All states (including the District of Columbia) are required to provide data to The Centers for Medicare & Medicaid Services (CMS) on a range of Medicaid and Children’s Health Insurance Program (CHIP) indicators related to key application, eligibility, enrollment and call center processes. These data reflect enrollment activity for all populations receiving comprehensive Medicaid and CHIP benefits in all states, as well as state program performance. States submit this data via the Performance Indicator dataset. Further information about this dataset is available at: https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance/index.html.

All states (including the District of Columbia) are required to provide data to The Centers for Medicare & Medicaid Services (CMS) on a range of indicators related to key application, eligibility, and enrollment processes within the state Medicaid and Children’s Health Insurance Programs (CHIP). These data reflect enrollment activity for all populations receiving comprehensive Medicaid and CHIP benefits in all states, as well as state program performance.

All states (including the District of Columbia) are required to provide data to The Centers for Medicare & Medicaid Services (CMS) on a range of Medicaid and Children’s Health Insurance Program (CHIP) indicators related to key application, eligibility, enrollment and call center processes. These data reflect enrollment activity for all populations receiving comprehensive Medicaid and CHIP benefits in all states, as well as state program performance. States submit this data via the Performance Indicator dataset. Further information about this dataset is available at: https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance/index.html.

All states (including the District of Columbia) are required to provide data to The Centers for Medicare & Medicaid Services (CMS) on a range of Medicaid and Children’s Health Insurance Program (CHIP) indicators related to key application, eligibility, enrollment and call center processes. These data reflect enrollment activity for all populations receiving comprehensive Medicaid and CHIP benefits in all states, as well as state program performance. States submit this data via the Performance Indicator dataset. Further information about this dataset is available at: https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance/index.html.

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All states (including the District of Columbia) are required to provide data to The Centers for Medicare & Medicaid Services (CMS) on a range of indicators related to key application, eligibility, and enrollment processes within the state Medicaid and Children’s Health Insurance Programs (CHIP). These data reflect enrollment activity for all populations receiving comprehensive Medicaid and CHIP benefits in all states, as well as state program performance.

State-reported data on Medicaid and CHIP eligibility renewals conducted during the reporting period and call center operations Sources: (1) March and April 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of June 13, 2023. Florida's March and April 2023 Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of June 05, 2023. May 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of July 12, 2023. Florida's May 2023 Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of July 03, 2023. June 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of August 16, 2023. Florida's June 2023 Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of July 31, 2023. July 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of September 12, 2023. August 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of October 23, 2023. September 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of November 07, 2023. Delaware’s September state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of November 28, 2023. October 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of December 05, 2023. November 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of January 05, 2024. December 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of February 08, 2024. January 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of March 05, 2024. February 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of April 02, 2024. The total number of Medicaid and CHIP beneficiaries for whom a renewal was initiated in the reporting month (metric 4) for Idaho and Nebraska as of April 12, 2024. March 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of May 07, 2024. April 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of June 11, 2024. May 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of July 02, 2024. June 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of August 06, 2024. July 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of September 09, 2024. (2) Call Center Data from the Medicaid and CHIP Eligibility and Enrollment Performance Indicator Data as of September 10, 2024. Notes: For all states, data may be affected by mitigation strategies in place, such as those related to ex parte functionality. Georgia reported data for individuals who continue to be eligible following a change in circumstances and were granted a new 12-month eligibility period during the April - July 2024 reporting periods, along with data on individuals due for renewal in these months. South Dakota did not initiate or complete renewals in the March - July 2024 reporting period due to a mitigation strategy for ex parte functionality. South Dakota did not initiate renewals in the February 2024 reporting period due to a mitigation strategy for ex parte functionality. Due to temporary renewal process changes, most renewals due in Iowa, including ex parte renewals, were not completed by the end of the reporting month for the December 2023 - February 2024 reporting periods. Hawaii and Vermont experienced a natural disaster, and the number of renewals initiated and completed in the reporting period were impacted due to the disaster response efforts in the month of August 2023. South Carolina does not have renewal outcomes to report

States may rely on eligibility information from "Express Lane" agency programs to streamline and simplify enrollment and renewal in Medicaid and CHIP. Express Lane agencies may include Supplemental Nutrition Assistance Program (SNAP), School Lunch programs, Temporary Assistance for Needy Families, Head Start, and the Women, infant, and children's program (WIC) , among others. States can also use state income tax data to determine Medicaid and CHIP eligibility for children.

Health care providers and Head Start programs can play a major role in finding and enrolling uninsured children through presumptive eligibility. States can authorize “qualified entities” -- health care providers, community-based organizations, and schools, among others -- to screen for Medicaid and CHIP eligibility and immediately enroll children who appear to be eligible. Presumptive eligibility allows children to get access to Medicaid or CHIP services without having to wait for their application to be fully processed. Qualified entities can also help families gather the documents needed to complete the full application process, thereby reducing the administrative burden on States to obtain missing information.

States have the option to provide children with 12 months of continuous coverage through Medicaid and CHIP, even if the family experiences a change in income during the year. Continuous eligibility is a valuable tool that helps States ensure that children stay enrolled in the health coverage for which they are eligible and have consistent access to needed health care services.