KFF’s Medicaid Enrollment and Unwinding Tracker provides information on Medicaid disenrollments, renewals, overall enrollment and other key indicators reported by states during the unwinding of the Medicaid continuous enrollment provision, which had paused Medicaid disenrollments since March 2020, ended on March 31, 2023. This update provides data as of March 12, 2024, which marks almost one year since the disenrollments began again.
A few key data points from KFF:
- More than 94 million people were enrolled in Medicaid/CHIP in March 2023, the month before the unwinding period began, an increase of over 22 million from February 2020.
- States began disenrolling people from Medicaid in different months, with some states resuming disenrollments in April, others in May or June, and even July or later for some states. The tracker includes a map with this breakdown.
- At least 18,220,000 Medicaid enrollees have been disenrolled as of March 12, 2024, based on the most current data from all 50 states and the District of Columbia.
- There is wide variation in disenrollment rates across reporting states, ranging from 57% in Utah to 13% in Maine.
- Across all states with available data, 70% of all people disenrolled had their coverage terminated for procedural reasons.
- Of the people whose coverage has been renewed as of March 12, 2024, 59% were renewed on an ex parte basis while 41% were renewed through a renewal form, though rates varied by state.
- Net Medicaid enrollment declines range from 32.0% in Utah to 1.1% in Maine since the start of the unwinding period in each state.
- Hawaii is the only state to have a net increase in enrollment (+0.1%) after the state paused disenrollments following wildfires in August 2023.
March 14, 2024 – K. Kertesz