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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
- State Option to Delay Procedural Disenrollments
- Data Reporting
- Policy & Operational Resources
- Systems Resources
- Outreach and Educational Resources
- Medicaid/Marketplace Coordination Resources
- Medicaid and CHIP All State Calls
- Partner Education Webinars
- Other Materials and Resources
Related Links
- 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 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 in 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. 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.
CMS Data Release Timeline
CMS is releasing data on a monthly basis. CMS is consolidating 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 July 2024 Data
States are in varying stages of completing unwinding-related renewals with many states’ unwinding timelines extending beyond original estimates due to state mitigations, delays in procedural disenrollments, or state adoption of CMS-approved strategies. As a result, unwinding-related and “regular” renewals (e.g., the second renewal conducted after the end of the Medicaid continuous enrollment condition) will occur at the same time in many states. Starting in the February 2024 reporting period, national renewal data will no longer reflect only work done as part of unwinding processes and will begin to reflect regular renewal processing as well. Read more about 2024 state timelines for unwinding-related renewals.
National Summary of Outcomes of Medicaid and CHIP Renewals Due in July 2024
For 50 states and the District of Columbia reporting at least one full cohort of unwinding-related renewals in July 2024 | Percent of beneficiaries due for renewal in the reporting month |
Total Renewals Due in July 2024 (based on states’ distribution of renewals) | 5.5 million |
Coverage Renewed | 73.8% |
Renewed for Medicaid or CHIP on an ex parte basis (based on available information) | 55.3% (75.0% of total renewed) |
Renewed for Medicaid or CHIP based on return of a renewal form | 18.5% (25.0% of total renewed) |
Coverage Terminated | 16.5% |
Determined ineligible for Medicaid or CHIP based on the return of a renewal form | 5.8% (34.8% of total terminated) |
Terminated from Medicaid or CHIP for a procedural or administrative reason | 10.8% (65.2% of total terminated) |
Renewals Pending - To Be Completed | 9.7% |
View the complete CAA, 2023 reporting metrics dataset on Data.Medicaid.Gov
Snapshot of May 2024 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 Termination | Number of HealthCare.Gov Consumers with a QHP Selection |
April 2023 | 154,000 |
May 2023 | 204,000 |
June 2023 | 173,000 |
July 2023 | 218,000 |
August 2023 | 258,000 |
September 2023 | 226,000 |
October 2023 | 245,000 |
November 2023 | 211,000 |
December 2023 | 191,000 |
January 2024 | 149,000 |
February 2024 | 164,000 |
March 2024 | 170,000 |
April 2024 | 133,000 |
May 2024 | 123,000 |