Expansions of existing initiatives include rollouts of existing initiatives to new areas or groups and significant increases in enrollment or providers.
* PCMH = Patient-Centered Medicaid Homes.
** ACO = Accountable Care Organizations.
*** Projected.
Citation formats
Delivery system reform activity for U.S. states Medicaid 2019 and 2020
This statistic displays the activity of Medicaid delivery system reforms in the United States in fiscal years 2019 and 2020. In fiscal year 2019, there were 14 states with ACO initiatives already in place. Improvements in the delivery systems can help provide access, increase quality, and create budget certainty.
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Kaiser Family Foundation. (October 22, 2019). Number of U.S. states with delivery system reform activity for Medicaid in FY 2019 and FY 2020 [Graph]. In ÌÇÐÄÆƽâ°æ. Retrieved July 30, 2026, from /statistics/380103/number-of-states-delivery-system-reform-activity-for-us-medicaid/
Kaiser Family Foundation. "Number of U.S. states with delivery system reform activity for Medicaid in FY 2019 and FY 2020." Chart. October 22, 2019. ÌÇÐÄÆƽâ°æ. Accessed July 30, 2026. /statistics/380103/number-of-states-delivery-system-reform-activity-for-us-medicaid/
Kaiser Family Foundation. (2019). Number of U.S. states with delivery system reform activity for Medicaid in FY 2019 and FY 2020. ÌÇÐÄÆƽâ°æ. ÌÇÐÄÆƽâ°æ Inc.. Accessed: July 30, 2026. /statistics/380103/number-of-states-delivery-system-reform-activity-for-us-medicaid/
Kaiser Family Foundation. "Number of U.S. States with Delivery System Reform Activity for Medicaid in Fy 2019 and Fy 2020." ÌÇÐÄÆƽâ°æ, ÌÇÐÄÆƽâ°æ Inc., 22 Oct 2019, /statistics/380103/number-of-states-delivery-system-reform-activity-for-us-medicaid/
Kaiser Family Foundation, Number of U.S. states with delivery system reform activity for Medicaid in FY 2019 and FY 2020 ÌÇÐÄÆƽâ°æ, /statistics/380103/number-of-states-delivery-system-reform-activity-for-us-medicaid/ (last visited July 30, 2026)
Number of U.S. states with delivery system reform activity for Medicaid in FY 2019 and FY 2020 [Graph], Kaiser Family Foundation, October 22, 2019. [Online]. Available: /statistics/380103/number-of-states-delivery-system-reform-activity-for-us-medicaid/
