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View all in Eligibility
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* MAGI Conversion Plan
* Seniors & Medicare and Medicaid Enrollees
* Verification Plans
* Minimum Essential Coverage
* Spousal Impoverishment
* Medicaid Third Party Liability & Coordination of Benefits
* Medicaid Eligibility Quality Control Program
* Financial Management
View all in Financial Management
* Payment Limit Demonstrations
* Upper Payment Limit FAQs
* Disproportionate Share Hospitals
* Medicaid Administrative Claiming
* LTC Ombudsman Programs
* No Wrong Door
* Translation and Interpretation
* State Budget & Expenditure Reporting for Medicaid and CHIP
* Expenditure Reports MBES/CBES
* CMS-64 FFCRA and CAA Increased FMAP Expenditure Data
* Provider Preventable Conditions
* Actuarial Report on the Financial Outlook for Medicaid
* Section 223 Demonstration Program to Improve Community Mental Health
Services
* Data & Systems
View all in Data & Systems
* MACBIS
* Medicaid Information Technology Architecture
* Medicaid Management Information System
* Streamlined Modular Certification SMDL
* MES Compliance and Reapproval Process
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* Certification
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View all in Benefits
* Alternative Benefit Plans
* Alternative Benefit Plan Eligibility
* Designing an Alternative Benefit Plan
* Autism Services
* Behavioral Health Services
* Parity
* Substance Use Disorders
* Children and Youth
* SUPPORT Act Innovative State Initiatives and Strategies
* SUPPORT Act Provider Capacity Demonstration
* State Option to Provide Qualifying Community-Based Mobile Crisis
Intervention Services
* Dental Care
* Early and Periodic Screening, Diagnostic, and Treatment
* Vision and Hearing Screening Services for Children and Adolescents
* Lead Screening
* Hospice Benefits
* Mandatory & Optional Medicaid Benefits
* Prevention
* Telehealth
* Assurance of Transportation
* Prescription Drugs
View all in Prescription Drugs
* Branded Prescription Drug Fee Program
* Drug Utilization Review
* Federal Upper Limit
* Medicaid Drug Policy
* Medicaid Drug Rebate Program
* Pharmacy Pricing
* Program Releases
* Retail Price Survey
* State Drug Utilization Data
* State Prescription Drug Resources
* Long Term Services & Supports
View all in Long Term Services & Supports
* Health Homes
* Person-Centered Hospital Discharge Model
* Person-Centered Planning Grants
* State Profile Tool Grant
* Balancing Long Term Services & Supports
* Integrating Care
* Employment Initiatives
* Institutional Long Term Care
* Money Follows the Person
* PACE
* Alternatives to Psychiatric Residential Treatment Facilities
Demonstration
* Reports & Evaluations
* Self-Directed Services
* Direct Care Workforce
* CHIP
View all in CHIP
* Cost Sharing
* Benefits
* Financing
* CHIPRA
View all in CHIPRA
* CHIPRA Awards & Performance Bonus
* CHIP State Program Information
View all in CHIP State Program Information
* CHIP State Plan Amendments
* Reports & Evaluations
* CHIP Managed Care
* CHIP Quality & Performance
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View all in Eligibility Standards
* Waiting Periods
* Continuous Eligibility (CE)
* CCTAG
* Basic Health Program
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View all in State Overviews
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* State Profiles
* Medicaid MAGI & CHIP Application Processing Time
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2. Resources for States
3. Coronavirus Disease 2019 (COVID-19)
4. Unwinding and Returning to Regular Operations after COVID-19
5. Data Reporting
* Unwinding and Returning to Regular Operations after COVID-19
* Renew Your Medicaid or CHIP Coverage
* Guidance (SHOs, CIBs, FAQs)
* Section 1902(e)(14)(A) Waiver Approvals
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* Data Reporting
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* Other Materials and Resources
RELATED LINKS
* Medicaid Unwinding Child/Youth Data Snapshot
* Medicaid Unwinding Enrollment Trends Data Snapshot as of September 2023
* Data Overview: Medicaid and CHIP Renewals and Returning to Regular Operations
* Medicaid and CHIP Enrollment Data
* Medicaid and CHIP Enrollment Highlights
View the complete CAA, 2023 reporting metrics dataset: Data.Medicaid.gov
DATA REPORTING
MEDICAID AND CHIP RENEWALS: RETURNING TO REGULAR OPERATIONS
States across the country are resuming their regular processes for renewing
individuals’ Medicaid and Children’s Health Insurance Program (CHIP) coverage.
As this happens, our goal is to help people who are still eligible for Medicaid
and CHIP to keep their coverage and help those who are no longer eligible
transition to Medicare, employer-sponsored coverage, or Marketplace plans.
Data from Medicaid and CHIP renewals show how states are resuming regular
eligibility operations following the end of the Medicaid continuous enrollment
condition authorized by the Families First Coronavirus Response Act. The
Consolidated Appropriations Act, 2023 (CAA, 2023) requires state monthly
reporting about activities related to eligibility renewals, call center
operations, and transitions to Marketplace coverage, from April 1, 2023, through
June 30, 2024. CMS is also providing information such as changes in Medicaid,
CHIP and Marketplace enrollment; state operational data; and additional renewal
metrics.
To dive straight into the data, please click through the menu on the left-hand
navigation bar.
HISTORICAL HEALTH COVERAGE CHANGES
The Medicaid and CHIP programs provided essential health coverage to millions of
people during the COVID-19 public health emergency.
The data below show where people in the U.S. got their health coverage before
the Medicaid continuous enrollment condition took effect and before it ended. A
significant share of these individuals is counted in more than one category —
for example, in February 2023, more than 12 million people had both Medicaid and
Medicare coverage, and in 2021, 15% of Medicaid enrollees ages 19-64 also had
employer-sponsored coverage (where Medicaid is the payer of last resort).1
Data will be updated as it becomes available. For some data sources, there is a
lag of several months.
Pre-Pandemic and Pre-Renewal U.S. Health Coverage: February 2020 and February
2023 (numbers in the millions) February 2020February 2023US Total
Population329334Enrolled in Medicaid and CHIP7193Enrolled in
Marketplace1116Enrolled in Medicare6266Dual Enrollment11*12**Enrolled in
Employer Sponsored Coverage179178Uninsured3227
*Annual total enrollment (full and partial dual
enrollment)
**2021 annual enrollment (full and partial dual
enrollment)
Note that totals may not sum exactly due to rounding and multiple forms of
coverage. Analysis completed by the Assistant Secretary for Planning and
Evaluation.
Sources: https://www.census.gov/data/tables/time-series/demo/popest/2020s-national-total.html(link
is external)
https://www.census.gov/data/tables/time-series/demo/popest/2010s-national-total.html(link
is external)
https://www.medicaid.gov/medicaid/program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot/index.html
https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/medicare-monthly-enrollment (link
is external)
https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/cms-program-statistics-medicare-medicaid-dual-enrollment (link
is external)
As noted above, before the continuous enrollment condition took effect, people
frequently transitioned coverage. Typically, about 17 million people disenroll
from Medicaid or CHIP coverage each year. Some disenroll from coverage because
they’re no longer eligible; others because of errors, such as not returning the
required paperwork on time. Our goal is to help people who are still eligible
for Medicaid and CHIP to keep their coverage and help those who are no longer
eligible transition to another source of coverage.
The data below provide an overview of where people leaving Medicaid and CHIP
sought coverage in 2018 and 2019.2 This helps inform CMS and state efforts to
help people transitioning out of Medicaid or CHIP to new coverage and serves as
a baseline to understand how current efforts will compare to historic trends.
What Happened to People Who Left Medicaid and CHIP in HealthCare.gov States: Jan
2018 - Dec 2019Returned to Medicaid/CHIP Same State29%Returned to Medicaid/CHIP
Different State8%Transitioned to Medicare7%Transitioned to
Marketplace4%Died6%Other (e.g., Employer Coverage, Uninsured)49%
Notes: Excludes NV, which transitioned to a state-based Marketplace in
2020.
These enrollment counts include Medicaid and CHIP beneficiaries with full and
partial benefits, as well as those dually eligible for Medicaid and Medicare.
Transitions are limited to those that occurred within 12 months after the
Medicaid/CHIP coverage loss date.
Percentages will not sum to 100%; beneficiaries can transition to multiple forms
of coverage. For consumers with more than one Medicaid/CHIP leaving event from
January 2018 - December 2019, the latest event is used.
CMS DATA RELEASE TIMELINE
CMS expects to release data on a monthly basis, with monthly releases expected
to continue until all data is reported for months through June 2024. Full data
on individuals who are transitioning from Medicaid and CHIP to Marketplace
coverage is expected to be available in the coming months.
CMS will consolidate data from multiple data sources. Given differences in
availability of different data sources, CMS will release each month’s data as
part of multiple releases.
SNAPSHOT OF DECEMBER 2023 DATA
States have taken different approaches to resuming the regular Medicaid and CHIP
renewal process. Some states started renewals with individuals they think are
unlikely to be eligible, while other states began conducting renewals for their
general populations. Some states have also started the renewal process sooner
than others. Read more about 2023 state timelines for initiating renewals.
NATIONAL SUMMARY OF OUTCOMES OF MEDICAID AND CHIP RENEWALS DUE IN DECEMBER 2023
For 50 states and the District of Columbia reporting at least one full cohort of
unwinding-related renewals in December 2023Percent of beneficiaries due for
renewal in the reporting monthTotal Renewals Due in December
2023
(based on states’ distribution of renewals)7.1 millionCoverage Renewed62.3%
Automatic renewal (“ex parte”)47.3% (75.9% of total renewed) Determined
eligible15.0% (24.1% of total renewed)Coverage Terminated18.9% Determined
ineligible5.9% (31.1% of total terminated) Procedural terminations13.0%
(68.9% of total terminated)Renewals Pending - To be Completed18.8%
Marketplace Enrollments, for December 2023HealthCare.gov Consumers with Previous
Medicaid or CHIP Enrollment with a QHP Selection1,017,000State-Based Marketplace
Consumers with a Medicaid/CHIP Denial or Termination with a QHP Selection108,000
View the complete CAA, 2023 reporting metrics dataset on Data.Medicaid.Gov
SNAPSHOT OF OCTOBER 2023 TRANSITION DATA
HealthCare.gov is unable to report on whether a HealthCare.gov Marketplace
consumer lost Medicaid or CHIP until a few months following the coverage loss
date, so data on individuals transitioning from Medicaid or CHIP to
HealthCare.gov is available later than data on renewals or early Marketplace
data.
Month of Medicaid/CHIP Coverage TerminationNumber of HealthCare.Gov Consumers
with a QHP SelectionApril 2023108,000May 2023143,000June 2023120,000July
2023151,000August 2023172,000September 2023148,000October 2023158,000
--------------------------------------------------------------------------------
1. Lee, Aiden et. al., “Medicaid Enrollees Who are Employed: Implications for
Unwinding the Medicaid Continuous Enrollment Provision,” U.S. Department of
Health and Human Services, Assistant Secretary for Planning and Evaluation,
April 2023,
https://aspe.hhs.gov/sites/default/files/documents/779b6ef3fbb6b644cdf859e4cb0cedc6/medicaid-esi-unwinding.pdf(link
is external).
2. These data are only from states with Marketplaces that use the HealthCare.gov
platform, as opposed to a state-based Marketplace that uses its own platform.
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