Medicaid Unwinding Tracker 2024: Enrollment, Renewal, and Disenrollment Outcomes

Okay, here’s a breakdown of the key data from the provided text, formatted for clarity. This summarizes the KFF Medicaid Enrollment and Unwinding tracker data as of September 12, 2024 (with some data points referencing august 1, 2024, as that’s when some figures were last updated).

Key Findings (as of September 12, 2024):

* Total Disenrollments: At least 25,198,000 Medicaid enrollees have been disenrolled during the unwinding of the continuous enrollment provision.
* Renewal Rates: 69% of those with completed renewals (56.4 million) had their coverage renewed. 31% were disenrolled.
* Disenrollment Rate Variation: Disenrollment rates vary significantly by state, from 57% in Montana to 12% in North Carolina.
* Procedural Disenrollments: 69% of all disenrolled individuals lost coverage for procedural reasons (failure to complete the renewal process, frequently enough due to outdated contact information or difficulty with paperwork). This is a meaningful concern as many may still be eligible.
* Ex Parte Renewals: 61% of renewals were completed ex parte (administratively,using existing data sources) while 39% required a renewal form. Ex parte renewal rates varied widely by state (20% in Pennsylvania and Texas to 90% or more in Arizona, North Carolina, and Rhode Island).

Crucial Context & Details:

* Data Sources: The data comes from both CMS (Centers for Medicare & Medicaid Services) and directly from state websites. When state websites provided more complete or timely information, that data was used rather of CMS data.
* State Policy impact: differences in disenrollment rates are linked to state policies. States with policies promoting continued coverage and automated renewal systems have generally seen lower disenrollment rates.Medicaid expansion and increased eligibility levels in some states (North Carolina, South Dakota) also contributed to lower rates.
* Procedural Disenrollment Calculation: The report notes that procedural disenrollment rates can be calculated in different ways (using total disenrollments, completed renewals, or all renewals due), which can affect the reported percentage.
* CMS Data vs. State Data: The report clarifies that the presented data is a combination of CMS data and state-reported data, prioritizing the more complete information.
* Archived Data: Archived state-specific data is available via a link provided in the text.

Where to find more information:

* State Data – Archived: https://www.kff.org/report-section/medicaid-enrollment-and-unwinding-tracker-state-data-archived
* State Policy Issue Brief: https://www.kff.org/medicaid/issue-brief/state-policy-choices-are-likely-to-affect-the-extent-of-medicaid-enrollment-declines-during-the-unwinding-period/
* CMS Unwinding Data (Updated): https://data.medicaid.gov/dataset/e6205a51-e6d7-4849-9882-4483b8a28c41
* CMS Original Unwinding Data: https://data.medicaid.gov/dataset/ebcfc16f-8291-4c61-82a4-055846d72f3a
* Contact: KFFTracker@kff.org

Let me know if you’d like me to elaborate on any specific aspect of this information.

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