Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Prepare for the Unwinding of the Pandemic-Era Continuous Enrollment Provision

Note: This report, originally published on March 16, 2023 and updated on April 4, 2023, presents policies and procedures that were in place as of January 1, 2023. However, state policies are evolving and the information here may not reflect current state policy. Some states have provided updated information and those responses are captured in data posted here.

Table A: Trends in State Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies, December 2009-January 2023

Table 1: Income Eligibility Limits for Children’s Health Coverage as a Percent Of The Federal Poverty Level, January 2023
Table 2: Medicaid and CHIP Coverage for Pregnant Individuals and Medicaid Family Planning Expansion, January 2023
Table 3: State Adoption of Options to Cover Immigrant Populations, January 2023
Table 4: Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level, January 2023
Table 5: State Adoption of 12-Month Continuous Eligibility for Selected Populations, January 2023
Table 6: Integration of MAGI-Medicaid Eligibility Systems with Marketplace Systems, Non-MAGI Medicaid, and Non-Health Programs, January 2023
Table 7: Modes For Submitting Medicaid Applications and Features of Online Applications, January 2023
Table 8: Real-Time Eligibility Determinations, January 2023
Table 9: Staff Responsible for Processing Applications and Renewals in Medicaid and CHIP, January 2023
Table 10: Features of Online Medicaid Accounts, January 2023
Table 11: Features of Portals for Application Assisters/Community Partners, January 2023
Table 12: Databases Used to Verify Income, In Addition to the Social Security Administration Database, January 2023
Table 13: Medicaid Ex Parte Renewals for Children, Pregnant Individuals, Parents, and Expansion Adults, January 2023
Table 14: Steps to Increase Ex Parte Renewals Rates in the Past Year, January 2023
Table 15: Modes For Submitting Medicaid Renewals, January 2023
Table 16: Actions to Align Non-MAGI with MAGI Renewal Policies, January 2023
Table 17: State Approaches to the Unwinding Period, January 2023
Table 18: State Actions to Coordinate with Medicaid Managed Care Organizations During the Unwinding Period, January 2023
Table 19: Medicaid Renewal Communications During the Unwinding Period, January 2023
Table 20: Ongoing or Planned Actions to Update Mailing Addresses Before the End of the Continuous Enrollment Provision, January 2023
Table 21: State Follow-Up on Returned Mail, January 2023
Table 22: Eligibility and Call Center Staff Vacancy Rates, January 2023
Table 23: Planned Actions to Increase Eligibility Staff Capacity for Processing Renewal During the Unwinding Period, January 2023
Table 24: State Plans for Publishing Selected Data Measures on State Websites During the Unwinding Period, January 2023

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