Medicaid Enrollment and Unwinding Tracker

Word: This tracker was first revealed on Might 3 and is up to date usually as new information turn into accessible.

The Medicaid Enrollment and Unwinding Tracker presents the newest information on month-to-month Medicaid disenrollments, renewals, general enrollment and different key indicators reported by states through the unwinding of the Medicaid steady enrollment provision. The unwinding information are pulled from state web sites, the place accessible, and from the Facilities for Medicare & Medicaid Providers (CMS).

To view information for particular states, click on on the State Knowledge tab.

To leap to a particular part of this overview, click on under
Medicaid Disenrollments
Medicaid Disenrollments of Children
Medicaid Renewals
Net Change in Medicaid Enrollment
Background

 

Medicaid Disenrollments

• At the very least 18,220,000 Medicaid enrollees have been disenrolled as of March 12, 2024, primarily based on essentially the most present information from all 50 states and the District of Columbia. General, 31% of individuals with a accomplished renewal had been disenrolled in reporting states whereas 69%, or 38.3 million enrollees, had their protection renewed (one reporting state doesn’t embody information on renewed enrollees). Attributable to various lags for when states report information, the information reported right here undercount the precise variety of disenrollments to this point.
• There’s huge variation in disenrollment charges throughout reporting states, starting from 57% in Utah to 13% in Maine. Variations in who states are focusing on with early renewals in addition to variations in renewal insurance policies and system capability probably clarify a number of the variation in disenrollment charges. Some states (akin to Texas and South Carolina) are initially focusing on individuals early within the unwinding interval that they assume are not eligible or who didn’t reply to renewal requests through the pandemic, however different states are conducting renewals primarily based on a person’s renewal date. Moreover, some states have adopted a number of insurance policies that promote continued protection amongst those that stay eligible and have automated eligibility programs that may extra simply and precisely course of renewals whereas different states have adopted fewer of those insurance policies and have extra manually-driven programs.

  

• Throughout all states with accessible information, 70% of all individuals disenrolled had their protection terminated for procedural causes. Nevertheless, these charges range primarily based on how they’re calculated (see word under). Procedural disenrollments are instances the place persons are disenrolled as a result of they didn’t full the renewal course of and might happen when the state has outdated contact Information or as a result of the enrollee doesn’t perceive or in any other case doesn’t full renewal packets inside a particular timeframe. Excessive procedural disenrollment charges are regarding as a result of many people who find themselves disenrolled for these paperwork causes should be eligible for Medicaid protection. Some states have quickly paused procedural terminations for some enrollees whereas they deal with issues within the renewal course of that result in elevated procedural disenrollments.

(Word: The primary tab within the determine under calculates procedural disenrollment charges utilizing whole disenrollments because the denominator. The second tab exhibits these charges utilizing whole accomplished renewals, which embody individuals whose protection was terminated in addition to these whose protection was renewed, because the denominator. And at last, the third tab calculates the charges as a share of all renewals due, which embody accomplished renewals and pending instances.)

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Medicaid Disenrollments of Youngsters

• Though information are restricted, kids accounted for roughly 4 in ten (38%) Medicaid disenrollments within the 21 states reporting age breakouts. As of March 12, 2024, at the least 3,311,000 kids had been disenrolled out of 8,787,000 whole disenrollments within the 21 states. As a result of Texas has one of many largest Medicaid applications, and due to the restricted variety of states reporting, Texas has a disproportionate impression on the share of kids disenrolled. The share of kids disenrolled ranged from 64% in Texas to 21% in California.

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Medicaid Renewals

• Of the individuals whose protection has been renewed as of March 12, 2024, 59% had been renewed on an ex parte foundation whereas 41% had been renewed by way of a renewal type, although charges diversified by state. Beneath federal guidelines, states are required to first attempt to full administrative (or “ex parte”) renewals by verifying ongoing eligibility by way of accessible information sources, akin to state wage databases, earlier than sending a renewal type or requesting documentation from an enrollee.

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Internet Change in Medicaid Enrollment

Internet Medicaid enrollment declines vary from 32.0% in Utah to 1.1% in Maine for the reason that begin of the unwinding interval in every state. Hawaii is the one state to have a web improve in enrollment (+0.1%) after the state paused disenrollments following wildfires in August 2023. The online adjustments in Medicaid/CHIP enrollment mirror individuals who disenroll from Medicaid as states redetermine eligibility through the unwinding, new individuals who come onto this system, and individuals who reenroll inside a brief timeframe following disenrollment, known as “churn.” The enrollment decline is measured towards every state’s baseline enrollment, which is enrollment within the month previous to when the state resumed disenrollments and which varies by state. As well as, the newest month of enrollment information additionally varies by state (see State Knowledge Tab for every state’s baseline enrollment month and the newest enrollment).

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Background on the Unwinding of the Medicaid Steady Enrollment Provision

The Medicaid steady enrollment provision, which had halted Medicaid disenrollments since March 2020, ended on March 31, 2023. Primarily because of the steady enrollment provision, greater than 94 million individuals had been enrolled in Medicaid/CHIP in March 2023, the month earlier than the unwinding interval started, a rise of over 22 million from February 2020. As states unwind the continual enrollment provision over the next 12 months, they’ll redetermine eligibility for all Medicaid enrollees and can disenroll those that are not eligible or who might stay eligible however are unable to finish the renewal course of. Tens of millions of persons are anticipated to lose Medicaid protection throughout this unwinding interval.

States started disenrolling individuals from Medicaid in several months, with some states resuming disenrollments in April, others in Might or June, and even July or later for some states. The determine under exhibits the month during which disenrollments started in every state.

For questions on this tracker, please contact KFFTracker@kff.org

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