Medicaid and the Children’s Health Insurance Program (CHIP) play a substantial role in the Kansas health care system by providing coverage for health services and long-term care for low-income children and families, people with disabilities and older adults. This report includes an overview of Medicaid and CHIP, analysis of recent trends in Kansas, and general information about covered services and populations. In the three years since the last edition of this report, federal policy has continued to evolve, and the COVID-19 pandemic has affected Medicaid and CHIP. Some effects of the pandemic are reflected in key figures in this report, as well as in a new section starting on page 17. KanCare, the state’s comprehensive managed care program, has been in place for nine years, and this report captures data from that entire period as well as the pre-KanCare period. This report is the sixth edition of this information, following 2005, 2009, 2014, 2017 and 2019 versions.