Many states are incorporating policies into their Medicaid programs that seek to enhance beneficiaries’ ability to make informed decisions about their health and health care and become more active, engaged participants in the health care system. Several of these consumer incentive programs are tied to a broader state effort to use federal funds to extend coverage to a previously uninsured population.

This technical assistance tool provides examples of consumer incentives and personal responsibility in Medicaid programs across the nation, including strategies used in new alternative expansion models. The policies described are organized under three categories with program results included when available:

  1. Co-payments and premiums in alternative Medicaid expansion models;
  2. Health savings accounts; and
  3. Healthy behavior/wellness rewards and incentives.