Medicaid and CHIP CAA Reporting Metrics

State-reported data on Medicaid and CHIP eligibility renewals conducted during the reporting period and call center operations
<br /><b>Sources:</b> <br />(1) March and April 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of June 13, 2023. Florida's March and April 2023 Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of June 05, 2023. May 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of July 12, 2023. Florida's May 2023 Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of July 03, 2023. June 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of August 16, 2023. Florida's June 2023 Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of July 31, 2023. July 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of September 12, 2023. August 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of October 23, 2023. September 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of November 07, 2023. Delaware’s September state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of November 28, 2023. October 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of December 05, 2023. November 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of January 05, 2024. December 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of February 08, 2024. January 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of March 05, 2024. February 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of April 02, 2024. The total number of Medicaid and CHIP beneficiaries for whom a renewal was initiated in the reporting month (metric 4) for Idaho and Nebraska as of April 12, 2024. March 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of May 07, 2024. April 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of June 11, 2024. May 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of July 02, 2024. June 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of August 06, 2024. July 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of September 09, 2024. (2) Call Center Data from the Medicaid and CHIP Eligibility and Enrollment Performance Indicator Data as of September 10, 2024.<br />	
<b>Notes:</b> For all states, data may be affected by mitigation strategies in place, such as those related to ex parte functionality. Georgia reported data for individuals who continue to be eligible following a change in circumstances and were granted a new 12-month eligibility period during the April - July 2024 reporting periods, along with data on individuals due for renewal in these months. South Dakota did not initiate or complete renewals in the March - July 2024 reporting period due to a mitigation strategy for ex parte functionality. South Dakota did not initiate renewals in the February 2024 reporting period due to a mitigation strategy for ex parte functionality. Due to temporary renewal process changes, most renewals due in Iowa, including ex parte renewals, were not completed by the end of the reporting month for the December 2023 - February 2024 reporting periods. Hawaii and Vermont experienced a natural disaster, and the number of renewals initiated and completed in the reporting period were impacted due to the disaster response efforts in the month of August 2023. South Carolina does not have renewal outcomes to report in the month of July 2023. Massachusetts reports the dispositions of renewals completed in the reporting period. Therefore, the state is unable to report the number of pending renewals to CMS, and Massachusetts’ data are excluded from the national totals for the May - July 2023 reporting periods. Vermont experienced a natural disaster, and the number of renewals initiated and completed in the July 2023 reporting period were impacted due to the disaster response efforts. Texas does not have renewal outcomes to report in the month of June 2023. For the May 2023 reporting period, Texas’ renewal disposition data include actions completed after the end of the reporting period. For the April 2023 reporting period, Iowa's renewal disposition data include actions completed after the end of the reporting period. States report renewal outcomes for a cohort in the month renewals are scheduled for completion. States that held procedural terminations reflect these data in metric 5d as pending renewals along with renewals that were due but not completed by the end of the reporting period. See the Data Sources and Metrics Definitions Overview document for a full description of the metric definitions and how they relate to each other.<br />
Starting in the February 2024 reporting period, state-specific data may vary depending on states' unwinding timelines. State-specific data may include both unwinding renewals, or renewals conducted following the end of the continuous enrollment condition, and "regular", or non-unwinding renewals.
<br /><b>Metric summation note:</b> Total number of beneficiaries due for renewal in the reporting month (Metric 5) = Total number of beneficiaries due for renewal in the reporting month whose coverage was renewed (Metric 5a) + Total beneficiaries determined ineligible for Medicaid and CHIP based on the return of a renewal form (Metric 5b) + Total beneficiaries whose coverage was terminated for a procedural or administrative reason (Metric 5c) + Total number of beneficiaries due for renewal in the reporting month whose renewal was pending at the end of the month (Metric 5d); Total number of beneficiaries due for renewal in the reporting month whose coverage was renewed (Metric 5a) = Total beneficiaries renewed on an ex parte basis (i.e., based on available information) (Metric 5a1) + Total beneficiaries renewed based on the return of a renewal form (Metric 5a2).<br />	
<b>Data notes:</b> 
(C1) Callbacks are included<br />
(C2) Call centers offer callbacks<br />
(C3) Does not include all calls received by call centers<br />
(C4) Does not include all calls received after business hours<br />
(C5) Includes calls for other benefit programs<br />
(C6) Includes only calls transferred to a live agent<br />
(C7) Includes state-based marketplace (SBM) data <br />
(C8) New call center added in reporting period<br />
(C9) Wait times for callbacks are included but reported separately from live calls<br />
(C10) Does not operate a call center<br />
(C11) Calls handled to completion by the automated system are counted as abandoned calls<br />
(C12) Did not report data because of technical reasons<br />
(C13) Wait time reflects time spent on hold after the call is answered by a live agent<br />
(R1) Initiated two months' renewals due to delayed system modifications<br />
(R2) Data do not reflect all Medicaid and CHIP enrollees with renewal actions in the reporting period <br />
(R3) Reporting renewals at case level, as opposed to individual level<br />
(R4) State held some or all procedural and/or other terminations for the report month <br />
(R5) State implemented other mitigation strategies related to submission of renewal forms <br />
(R6) Data reflect renewals and other eligibility and enrollment actions<br />
(R7) Data represent Medicaid and CHIP enrollees whose renewal was completed in the reporting month    
          rather than the cohort due for renewal in the reporting month<br />
(R8) Data undercount renewals and reflect these outcomes in another metric in the data set<br />
(R9) Data include renewals held and reassigned to a future month<br />
(R10) State only processed renewals in the report month that could be completed on an ex parte basis
<br />
This document includes Medicaid and CHIP data submitted to CMS by states regarding the number of renewals initiated and monthly renewal outcomes from the Unwinding Data Report and call center data from the Medicaid and CHIP Performance Indicator data set. These data include reporting metrics consistent with section 1902(tt)(1) of the Social Security Act and additional state-submitted renewal metrics.