Medicaid and the State Children’s Health Insurance Program (CHIP) operate in the five U.S. territories—American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. This fact sheet summarizes Medicaid and CHIP’s federal requirements and design features in the territories, including eligibility and enrollment, benefits, financing and spending, data and reporting, and quality and program integrity. For more details on each territory’s individual program, see MACPAC’s territory-specific fact sheets.
Note: This fact sheet was updated to reflect additional funds that Congress provided to the territories through the fiscal year 2020 appropriations package, signed into law on December 20, 2019 (P.L. 116-94), and the Families First Coronavirus Response Act, signed into law on March 18, 2020 (P.L. 116-127).