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Medicaid and CHIP Eligibility Operations and Enrollment Snapshot
This monthly data report contains preliminary state Medicaid and CHIP performance indicator and eligibility processing data that give insights into states’ Medicaid and CHIP eligibility operations and enrollment. Monthly and annual data show a national and state-level picture of Medicaid and CHIP eligibility and enrollment operations, as well as Marketplace and Basic Health Program enrollment. CMS will release an expanded version of this report quarterly that will include additional data on separate CHIP program enrollment and updated eligibility processing.
Since 2013, states have submitted monthly data on key Medicaid and CHIP operations—including enrollment, total applications, Modified Adjusted Gross Income (MAGI) application processing, and call center operations—through the Eligibility and Enrollment Performance Indicator (PI) data collection. Learn more about the PI data elements on the Performance Indicator Technical Assistance page.
Eligibility Processing Data
States submit specific metrics to CMS about Medicaid and CHIP renewals initiated and completed for a given month. These metrics support CMS efforts to monitor states’ retention and disenrollment of Medicaid and CHIP beneficiaries through the eligibility renewal process. States submitted their first eligibility processing data reports in February 2023, March 2023, or April 2023 (depending on the state). Find more information about eligibility processing data in the Medicaid and CHIP Eligibility Processing Data Report Specifications.
