morehouse Parish, LALA23,70535.4%–

162Boone County, WVWV20,25135.4%–

163Okanogan County, WAWA45,23035.4%–

164Metcalfe County, KYKY10,58335.4%–

165Fentress County, TNTN20,32235.3%–

166Roosevelt County, NMNM18,61535.3%–

167Sunflower County, MSMS22,89335.2%–

168Atkinson County, GAGA8,45435.2%–

169Wilkinson County, MSMS7,58235.1%–

170Guadalupe County, NMNM4,34335.1%–

171Lee County, SCSC15,73035.1%–

172Powell County, KYKY12,81235.1%–

173Martin County, KYKY10,69735.1%–

174Searcy County, ARAR7,84835.0%–

175Van Buren County, ARAR16,23834.9%–

176Hampden County, MAMA464,33834.9%–

177Montgomery County, MSMS9,35434.9%–

178Logan County, WVWV30,37534.9%–

179Hart County, KYKY20,11734.9%–

180Mellette County, SDSD2,13734.8%–

181Clay County, ARAR14,05234.6%–

182Franklin County, ARAR17,72534.6%–

183Scioto County, OHOH71,36534.6%–

184Randolph County, ARAR18,87634.5%–

185Colusa County, CACA21,83634.5%–

186Glenn County, CACA28,14134.5%–

187Valencia County, NMNM82,01334.5%–

188Fleming County, KYKY15,78734.5%–

189Mississippi County, ARAR37,82834.4%–

190Lake County, TNTN6,24934.4%–

191Jim Hogg County, TXTX4,55534.4%–

192Bullock County, ALAL9,78034.4%–

193Monroe County, KYKY11,19134.4%–

194Iberia Parish, LALA66,84634.3%–

195Otero County, COCO17,68334.3%–

196Sumter County, ALAL11,58834.2%–

197Pike County, OHOH27,06134.2%–

198Essex County, VTVT6,05134.2%–

199Carter County, KYKY26,14934.2%–

200Philadelphia County, PAPA1,574,28134.2%–

201Grant County, WAWA105,72734.2%–

202Dallas County, ALAL35,14034.1%–

203Lafayette County, ARAR5,88834.1%–

204Josephine County, OROR87,86734.1%–

205Bennett County, SDSD3,30734.1%–

206Ziebach County, SDSD2,38934.1%–

207Sharkey County, MSMS3,09734.0%–

208Curry County, NMNM46,65534.0%–

209Stanislaus County, CACA557,71934.0%–

210Ouachita County, ARAR21,73133.9%–

211Natchitoches Parish, LALA36,08933.9%–

212Pike County, KYKY54,72133.9%–

213Big Horn County, MTMT12,75233.8%–

214Williamsburg County, SCSC29,66233.8%–

215Laurel County, KYKY63,74633.8%–

216Pueblo County, COCO169,27733.8%–

217Rio Grande County, COCO11,08733.8%–

218Lowndes County, ALAL9,35933.7%–

219Orleans County, VTVT27,60033.7%–

220Sutter County, CACA98,78733.7%–

221Pulaski County, KYKY67,38433.7%–

222Lake and Peninsula, AKAK1,35733.6%–

223Scott County, ARAR9,96533.6%–

224De Soto Parish, LALA27,38133.6%–

225Mississippi County, MOMO12,00333.6%–

226Meigs County, OHOH21,58733.6%–

227Dillon County, SCSC27,45833.6%–

228Jackson County, SDSD2,66633.6%–

229Perry County, TNTN9,12633.6%–

230Yuba County, CACA88,69133.6%–

231Wayne County, MIMI1,769,03833.5%–

232Haines, AKAK2,06833.5%–

233Hempstead County, ARAR19,08033.5%–

234Ohio County, KYKY23,93433.5%–

235Ashley County, ARAR17,83133.4%–

236Kings County, CACA154,32733.4%–

237Brooks County, TXTX6,57933.3%–

238Robeson County, NCNC119,94133.2%–

239Presidio County, TXTX5,43333.2%–

240Lawrence County, ARAR16,27333.1%–

241Adams County, OHOH27,86533.1%–

242Marlboro County, SCSC25,48833.1%–

243Pocahontas County, WVWV7,60233.1%–

244DeSoto County, FLFL37,07833.1%–

245Wadena County, MNMN14,38833.0%–

246Panola County, MSMS32,69133.0%–

247Wheeler County, OROR1,47233.0%–

248Norton, VAVA3,47733.0%–

249Ouachita Parish, LALA158,54232.8%–

250Hill County, MTMT16,16732.8%–

251Roane County, WVWV13,31732.8%–

252Marion County, MSMS24,00132.7%–

253Marion County, SCSC28,24232.7%–

254Nicholas County, WVWV23,84832.7%–

255Cumberland County, KYKY5,99232.7%–

256Barbour County, ALAL24,60732.6%–

257Miller County, ARAR42,35732.6%–

258Humboldt County, CACA131,64732.6%–

259Wayne County, KYKY19,59732.6%–

260Neshoba County, MSMS28,73232.6%–

261Dimmit County, TXTX8,02432.6%–

262Jenkins County, GAGA8,84332.6%–

263Somerset County, MDMD24,97332.6%–

264Marion County, KYKY20,11532.6%–

265Arkansas County, ARAR15,83632.5%–

266Scott County, TNTN22,67132.5%–

267Lake County, MIMI13,18232.5%–

268Loving County, TXTX5232.5%–

269Sevier County, ARAR15,75832.4%–

270San Joaquin County, CACA823,81532.4%–

271Adams County, MSMS30,06132.4%–

272Vance County, NCNC42,63832.4%–

273Franklin County, WAWA102,61232.4%–

274San Bernardino County, CACA2,224,09132.4%–

275Las Animas County, COCO14,39132.4%–

276Caroline County, MDMD34,11632.4%–

277Willacy County, TXTX19,97132.4%–

278Cross County, ARAR16,18632.3%–

279Acadia Parish, LALA57,03232.3%–

280Baltimore, MDMD569,99732.3%–

281Allendale County, SCSC7,35532.3%–

282Siskiyou County, CACA42,01332.3%–

283Trinity County, CACA15,72032.3%–

284Vinton County, OHOH12,64532.3%–

285Jefferson County, ARAR62,98732.2%–

286Sabine Parish, LALA21,83432.2%–

287Ogemaw County, MIMI21,12132.2%–

288Scotland County, NCNC33,32232.2%–

289Lewis County, TNTN13,48732.2%–

290Wirt County, WVWV4,87932.2%–

291St. Helena Parish, LALA10,75832.2%–

292Zapata County, TXTX13,75332.1%–

293Fayette County, WVWV38,16532.1%–

294Dorchester County, MDMD33,62832.1%–

295Boyd County, KYKY47,75132.0%–

296Allen Parish, LALA22,67232.0%–

297Caddo Parish, LALA224,22632.0%–

298Claiborne County, MSMS8,05832.0%–

299Turner County, GAGA8,98332.0%–

300Martinsville, VAVA13,84932.0%–

301Bradley County, ARAR9,82831.9%–

302Calhoun County, ARAR4,63231.9%–

303Orleans Parish, LALA362,15431.9%–

304Pondera County, MTMT6,07231.9%–

305Lincoln County, KYKY25,35331.9%–

306Hale County, ALAL15,19431.9%–

307Glascock County, GAGA3,14131.9%–

308Barren County, KYKY45,64131.9%–

309Johnson County, ARAR26,22531.8%–

310Jackson Parish, LALA15,83431.8%–

311Toombs County, GAGA27,54531.8%–

312Yuma County, AZAZ224,44931.7%–

313Polk County, ARAR19,48631.7%–

314Clare County, MIMI31,54331.7%–

315Wayne County, WVWV37,30931.7%–

316Rowan County, KYKY24,47631.7%–

317Baca County, COCO3,34731.7%–

318Washington County, GAGA19,45331.7%–

319Woodruff County, ARAR5,71031.6%–

320Wayne County, MOMO10,78231.6%–

321Saline County, ILIL22,77231.6%–

322Chattooga County, GAGA25,30031.6%–

323St. Martin Parish, LALA51,10631.5%–

324Rolette County, NDND11,68831.5%–

325Glacier County, MTMT13,46331.4%–

326Clarendon County, SCSC31,04331.4%–

327Adair County, KYKY19,42331.4%–

328Hickman County, KYKY4,37231.3%–

329Jefferson Davis County, MSMS10,94131.3%–

330Jefferson County, OROR25,74031.3%–

331Jefferson County, GAGA15,01131.3%–

332Orangeburg County, SCSC83,17731.3%–

333Yell County, ARAR19,95631.2%–

334Lee County, VAVA21,64231.2%–

335Pointe Coupee Parish, LALA19,52031.2%–

336Genesee County, MIMI401,09331.1%–

337Franklin County, MSMS7,49131.1%–

338Cottle County, TXTX1,22431.1%–

339Caledonia County, VTVT30,41431.1%–

340Izard County, ARAR14,40531.0%–

341Raleigh County, WVWV71,77531.0%–

342Lea County, NMNM74,74930.9%–

343Buffalo County, SDSD1,80230.9%–

344Mercer County, WVWV57,50330.9%–

345Hamilton County, FLFL14,18030.9%–

346Decatur County, GAGA29,43230.9%–

347Montgomery County, KYKY28,82230.9%–

348Perry County, ARAR10,30930.8%–

349Butte County, CACA209,21130.8%–

350Crawford County, ARAR62,65730.7%–

351Tangipahoa Parish, LALA141,34630.7%–

352Leake County, MSMS21,66230.7%–

353Perry County, MSMS11,57730.7%–

354Pike County, MSMS38,71230.7%–

355Edgecombe County, NCNC49,12130.7%–

356Klamath County, OROR70,27430.7%–

357Edmonson County, KYKY12,74930.7%–

358Hardin County, TNTN27,98330.7%–

359Lawrence County, OHOH55,71030.6%–

360Coos County, OROR63,99230.6%–

361Cameron County, PAPA4,21130.6%–

362Jefferson Davis Parish, LALA31,47130.5%–

363Rapides Parish, LALA125,87730.5%–

364Campbell County, TNTN40,29030.5%–

365Franklin County, ILIL36,91630.5%–

366Lenoir County, NCNC55,83730.5%–

367Hopewell, VAVA23,26130.5%–

368Monterey County, CACA433,72930.4%–

369Delta County, COCO32,17830.4%–

370Montgomery County, NYNY50,04630.4%–

371Bladen County, NCNC30,00730.4%–

372Barnwell County, SCSC20,65330.4%–

373Lauderdale County, TNTN24,61730.4%–

374Graham County, AZAZ40,15730.4%–

375Carroll County, KYKY11,14130.4%–

376Greene County, ALAL7,06730.3%–

377Calhoun County, MSMS12,64330.3%–

378Dunklin County, MOMO26,85530.3%–

379Oregon County, MOMO8,70930.3%–

380Rockland County, NYNY357,39730.3%–

381Johnson County, GAGA9,31030.3%–

382Iberville Parish, LALA29,57930.2%–

383Attala County, MSMS17,10030.2%–

384Cocke County, TNTN37,88930.2%–

385Ritchie County, WVWV8,03430.2%–

386Hot Spring County, ARAR33,45130.2%–

387Brantley County, GAGA18,93630.2%–

388Petersburg, VAVA33,73430.2%–

389Greene County, ARAR47,41130.1%–

390Morgan County, OHOH13,62630.1%–

391Emanuel County, GAGA23,14730.1%–

392Montgomery County, ARAR8,57930.0%–

393Greenbrier County, WVWV31,57830.0%–

394Hardin County, ILIL3,58830.0%–

395Allen County, KYKY22,53630.0%–

396Larue County, KYKY15,18430.0%–

397Breckinridge County, KYKY21,50329.9%–

398Terrebonne Parish, LALA104,16329.9%–

399Adair County, OKOK19,82829.9%–

400Culberson County, TXTX2,26729.9%–

401Windham County, VTVT45,20429.9%–

402Terrell County, GAGA8,65629.9%–

403Dougherty County, GAGA82,61629.9%–

404Columbia County, ARAR21,89429.8%–

405Macon County, GAGA11,75629.8%–

406Butler County, KYKY12,52029.8%–

407Suffolk County, MAMA791,89129.8%–

408Baraga County, MIMI8,16929.8%–

409Kemper County, MSMS8,60029.8%–

410De Baca County, NMNM1,64729.8%–

411Pickett County, TNTN5,21929.8%–

412Monroe County, WVWV12,49129.8%–

413St. John the Baptist Parish, LALA39,87529.8%–

414Marion County, ILIL36,38229.8%–

415Stevens County, WAWA49,66829.8%–

416Grant Parish, LALA22,07529.7%–

417Wheatland County, MTMT2,10029.7%–

418Mineral County, NVNV4,40729.7%–

419Wasco County, OROR26,31029.7%–

420Treutlen County, GAGA6,46629.7%–

421Richmond County, NCNC42,04129.6%–

422Lewis County, WVWV16,39429.6%–

423Huerfano County, COCO7,01129.6%–

424Evans County, GAGA11,02829.6%–

425Gallatin County, ILIL4,61629.6%–

426Christian County, KYKY70,11529.6%–

427Taylor County, KYKY26,76329.6%–

428Wayne County, MSMS19,80729.5%–

429Braxton County, WVWV11,88529.5%–

430Washington County, MEME31,33429.5%–

431Halifax County, NCNC46,53429.5%–

432Drew County, ARAR17,05429.4%–

433Queens County, NYNY2,358,18229.4%–

434Hidalgo County, TXTX921,54929.4%–

435Randolph County, WVWV26,88229.4%–

436Somerset County, MEME51,62029.4%–

437Wicomico County, MDMD106,89929.3%–

438Cumberland County, NJNJ157,14829.3%–

439Grant County, KYKY26,18129.3%–

440Early County, GAGA10,45529.2%–

441Prairie County, MTMT1,11229.2%–

442Ashland County, WIWI16,20329.2%–

443Jeff Davis County, GAGA15,21929.2%–

444Perry County, ILIL20,16029.2%–

445Lake County, MTMT33,39229.1%–

446Mineral County, MTMT5,18529.1%–

447Appling County, GAGA19,10029.1%–

448Clinch County, GAGA6,84729.1%–

449Vermilion County, ILIL71,25929.1%–

450Pickens County, ALAL18,22129.0%–

451Dallas County, ARAR6,01129.0%–

452Independence County, ARAR38,78529.0%–

453Los Angeles County, CACA9,694,93429.0%–

454Warren County, GAGA5,26929.0%–

455Putnam County, FLFL77,73429.0%–

456Heard County, GAGA12,14929.0%–

457Graves County, KYKY37,05029.0%–

458Fulton County, ARAR12,49228.9%–

459Roscommon County, MIMI23,91428.9%–

460Washington County, COCO4,73228.9%–

461Screven County, GAGA14,40828.9%–

462Haywood County, TNTN17,04228.9%–

463Hertford County, NCNC19,01528.9%–

464Assumption Parish, LALA19,72028.8%–

465Amite County, MSMS12,48728.8%–

466Bernalillo County, NMNM667,60128.8%–

467Darlington County, SCSC62,88828.8%–

468Taylor County, GAGA7,81828.8%–

469Cowlitz County, WAWA114,88528.8%–

470Madison County, ARAR18,41028.7%–

471Catahoula Parish, LALA8,22328.7%–

472Chickasaw County, MSMS16,73028.7%–

473Winston County, MSMS17,47328.7%–

474Lincoln County, NMNM19,84428.7%–

475Hardeman County, TNTN25,27428.7%–

476Hendry County, FLFL48,27628.7%–

477Crisp County, GAGA19,23728.7%–

478Stewart County, GAGA4,63128.7%–

479Taliaferro County, GAGA1,66228.7%–

480Union Parish, LALA20,56128.6%–

481Scott County, MSMS28,07328.6%–

482Henderson County, KYKY44,25528.6%–

483Ware County, GAGA36,90628.5%–

484Winn Parish, LALA14,96128.5%–

485Chouteau County, MTMT5,86528.5%–

486Fulton County, NYNY52,21628.5%–

487Choctaw County, OKOK14,05928.5%–

488Barbour County, WVWV15,41428.5%–

489Pulaski County, GAGA10,17228.4%–

490Riverside County, CACA2,544,91628.4%–

491Union County, NMNM3,84428.4%–

492Mitchell County, GAGA20,46728.4%–

493Ballard County, KYKY7,59428.4%–

494Cleveland County, ARAR7,22428.3%–

495Pope County, ARAR64,97628.3%–

496Duval County, TXTX9,40228.3%–

497Columbus County, NCNC50,48728.3%–

498Henry County, KYKY16,44728.3%–

499Stone County, MSMS19,65428.3%–

500Highland County, OHOH43,82328.3%–

SHOWING 1–500 OF 3,135

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Download CSV (full list, 3,135 rows)

UPDATED 2026-08-08 · DATA: US CENSUS BUREAU DECENNIAL CENSUS

Frequently asked

Which county has the highest medicaid?

Kusilvak Census Area, Alaska ranks #1 with 63.8% (2020 Decennial Census).

What are the top 5 counties by medicaid?

Kusilvak Census Area, Alaska, Wolfe County, Kentucky, Issaquena County, Mississippi, East Carroll Parish, Louisiana, Owsley County, Kentucky.

How many counties are in this ranking?

3,135 counties qualify after filtering for population minimums and data availability. The ranking covers 2020 Decennial Census 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, 2020 Decennial Census.