Medicaid Enrollment and Unwinding Tracker
The data presented here are monthly unwinding and enrollment data published by the Centers for Medicare and Medicaid Services (CMS). These data may differ from data posted on the “Overview” tab and “State Data” tab in the KFF Unwinding Tracker, which present data reported on state websites when state-reported data are more up-to-date. See the “About the Data” tab for more information about the data used in this tracker.
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Federal Data on Renewal Outcomes
Federal Enrollment Data
Federal Data on Renewal Outcomes
On July 28, 2023, CMS released the first set of state unwinding data as required by the Consolidated Appropriations Act, 2023 (CAA). Under the CAA, states were required to submit monthly unwinding data to CMS through June 2024. In May 2024, CMS issued a letter to states extending monthly data reporting of renewal-related metrics indefinitely.
Figure 1 below shows cumulative renewal data reported by CMS during states’ unwinding periods. Renewal data for the months after the end of states’ unwinding period are excluded. We will update Figure 1 as CMS releases new and/or updated unwinding data each month.
Federal Enrollment Data
Medicaid/CHIP enrollment data for all 50 states and the District of Columbia are reported by CMS as part of the Performance Indicator project. However, these data lag by three-to-four months. The figure below shows enrollment from February 2020, prior to the start of the pandemic and implementation of the continuous enrollment provision. Medicaid/CHIP enrollment peaked at 94.5 million people in April 2023, the month following the end of continuous enrollment, which was an increase of 23.1 million enrollees or 32.4% from February 2020.