As part of the Medicaid redetermination process, the Centers for Medicare and Medicaid Services is requiring states to closely track and monitor specific data designed to demonstrate timely application processing and initiating and completing redeterminations for all Medicaid and CHIP enrollees.
In February 2023, states began the process of redetermining whether each of the more than 90 million Americans currently enrolled in Medicaid are still eligible for the program, with eligibility coverage decisions starting April 1. A recent analysis from the Urban Institute and the Robert Wood Johnson Foundation concluded that 18 million people could lose access to Medicaid coverage.
A new issue brief from AHIP describes some ways the states are supporting people through the Medicaid redetermination. Here are some examples of how states are tracking and monitoring data to help speed and complete the redetermination process.
Iowa: The Medicaid & COVID Unwind dashboard provides four summary boxes highlighting data on the number of Medicaid enrollments, applications, redeterminations, and total enrollees maintained due to PHE requirements. The dashboard provides a transparent view into the
redetermination process while also highlighting the redetermination workload by displaying the monthly number of cases and members by county.
Minnesota: The Renewal Dashboard tracks the statewide Medicaid redetermination efforts. The dashboard displays the total number of enrollees and households due for redeterminations each month, and the data can be sorted by demographic information and eligibility category. Additionally, the report provides an overview of the redetermination process by showing how many enrollees have had their coverage automatically renewed, maintained their coverage,
or have had their coverage ended.
Rhode Island: The state’s Return to Normal Operations Data Dashboard tracks Medicaid and CHIP redeterminations and disenrollments. The dashboard reflects the number of redeterminations completed via ex parte and redetermination packets received. The dashboard also displays Medicaid and CHIP disenrollments due to procedural reasons and from loss of eligibility. Moreover, the dashboard provides data regarding the activity of the call centers during the redetermination period at the Department of Human Services and HealthSource RI, such as the number of calls, the call wait time, and the abandonment rate
Utah: The Unwinding Eligibility Data dashboard provides insight into redetermination progress. This includes the average number of days to redetermination decision, the number of fair hearing requests, and outcomes such as the number of transfers to the Marketplace and the number of transitions from Medicaid to CHIP. Additionally, the dashboard provides call center statistics, such as monthly call volume, average wait times and abandonment rates.
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