Medicaid and CHIP Updated Renewal Outcomes
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State-reported data on Medicaid and CHIP eligibility renewals that reflect the outcomes of previously pending renewals three months after the renewal was due and also any corrections to the original renewal data submitted to CMS. <a href="https://data.medicaid.gov/dataset/ebcfc16f-8291-4c61-82a4-055846d72f3a/data?conditions%5B0%5D%5Bproperty%5D=reporting_period&conditions%5B0%5D%5Bvalue%5D=202312&conditions%5B0%5D%5Boperator%5D=%3D">See here</a> for original renewal data.<br /> CMS <a href="https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/data-reporting/data-reporting-tools/index.html">renewal data specifications</a> require states to update and submit to CMS their monthly renewal outcome metrics - metric 5 data and its submetrics (monthly metrics 5a, 5a(1), 5a(2), 5b, 5c, and 5d) - after the original monthly report submission. The “updated” renewal data reflect the outcomes of renewals previously reported as pending (monthly metric 5d of the original monthly report) as of three months after the renewal was due. For more information about this data set and considerations for users when reviewing, please see the Medicaid and CHIP Unwinding: Data Sources and Metrics Definitions Overview <a href="https://www.medicaid.gov/media/160271">found here</a>. <br /><b>Sources:</b> <br />(1) March 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on March 05, 2024, representing the updated disposition of renewals due in March 2023 as of June 2023. April 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on March 05, 2024, representing the updated disposition of renewals due in April 2023 as of July 2023. May 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on March 05, 2024, representing the updated disposition of renewals due in May 2023 as of August 2023. June 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on March 05, 2024, representing the updated disposition of renewals due in June 2023 as of September 2023. July 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on March 05, 2024, representing the updated disposition of renewals due in July 2023 as of October 2023. August 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on March 05, 2024, representing the updated disposition of renewals due in August 2023 as of November 2023. September 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on April 02, 2024, representing the updated disposition of renewals due in September 2023 as of December 2023. October 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on April 02, 2024, representing the updated disposition of renewals due in October 2023 as of January 2024. November 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on May 07, 2024, representing the updated disposition of renewals due in November 2023 as of February 2024. December 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on June 11, 2024, representing the updated disposition of renewals due in December 2023 as of March 2024. New Hampshire’s December 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on April 09, 2024, representing the updated disposition of renewals due in December 2023 as of March 2024. New York’s December 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on April 22, 2024, representing the updated disposition of renewals due in December 2023 as of March 2024. January 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on July 02, 2024, representing the updated disposition of renewals due in January 2024 as of April 2024. February 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on August 06, 2024, representing the updated disposition of renewals due in February 2024 as of May 2024. March 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report pulled on September 09, 2024, representing the updated disposition of renewals due in March 2024 as of June 2024.<br /> <b>Notes:</b> States report updated renewal outcomes for a cohort as of three months after the month renewals are scheduled for completion, unless otherwise noted. In the March 2023 – October 2023 reporting periods, Oklahoma included outcomes for some individuals who returned their renewal form during the reconsideration period. See the Data Sources and Definitions Overview document for a full description of the metric definitions and how they relate to each other.<br /> April 2023: Ohio reported updated renewal outcomes for the cohort as of 10/31/2023. Arkansas and Pennsylvania reported the eligibility status of the cohort, and data may include outcomes of eligibility actions that occurred after the renewal. <br /> May 2023: The following states reported updated renewal outcomes for the cohort as of a different date: Ohio (outcomes as of 10/31/2023), Rhode Island (outcomes as of 11/1/2023), South Carolina (outcomes as of 12/20/2023), and Texas (outcomes as of 9/8/2023). Pennsylvania, Rhode Island, and South Carolina updated the eligibility status of the cohort, and data may include eligibility actions that occurred after the renewal. <br /> June 2023: The following states reported updated renewal outcomes for the cohort as of a different date: Kansas (outcomes as of 8/31/23), Minnesota (outcomes as of 12/2023), Ohio (outcomes as of 10/31/2023), North Carolina (outcomes as of 12/1/2023), Rhode Island (outcomes as of 11/1/2023), and South Carolina (outcomes as of 12/20/2023). Pennsylvania, Rhode Island, and South Carolina updated the eligibility status of the cohort, and data may include eligibility actions that occurred after the renewal. <br /> July 2023: The following states reported updated renewal outcomes for the cohort as of a different date: Minnesota (outcomes as of 12/2023), North Carolina (outcomes as of 12/1/2023), Rhode Island (outcomes as of 11/1/2023), and Texas (outcomes as of 11/9/2023). California, Pennsylvania, and Rhode Island updated the eligibility status of the cohort, and data may include eligibility actions that occurred after the renewal. <br /> August 2023: The following states reported updated renewal outcomes for the cohort as of a different date: Minnesota (outcomes as of 12/2023), North Carolina (outcomes as of 12/1/2023), Rhode Island (outcomes as of 12/4/2023), and South Carolina (outcomes as of 12/20/2023). California, Pennsylvania, Rhode Island, and South Carolina updated the eligibility status of the cohort, and data may include eligibility actions that occurred after the renewal. <br /> September 2023: The following states reported updated renewal outcomes for the cohort as of a different date: Minnesota (outcomes as of 1/8/2024), North Carolina (1/2/2024), Rhode Island (1/1/2024), and South Carolina (outcomes as of 1/8/2024). California, Pennsylvania, Rhode Island, and South Carolina updated the eligibility status of the cohort, and data may include eligibility actions that occurred after the renewal. Vermont excluded renewal outcomes for some individuals who requested voluntary terminations or who were deceased. <br /> October 2023: The following states reported updated renewal outcomes for the cohort as of a different date: Minnesota (outcomes as of 2/12/2024), North Carolina (outcomes as of 2/1/2024), Rhode Island (outcomes as of 2/15/2024), and South Carolina (outcomes as 2/1/2024). California, Pennsylvania, and South Carolina updated the eligibility status of the cohort, and data may include eligibility actions that occurred after the renewal. Rhode Island’s updated data includes some individuals reported as pending whose renewal was completed.<br /> November 2023: The following states reported updated renewal outcomes for the cohort as of a different date: Minnesota (outcomes as of 3/4/2024), New York (outcomes as of 3/31/2024), North Carolina (outcomes as of 3/1/2024), Rhode Island (outcomes as of 4/1/2024), and South Carolina (outcomes as of 3/1/2024). Pennsylvania and South Carolina updated the eligibility status of the cohort, and data may include eligibility actions that occurred after the renewal. Rhode Island’s updated data includes some individuals reported as pending whose renewal was completed. California included outcomes for some individuals whose eligibility was redetermined based on a change in circumstances after the renewal was processed. <br /> December 2023: The following states reported updated renewal outcomes for the cohort as of a different date: North Carolina (outcomes as of 4/1/2024) and Minnesota (outcomes as of 4/2/2024). Pennsylvania updated the eligibility status of the cohort, and data may include eligibility actions that occurred after the renewal. California included outcomes for some individuals whose eligibility was redetermined based on a change in circumstances after the renewal was processed.<br /> January 2024: The following states reported updated renewal outcomes for the cohort as of a different date: North Carolina (outcomes as of 5/1/2024) and Minnesota (outcomes as of 5/6/2024). Pennsylvania updated the eligibility status of the cohort, and data may include eligibility actions that occurred after the renewal.<br /> February 2024: The following states reported updated renewal outcomes for the cohort as of a different date: North Carolina (outcomes as of 6/3/2024) and Minnesota (outcomes as of 6/5/2024). Pennsylvania and Wyoming updated the eligibility status of the cohort, and data may include eligibility actions that occurred after the renewal.<br/> March 2024: The following states reported updated renewal outcomes for the cohort as of a different date: North Carolina (outcomes as of 7/1/2024) and Texas (outcomes as of 7/1/2024). Pennsylvania and Wyoming updated the eligibility status of the cohort, and data may include eligibility actions that occurred after the renewal. <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 /> This document includes state updates to their monthly Medicaid and CHIP renewal outcome data submitted to CMS from the Unwinding Data Report. These data include updates to reporting metrics required under section 1902(tt)(1) of the Social Security Act and additional state-submitted renewal metrics.
本数据集收录了各州上报的关于医疗补助和儿童健康保险(CHIP)资格续签情况的数据,该数据反映了在续签期限届满三个月之后,先前待处理的续签结果,以及对提交给CMS的原始续签数据的任何更正。详情请参阅原始续签数据链接<a href="https://data.medicaid.gov/dataset/ebcfc16f-8291-4c61-82a4-055846d72f3a/data?conditions%5B0%5D%5Bproperty%5D=reporting_period&conditions%5B0%5D%5Bvalue%5D=202312&conditions%5B0%5D%5Boperator%5D=%3D">查看此处</a>。CMS针对续签数据制定了<a href="https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/data-reporting/data-reporting-tools/index.html">数据报告规范</a>,要求各州在提交原始月度报告后,更新并向CMS提交其月度续签结果指标——指标5数据及其子指标(月度指标5a、5a(1)、5a(2)、5b、5c和5d)。‘更新’后的续签数据反映了先前报告为待处理的续签结果(原始月度报告中的月度指标5d)截至续签期限届满三个月后的情况。有关本数据集的更多信息以及用户在审阅数据时需考虑的因素,请参阅《医疗补助和CHIP解除:数据来源和指标定义概述》<a href="https://www.medicaid.gov/media/160271">见此处</a>。 <b>数据来源:</b>(1)2023年3月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年3月5日抽取,代表截至2023年6月的2023年3月到期续签的更新处置情况。2023年4月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年3月5日抽取,代表截至2023年7月的2023年4月到期续签的更新处置情况。2023年5月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年3月5日抽取,代表截至2023年8月的2023年5月到期续签的更新处置情况。2023年6月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年3月5日抽取,代表截至2023年9月的2023年6月到期续签的更新处置情况。2023年7月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年3月5日抽取,代表截至2023年10月的2023年7月到期续签的更新处置情况。2023年8月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年3月5日抽取,代表截至2023年11月的2023年8月到期续签的更新处置情况。2023年9月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年4月2日抽取,代表截至2023年12月的2023年9月到期续签的更新处置情况。2023年10月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年4月2日抽取,代表截至2024年1月的2023年10月到期续签的更新处置情况。2023年11月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年5月7日抽取,代表截至2024年2月的2023年11月到期续签的更新处置情况。2023年12月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年6月11日抽取,代表截至2024年3月的2023年12月到期续签的更新处置情况。新罕布什尔州2023年12月医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年4月9日抽取,代表截至2024年3月的2023年12月到期续签的更新处置情况。纽约州2023年12月医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年4月22日抽取,代表截至2024年3月的2023年12月到期续签的更新处置情况。2024年1月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年7月2日抽取,代表截至2024年4月的2024年1月到期续签的更新处置情况。2024年2月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年8月6日抽取,代表截至2024年5月的2024年2月到期续签的更新处置情况。2024年3月各州医疗补助和CHIP续签及终止数据,用于解除数据报告,于2024年9月9日抽取,代表截至2024年6月的2024年3月到期续签的更新处置情况。 <b>备注:</b>各州报告了截至续签计划完成月份三个月后的队列更新续签结果,除非另有说明。在2023年3月-10月报告期内,俄克拉荷马州包括了一些在复审期内提交续签表格的个人结果。有关指标定义的全面描述及其相互关系,请参阅《数据来源和定义概述》文件。<br /><b>指标汇总说明:</b>报告月份应续签的受益人总数(指标5)= 报告月份应续签的受益人总数且已续签的受益人总数(指标5a)+ 根据续签表格返回确定不符合医疗补助和CHIP条件的受益人总数(指标5b)+ 由于程序或行政原因终止覆盖的受益人总数(指标5c)+ 报告月份应续签的受益人总数且在月底续签状态仍为待处理的总数(指标5d);报告月份应续签的受益人总数且已续签的受益人总数(指标5a)= 基于可用信息独立续签的受益人总数(指标5a1)+ 基于续签表格返回续签的受益人总数(指标5a2)。 本文件包括各州向CMS提交的每月医疗补助和CHIP续签结果数据的更新,这些数据包括根据《社会保障法》第1902(tt)(1)节要求提交的报表指标更新以及各州提交的额外续签指标。



