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How Quickly are States Connecting Applicants to Medicaid and CHIP Coverage?

Appendix Table 1: Application Processing Time by State
State Average Share of Applications Processed by Time, February – April 2018
<24 Hours 1-7 Days 8-30 Days 31-45 Days 45+ Days
Average (42 States) 34% 19% 24% 9% 14%
Alabama 75% 16% 8% 1% 1%
Alaska 10% 26% 25% 6% 34%
Arizona 46% 12% 21% 17% 5%
Colorado 51% 24% 18% 3% 4%
Connecticut 90% 7% 3% 0% 1%
Delaware 28% 33% 39% 0% 0%
District of Columbia 79% 5% 11% 5% 1%
Florida 38% 22% 31% 5% 4%
Georgia 3% 7% 18% 12% 59%
Hawaii 29% 23% 26% 3% 19%
Illinois 21% 15% 27% 10% 27%
Indiana 5% 6% 48% 28% 13%
Iowa 14% 39% 42% 3% 2%
Kansas 1% 14% 45% 9% 30%
Kentucky 56% 9% 12% 12% 12%
Maine 7% 3% 10% 38% 42%
Maryland 95% 4% 1% 0% 0%
Massachusetts 68% 10% 8% 1% 14%
Michigan 40% 29% 23% 7% 1%
Mississippi 2% 17% 44% 23% 15%
Missouri 1% 23% 26% 6% 44%
Montana 25% 21% 28% 9% 18%
Nebraska 18% 11% 30% 18% 22%
New Hampshire 11% 51% 34% 2% 2%
New Jersey 3% 27% 34% 13% 23%
New Mexico 40% 17% 25% 11% 8%
North Carolina 0% 25% 24% 40% 10%
North Dakota 4% 24% 43% 17% 12%
Ohio 14% 16% 32% 11% 27%
Oklahoma 100% 0% 0% 0% 0%
Oregon 45% 16% 12% 13% 14%
Pennsylvania 15% 23% 53% 6% 3%
Rhode Island 77% 9% 11% 3% 1%
South Carolina 0% 62% 26% 3% 10%
Texas 19% 26% 47% 5% 2%
Utah 23% 36% 36% 4% 2%
Vermont 75% 1% 2% 1% 21%
Virginia 3% 8% 17% 16% 56%
Washington 87% 4% 6% 1% 2%
West Virginia 27% 36% 29% 5% 3%
Wisconsin 39% 16% 34% 11% 1%
Wyoming 40% 22% 21% 6% 11%
SOURCE: Centers for Medicaid and Medicare Services, Medicaid MAGI and CHIP Application Processing
Time Report (2018), https://www.medicaid.gov/state-overviews/magi-and-chip-application-processing-time/index.html.
Appendix Table 2: Eligibility and Enrollment Policies and Processes by Application Processing Time
State Adopted ACA Medicaid Expansion? Children’s Eligibility Upload Documents MAGI system integrated with: Marketplace Type % Renewals that are Automated
Non-MAGI Groups Non-Health Programs
Fast (>40% of Applications Processed in Less than 24 Hours)
Alabama No 317% No No No FFM 75%+
Arizona Yes 205% Yes Yes No FFM 50-75%
Colorado Yes 265% Yes Yes Yes SBM 75%+
Connecticut Yes 323% Yes No No SBM 50-75%
District of Columbia Yes 324% Yes No No SBM 75%+
Kentucky Yes 218% Yes Yes Yes SBM-FP 50-75%
Maryland Yes 322% Yes No No SBM 50-75%
Massachusetts Yes 305% No No No SBM <25%
Oklahoma No 210% Yes No No FFM 25-50%
Oregon Yes 305% Yes No No SBM-FP NR
Rhode Island Yes 266% Yes Yes Yes SBM 75%+
Vermont Yes 317% No No No SBM 50-75%
Washington Yes 317% Yes No No SBM 50-75%
Medium (10% – 40% of Applications Processed in Less than 24 Hours)
Delaware Yes 217% No Yes Yes Partnership <25%
Florida No 215% Yes Yes No FFM 25-50%
Hawaii Yes 313% Yes Yes No FFM 50-75%
Illinois Yes 318% Yes Yes Yes Partnership <25%
Iowa Yes 380% No No No Partnership 50-75%
Michigan Yes 217% Yes No No Partnership 75%+
Montana Yes 266% Yes Yes Yes FFM 50-75%
Nebraska Yes 218% Yes Yes Yes FFM <25%
New Hampshire Yes 323% Yes Yes Yes Partnership <25%
New Mexico Yes 305% Yes Yes Yes SBM-FP 50-75%
Ohio Yes 211% Yes Yes Yes FFM 75%+
Pennsylvania Yes 319% Yes Yes Yes FFM <25%
Texas No 206% Yes Yes Yes FFM NR
Utah Yes 205% Yes Yes Yes FFM 50-75%
West Virginia Yes 305% No Yes Yes Partnership <25%
Wisconsin No 306% Yes Yes Yes FFM <25%
Wyoming No 205% Yes Yes No FFM NR
Slower (<10% of Applications Processed in Less than 24 Hours)
Alaska Yes 208% No No No FFM NR
Georgia No 252% Yes Yes Yes FFM <25%
Indiana Yes 262% No Yes Yes FFM 50-75%
Kansas No 241% Yes Yes Yes FFM 25-50%
Maine Yes 213% No Yes Yes FFM NR
Mississippi No 214% Yes Yes No FFM 25-50%
Missouri No 305% No No No FFM <25%
New Jersey Yes 355% No Yes No FFM <25%
North Carolina No 216% No Yes Yes FFM 50-75%
North Dakota Yes 175% Yes No No FFM NR
South Carolina No 213% No No No FFM 25-50%
Virginia Yes 205% Yes Yes Yes FFM 25-50%
Notes: NR indicates state did not report data. FFM is the Federally Facilitated Marketplace, SBM-FP is a State-based Marketplace-Federal Platform and Partnership is a State-Partnership Marketplace, which also rely on the FFM eligibility determination system healthcare.gov.
Sources: Centers for Medicaid and Medicare Services, Medicaid MAGI and CHIP Application Processing Time Report (2018); Kaiser Family Foundation, Status of State Medicaid Expansion Decisions, Nov. 26, 2018, and Kaiser Family Foundation/Georgetown University Center for Children and Families, Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost Sharing Policies as of January 2018: Findings from a 50-State Survey (2018),
Findings