The data included in this report series represent the timeliness of states’ Medicaid Modified Adjusted Gross Income (MAGI) Medicaid and the Children’s Health Insurance Program (CHIP) determinations on applications.
States submit these data to the Centers for Medicare & Medicaid Services (CMS) as part of the Medicaid and CHIP Eligibility and Enrollment Performance Indicators process. These data represent the length of time it took states’ Medicaid and CHIP agencies to conduct all final MAGI determinations for individuals at application, regardless of the application date.
2019 report highlights:
For the February – April 2019 period, among the 46 states reporting Medicaid MAGI and CHIP application processing time to CMS's specifications:
- Nearly 57 percent of all MAGI determinations on applications were conducted in less than 7 days
- Over 43 percent of all MAGI determinations on applications were conducted in less than 24 hours
- Fewer than 14 percent of all MAGI determinations on applications were conducted in over 45 days
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About this Report Series
In recent years, states have significantly improved their eligibility, enrollment, and renewal processes for Medicaid and CHIP. These improvements enable states to process Medicaid and CHIP determinations in more accurate, timely, and efficient ways. This report series highlights states’ MAGI and CHIP application processing time data. Application processing time data are constantly changing.
State policies and practices and external factors can all affect the data. External factors include application volume and state policy and practices around verification of information, staffing, and level of automation in a state’s eligibility system.