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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 March 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 March 2024

For 50 states and the District of Columbia reporting at least one full cohort of unwinding-related renewals in March 2024Percent of beneficiaries due for renewal in the reporting month
Total Renewals Due in March 2024                             
(based on states’ distribution of renewals)
7.2 million
Coverage Renewed64.1%
      Renewed for Medicaid or CHIP on an ex parte basis
      (based on available information)  
45.0% (70.2% of total renewed)
      Renewed for Medicaid or CHIP based on return of a renewal form19.1% (29.8% of total renewed)
Coverage Terminated20.3%
      Determined ineligible for Medicaid or CHIP based on the return of a 
      renewal form
7.0% (34.6% of total terminated)
      Terminated from Medicaid or CHIP for a procedural or administrative 
13.3% (65.4% of total terminated)
Renewals Pending - To Be Completed15.6%

Marketplace Enrollments, for March 2024
HealthCare.gov Consumers with Previous Medicaid or CHIP Enrollment with a QHP Selection160,000
State-Based Marketplace Consumers with a Medicaid/CHIP Denial or Termination with a QHP Selection59,000

View the complete CAA, 2023 reporting metrics dataset on Data.Medicaid.Gov

Snapshot of January 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 TerminationNumber of HealthCare.Gov Consumers with a QHP Selection
April 2023138,000
May 2023183,000
June 2023154,000
July 2023194,000
August 2023225,000
September 2023196,000
October 2023211,000
November 2023181,000
December 2023162,000
January 2024126,000