Analysis of Recent National Trends in Medicaid and CHIP Enrollment

Table 1: Total Monthly Enrollment in Medicaid/CHIP, Selected Months: Updated Reports1
State Expansion Status December 2019 February 2020 March 2020 April 2020 May 2020
US 71,126,238 71,186,664 71,552,538 72,747,448 73,909,746
AL Not Adopted 928,671 931,235 931,021 942,062 951,966
AK Adopted 223,065 222,941 224,965 228,270 230,043
AZ Adopted 1,708,073 1,705,789 1,746,744 1,781,233 1,817,362
AR Adopted 811,360 802,939 799,896 813,734 820,544
CA Adopted 11,588,323 11,590,601 11,576,877 11,622,708 11,740,127
CO Adopted 1,286,739 1,277,583 1,270,274 1,306,533 1,321,905
CT Adopted 850,657 844,967 845,434 860,826 868,067
DE Adopted 230,983 229,794 229,697 232,750 236,616
DC Adopted 253,355 241,057 242,883 245,429 246,901
FL Not Adopted 3,613,005 3,600,457 3,605,857 3,694,863 3,823,393
GA Not Adopted 1,816,358 1,833,759 1,853,679 1,895,954 1,929,582
HI Adopted 326,337 325,667 327,849 338,323 346,922
ID Adopted 267,602 319,534 325,353 332,920 337,725
IL Adopted 2,812,371 2,829,625 2,855,246 2,930,332 2,973,372
IN Adopted 1,485,826 1,503,094 1,523,989 1,561,429 1,589,922
IA Adopted 679,651 677,141 678,312 686,819 694,372
KS Not Adopted 376,289 378,292 380,750 388,818 395,563
KY Adopted 1,288,288 1,288,129 1,295,710 1,344,593 1,374,471
LA Adopted 1,468,338 1,500,359 1,511,000 1,545,875 1,574,548
ME Adopted 223,129 222,650 224,106 228,243 230,811
MD Adopted 1,328,704 1,330,660 1,335,833 1,350,607 1,362,890
MA Adopted 1,567,780 1,530,761 1,569,853 1,593,701 1,609,953
MI Adopted 2,320,304 2,330,401 2,356,557 2,392,157 2,425,239
MN Adopted 1,044,160 1,044,409 1,047,688 1,067,455 1,081,190
MS Not Adopted 616,093 615,262 612,765 621,960 629,996
MO Adopted2 847,982 855,282 876,601 897,743 915,882
MT Adopted 260,710 252,740 250,033 245,503 246,033
NE Adopted 247,737 248,633 248,460 249,575 252,935
NV Adopted 626,078 625,358 627,200 651,890 669,844
NH Adopted 181,753 181,726 183,172 189,297 192,026
NJ Adopted 1,706,298 1,701,569 1,702,272 1,732,647 1,753,985
NM Adopted 743,645 745,050 745,641 752,736 764,165
NY Adopted 5,997,950 5,987,770 6,006,163 6,022,413 6,193,566
NC Not Adopted 1,772,156 1,770,394 1,807,494 1,829,829 1,853,734
ND Adopted 89,370 89,991 91,884 92,690 95,867
OH Adopted 2,609,614 2,596,917 2,611,799 2,701,204 2,749,126
OK Adopted2 713,247 716,566 734,583 762,993 773,600
OR Adopted 996,363 1,002,190 1,009,118 1,029,603 1,042,719
PA Adopted 2,938,411 2,934,949 2,958,044 3,012,916 3,048,587
RI Adopted 292,050 289,944 292,639 299,750 302,288
SC Not Adopted 1,044,183 1,036,982 1,032,851 1,044,058 1,035,055
SD Not Adopted 108,795 109,585 109,178 110,561 112,232
TN Not Adopted 1,452,381 1,447,540 1,443,290 1,464,181 1,479,417
TX Not Adopted 4,180,368 4,198,897 4,206,104 4,309,314 4,400,011
UT Adopted 309,812 313,899 316,364 327,216 334,295
VT Adopted 151,190 151,167 153,778 157,550 159,344
VA Adopted 1,414,239 1,426,912 1,435,647 1,462,199 1,485,789
WA Adopted 1,716,764 1,711,577 1,719,922 1,745,789 1,763,787
WV Adopted 507,398 506,857 507,009 510,167 515,305
WI Not Adopted 1,046,309 1,050,981 1,054,843 1,080,213 1,097,910
WY Not Adopted 55,974 56,082 56,111 57,817 58,764
NOTES: 1. Data represent updated reports; June data are preliminary and are not shown (see Appendix Table 2). Medicaid & CHIP enrollment reports are submitted monthly by state Medicaid agencies, reflecting enrollment on the last day of the month. With each update, states often revise data for the previous month(s) to better align with reporting criteria. 2. MO and OK recently approved a Medicaid expansion ballot measure and requires expansion coverage to begin no later than July 1, 2021 in both states.
SOURCE: CMS, Medicaid & CHIP: Monthly Application and Eligibility Reports, last updated September 30, 2020.
Table 2: Total Monthly Enrollment in Medicaid/CHIP, Selected Months: Preliminary Reports1
State Expansion Status December 2019 February 2020 March 2020 April 2020 May 2020 June 2020
US 70,571,322 70,632,749 70,923,151 72,349,178 73,494,432 74,633,849
AL Not Adopted 916,861 924,905 928,013 939,200 946,246 957,116
AK Adopted 222,156 221,584 223,820 226,559 230,043 231,145
AZ Adopted 1,708,073 1,705,789 1,746,744 1,781,233 1,817,362 1,839,932
AR Adopted 794,226 793,126 791,488 801,314 824,686 830,467
CA Adopted 11,465,576 11,484,357 11,450,896 11,540,623 11,669,795 11,847,711
CO Adopted 1,286,739 1,277,583 1,270,274 1,306,533 1,315,463 1,337,805
CT Adopted 850,657 844,967 845,434 860,826 868,067 874,974
DE Adopted 230,983 229,794 229,697 232,750 236,616 239,009
DC Adopted 253,355 241,057 242,883 245,429 246,901 248,591
FL Not Adopted 3,613,005 3,600,457 3,605,857 3,694,863 3,823,393 3,892,552
GA Not Adopted 1,777,011 1,792,895 1,790,732 1,864,871 1,889,278 1,928,703
HI Adopted 326,149 325,503 327,668 338,207 346,791 351,337
ID Adopted 266,030 319,534 324,506 331,199 335,685 340,742
IL Adopted 2,799,304 2,804,953 2,814,049 2,900,130 2,961,326 2,987,496
IN Adopted 1,467,532 1,489,231 1,500,984 1,537,626 1,571,869 1,602,976
IA Adopted 692,089 668,481 669,011 683,201 691,585 699,741
KS Not Adopted 376,289 378,292 380,750 388,818 395,563 401,103
KY Adopted 1,288,288 1,288,129 1,295,710 1,344,593 1,374,471 1,416,013
LA Adopted 1,468,338 1,500,359 1,511,000 1,545,875 1,560,574 1,585,024
ME Adopted 223,129 220,583 222,971 227,063 230,389 232,455
MD Adopted 1,314,942 1,321,173 1,328,169 1,338,762 1,359,003 1,372,695
MA Adopted 1,547,352 1,534,513 1,556,751 1,577,022 1,599,471 1,616,404
MI Adopted 2,291,616 2,300,008 2,317,725 2,369,658 2,409,863 2,439,425
MN Adopted 1,020,753 1,022,649 1,031,434 1,055,804 1,071,683 1,085,778
MS Not Adopted 606,182 605,724 604,447 601,407 624,178 632,427
MO Adopted2 828,544 829,736 842,739 887,433 906,761 923,641
MT Adopted 257,850 249,705 247,058 243,312 244,152 247,333
NE Adopted 242,878 244,412 244,762 246,460 250,066 254,159
NV Adopted 626,078 625,358 627,200 651,890 669,844 685,073
NH Adopted 178,310 178,920 179,494 187,067 190,983 193,436
NJ Adopted 1,683,260 1,668,035 1,669,158 1,706,864 1,732,289 1,759,653
NM Adopted 743,645 745,050 745,641 752,736 764,165 772,102
NY Adopted 5,982,690 5,966,911 5,992,670 6,104,550 6,120,957 6,263,164
NC Not Adopted 1,728,869 1,726,931 1,770,709 1,803,963 1,828,437 1,851,558
ND Adopted 89,370 89,991 91,884 92,690 95,867 96,757
OH Adopted 2,609,614 2,596,917 2,611,799 2,701,204 2,749,126 2,788,134
OK Adopted2 713,247 716,566 734,583 762,993 773,600 797,220
OR Adopted 985,201 995,508 1,001,783 1,023,689 1,040,847 1,053,931
PA Adopted 2,918,949 2,904,591 2,933,965 2,976,480 3,030,681 3,069,309
RI Adopted 291,161 289,542 291,565 298,971 301,723 305,208
SC Not Adopted 1,021,111 1,015,327 1,011,762 1,023,355 1,035,055 1,048,276
SD Not Adopted 108,795 109,585 109,178 110,561 112,232 114,059
TN Not Adopted 1,436,633 1,431,937 1,427,119 1,453,879 1,472,505 1,489,536
TX Not Adopted 4,152,401 4,167,818 4,174,195 4,278,567 4,385,900 4,457,644
UT Adopted 306,130 311,273 312,266 324,383 330,754 338,812
VT Adopted 150,160 149,175 152,616 157,055 159,103 161,049
VA Adopted 1,397,783 1,410,233 1,419,069 1,450,785 1,474,669 1,497,770
WA Adopted 1,716,764 1,711,577 1,719,922 1,737,629 1,759,499 1,780,968
WV Adopted 506,229 506,857 504,096 510,167 515,305 521,290
WI Not Adopted 1,034,978 1,041,015 1,042,139 1,072,102 1,091,841 1,112,844
WY Not Adopted 54,037 54,133 54,766 56,827 57,770 59,302
NOTES: 1. Data represent preliminary data, prior to updates. Medicaid & CHIP enrollment reports are submitted monthly by state Medicaid agencies, reflecting enrollment on the last day of the month. With each update, states often revise data for the previous month(s) to better align with reporting criteria. 2. MO and OK recently approved a Medicaid expansion ballot measure and requires expansion coverage to begin no later than July 1, 2021 in both states.
SOURCE: CMS, Medicaid & CHIP: Monthly Application and Eligibility Reports, last updated September 30, 2020.
Data Note

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