Observe: This tracker was first revealed on Could 3 and is up to date frequently as new information change into obtainable.The Medicaid Enrollment and Unwinding Tracker presents the latest 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 obtainable, and from the Facilities for Medicare & Medicaid Companies (CMS).
To view information for particular states, click on on the State Knowledge tab.
To leap to a selected part of this overview, click on belowMedicaid DisenrollmentsMedicaid Disenrollments of ChildrenMedicaid RenewalsNet Change in Medicaid EnrollmentBackground
Medicaid Disenrollments
No less than 17,774,000 Medicaid enrollees have been disenrolled as of March 4, 2024, based mostly on probably the most present information from all 50 states and the District of Columbia. Total, 32% of individuals with a accomplished renewal had been disenrolled in reporting states whereas 68%, or 37.0 million enrollees, had their protection renewed (one reporting state doesn’t embody information on renewed enrollees). Because of various lags for when states report information, the info reported right here undercount the precise variety of disenrollments so far.
There may be vast variation in disenrollment charges throughout reporting states, starting from 57% in Utah to 13% in Maine. Variations in who states are concentrating 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 (equivalent to Texas and South Carolina) are initially concentrating on individuals early within the unwinding interval that they suppose are not eligible or who didn’t reply to renewal requests through the pandemic, however different states are conducting renewals based mostly 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 techniques that may extra simply and precisely course of renewals whereas different states have adopted fewer of those insurance policies and have extra manually-driven techniques.
Throughout all states with obtainable information, 70% of all individuals disenrolled had their protection terminated for procedural causes. Nonetheless, these charges differ based mostly on how they’re calculated (see observe beneath). Procedural disenrollments are instances the place persons are disenrolled as a result of they didn’t full the renewal course of and may happen when the state has outdated contact info or as a result of the enrollee doesn’t perceive or in any other case doesn’t full renewal packets inside a selected timeframe. Excessive procedural disenrollment charges are regarding as a result of many people who find themselves disenrolled for these paperwork causes should still be eligible for Medicaid protection. Some states have briefly paused procedural terminations for some enrollees whereas they deal with issues within the renewal course of that result in elevated procedural disenrollments.
(Observe: The primary tab within the determine beneath calculates procedural disenrollment charges utilizing whole disenrollments because the denominator. The second tab reveals 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 eventually, 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 Kids
Though information are restricted, youngsters accounted for roughly 4 in ten (38%) Medicaid disenrollments within the 21 states reporting age breakouts. As of March 4, 2024, no less than 3,291,000 youngsters had been disenrolled out of 8,685,000 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 affect on the share of kids disenrolled. The share of kids disenrolled ranged from 65% in Texas to 21% in California.
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Medicaid Renewals
Of the individuals whose protection has been renewed as of February 22, 2024, 60% had been renewed on an ex parte foundation whereas 40% had been renewed by a renewal kind, although charges various by state. Underneath federal guidelines, states are required to first attempt to full administrative (or “ex parte”) renewals by verifying ongoing eligibility by obtainable information sources, equivalent to state wage databases, earlier than sending a renewal kind or requesting documentation from an enrollee.
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Internet Change in Medicaid Enrollment
Internet Medicaid enrollment declines vary from 31.4% in Idaho to 1.1% in Maine because the begin of the unwinding interval in every state. Hawaii is the one state to have a internet enhance in enrollment (+0.1%) after the state paused disenrollments following wildfires in August 2023. The web adjustments in Medicaid/CHIP enrollment replicate 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 most recent month of enrollment information additionally varies by state (see State Knowledge Tab for every state’s baseline enrollment month and the most recent 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. Thousands and thousands 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 Could or June, and even July or later for some states. The determine beneath reveals the month wherein disenrollments started in every state.
For questions on this tracker, please contact KFFTracker@kff.org
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