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), |