Be aware: The information on unwinding renewal outcomes introduced under have been final up to date on September 12, 2024; since most states have now accomplished the Medicaid unwinding, the data is not going to be up to date once more.
As of September 12, 2024 and with practically full unwinding information for many states:
- Over 25 million individuals have been disenrolled (31% of accomplished renewals) and over 56 million individuals had their protection renewed (69% of accomplished renewals).
- Disenrollment charges diverse throughout states from 57% in Montana to 12% in North Carolina, pushed by quite a lot of elements together with variations in renewal insurance policies and procedures in addition to eligibility expansions in some states.
- Amongst those that have been disenrolled, practically seven in ten (69%) have been disenrolled for paperwork or procedural causes whereas three in ten (31%) have been decided ineligible.
- Amongst these whose protection was renewed through the unwinding, 61% have been renewed on an ex parte, or automated, foundation, that means the person didn’t must take any motion to keep up protection.
State Information on Renewal Outcomes
The information on unwinding-related renewal outcomes introduced on this part rely totally on month-to-month stories that states have been required to undergo the Facilities for Medicare & Medicaid Companies (CMS) through the unwinding interval. The information additionally mirror updates to the month-to-month stories that states submit three months after the unique report submission to account for the decision of pending instances and every other modifications in renewal metrics. For 13 states, information have been pulled from dashboards or stories printed on state web sites that present extra full info, and for just a few extra states, up to date month-to-month stories have been pulled from state web sites as a result of they have been extra well timed than what’s reported on the CMS web site.
To view archived information for particular states, click on on the State Data – Archived tab.
Medicaid Disenrollments
- As of September 12, 2024, not less than 25,198,000 Medicaid enrollees had been disenrolled through the unwinding of the continual enrollment provision. Total, 31% of individuals with a accomplished renewal have been disenrolled in reporting states whereas 69%, or 56.4 million enrollees, had their protection renewed.
- There may be vast variation in disenrollment charges throughout reporting states, starting from 57% in Montana to 12% in North Carolina. A wide range of elements contribute to those variations, together with variations in renewal insurance policies and system capability. Some states adopted policies that promote continued protection amongst those that stay eligible and/or 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. As well as, North Carolina and South Dakota adopted Medicaid enlargement and different states elevated eligibility ranges for sure populations (e.g., kids, dad and mom, and so on.) through the unwinding, which can have lowered disenrollment charges in these states.
- Throughout all states with accessible information, 69% of all individuals disenrolled had their protection terminated for procedural causes. Nonetheless, these charges range primarily based on how they’re calculated (see observe under). Procedural disenrollments are instances the place individuals 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 be eligible for Medicaid protection.
(Be aware: 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 embrace 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 embrace accomplished renewals and pending instances.)
Medicaid Renewals
- Of the individuals whose protection has been renewed as of September 12, 2024, 61% have been renewed on an ex parte foundation whereas 39% have been renewed by way of a renewal kind, although charges range throughout states. 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, corresponding to state wage databases, earlier than sending a renewal kind or requesting documentation from an enrollee. Ex parte renewal charges diverse throughout states from 90% or extra in Arizona, North Carolina, and Rhode Island to lower than 20% in Pennsylvania and Texas.
Federal Information on Renewal Outcomes
The information introduced listed below are cumulative unwinding metrics printed by CMS. These counts and percentages could differ from the above information, which current renewal metrics reported on state web sites when state-reported information are extra full.
Determine 1 under exhibits cumulative renewal information reported by CMS throughout states’ unwinding durations. Renewal information for the months after the tip of states’ unwinding interval are excluded. The information mirror updated unwinding information reported by states three months after the original month-to-month stories as they develop into accessible.
For questions on this tracker, please contact KFFTracker@kff.org
