Medicaid Foster Care Enrollment Updates, 2022-2024: An OPEN MINDS Market Intelligence Report

Foster care is designed to be a temporary, monitored system that is provided by a state to promote safety and positive outcomes for children who have no kinship care available. Approximately 77.8% of foster involved youth are enrolled in Medicaid managed care, with the remaining 22.2% covered under Fee-For-Service (FFS) as of 2024. 30 states mandate Medicaid managed care enrollment, 10 states mandate FFS or PCCM enrollment, and 11 states allow for optional enrollment.

Our analysis shows a decline of 10.9% in foster care enrollment between 2022 and 2024, with 325,681 children involved in . . .