{
 "id": "mcd:6165f45b-ca93-5bb5-9d06-db29c692a360",
 "slug": "state-medicaid-and-chip-applications-eligibility-determinations-and-enrollment-data",
 "source": "data.medicaid.gov",
 "title": "State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data",
 "summary": "State reported Medicaid and CHIP applications, eligibility determinations, enrollment and call center measures for every state and DC.",
 "description": "All states (including the District of Columbia) are required to provide data to The Centers for Medicare & Medicaid Services (CMS) on a range of Medicaid and Children’s Health Insurance Program (CHIP) indicators related to key application, eligibility, enrollment and call center processes. These data reflect enrollment activity for all populations receiving comprehensive Medicaid and CHIP benefits in all states, as well as state program performance. States submit this data via the Performance Indicator dataset. Further information about this dataset is available at: https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance/index.html .",
 "aliases": [
  "medicaid enrollment",
  "medicaid enrollment by state",
  "chip enrollment",
  "medicaid applications",
  "performance indicator",
  "medicaid enrollment trends"
 ],
 "keywords": [
  "Child Enrollment",
  "Eligibility Determinations",
  "Applications",
  "Children's Health Insurance Program (CHIP)",
  "Medicaid",
  "Call Center",
  "Modified Adjusted Gross Income (MAGI) Application Processing"
 ],
 "themes": [
  "Enrollment"
 ],
 "topics": [
  "medicaid-chip",
  "quality"
 ],
 "category": "Enrollment",
 "publisher": "Centers for Medicare & Medicaid Services (CMS), data.medicaid.gov",
 "contact": "Medicaid.gov@cms.hhs.gov",
 "landing_url": "https://data.medicaid.gov/dataset/6165f45b-ca93-5bb5-9d06-db29c692a360",
 "csv_url": "https://download.medicaid.gov/data/pi-dataset-september-2026-release.csv",
 "api_url": "https://data.medicaid.gov/api/1/datastore/query/6165f45b-ca93-5bb5-9d06-db29c692a360/0",
 "api_kind": "dkan-datastore",
 "preview_url": null,
 "dictionary_url": "https://data.medicaid.gov/api/1/metastore/schemas/data-dictionary/items/7d80cfd8-3266-4c55-8436-948b7c55b9dd",
 "dictionary_kind": "tableschema",
 "methodology_urls": [],
 "state_column": "state_abbreviation",
 "row_count": 11118,
 "posted": "2026-09-25",
 "modified": "2026-09-25",
 "period_start": null,
 "period_end": null,
 "latest_period": null,
 "cadence": "monthly",
 "next_update": null,
 "versions": [],
 "columns": [
  {
   "name": "state_abbreviation",
   "label": "State Abbreviation",
   "type": "string",
   "meaning": "State abbreviation.",
   "source": "medicaid-dictionary"
  },
  {
   "name": "state_name",
   "label": "State Name",
   "type": "string",
   "meaning": "State name.",
   "source": "medicaid-dictionary"
  },
  {
   "name": "reporting_period",
   "label": "Reporting Period",
   "type": "integer",
   "meaning": "Reporting period (month).",
   "source": "medicaid-dictionary"
  },
  {
   "name": "state_expanded_medicaid",
   "label": "State Expanded Medicaid",
   "type": "string",
   "meaning": "Indicates whether state has expanded Medicaid to low-income adults as of the reporting period, based on the expansion’s coverage effective date (Y=expanded Medicaid, N=has not expanded Medicaid).",
   "source": "medicaid-dictionary"
  },
  {
   "name": "preliminary_or_updated",
   "label": "Preliminary or Updated",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "final_report",
   "label": "Final Report",
   "type": "string",
   "meaning": "Indicates whether data are from a final report (Y=Final Report, N=Preliminary Report).",
   "source": "medicaid-dictionary"
  },
  {
   "name": "new_applications_submitted_to_medicaid_and_chip_agencies",
   "label": "New Applications Submitted to Medicaid and CHIP Agencies",
   "type": "integer",
   "meaning": "The number of Medicaid and CHIP applications received by the Medicaid agency and (if applicable) the separate CHIP agency during the calendar month. Accounts transferred from the Federally-facilitated Marketplace (FFM) are excluded. This metric is calculated as the sum of Performance Indicator elements 5b and 5h.",
   "source": "medicaid-dictionary"
  },
  {
   "name": "new_applications_submitted_to_medicaid_and_chip_agencies__f_85d7",
   "label": "New Applications Submitted to Medicaid and CHIP Agencies - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "applications_for_financial_assistance_submitted_to_the_stat_104d",
   "label": "Applications for Financial Assistance Submitted to the State Based Marketplace",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "applications_for_financial_assistance_submitted_to_the_stat_c640",
   "label": "Applications for Financial Assistance Submitted to the State Based Marketplace - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_applications_for_financial_assistance_submitted_at_st_d6fa",
   "label": "Total Applications for Financial Assistance Submitted at State Level",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_applications_for_financial_assistance_submitted_at_st_9919",
   "label": "Total Applications for Financial Assistance Submitted at State Level - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "individuals_determined_eligible_for_medicaid_at_application",
   "label": "Individuals Determined Eligible for Medicaid at Application",
   "type": "integer",
   "meaning": "The total number of Medicaid eligible determinations made (processed) at application by the state agency during the calendar month. This metric is calculated as the sum of Performance Indicator elements 9d and 9h when either are greater than 0; otherwise, the metric is set equal to Performance Indicator element 9a.",
   "source": "medicaid-dictionary"
  },
  {
   "name": "individuals_determined_eligible_for_medicaid_at_application_4f96",
   "label": "Individuals Determined Eligible for Medicaid at Application - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "individuals_determined_eligible_for_chip_at_application",
   "label": "Individuals Determined Eligible for CHIP at Application",
   "type": "integer",
   "meaning": "The total number of CHIP eligible determinations made (processed) at application by the state agency during the calendar month. This metric is set equal to Performance Indicator element 9k when element 9k is greater than 0; otherwise, the metric is set equal to Performance Indicator element 9j.",
   "source": "medicaid-dictionary"
  },
  {
   "name": "individuals_determined_eligible_for_chip_at_application__fo_e28a",
   "label": "Individuals Determined Eligible for CHIP at Application - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_and_chip_determinations",
   "label": "Total Medicaid and CHIP Determinations",
   "type": "integer",
   "meaning": "The total number of Medicaid and CHIP eligible determinations made (processed) at application by the state agency during the calendar month. This metric is set equal to the sum of the “Individuals Determined Eligible for Medicaid at Application” and “Individuals Determined Eligible for CHIP at Application” metrics in this dataset.",
   "source": "medicaid-dictionary"
  },
  {
   "name": "total_medicaid_and_chip_determinations__footnotes",
   "label": "Total Medicaid and CHIP Determinations - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "medicaid_and_chip_child_enrollment",
   "label": "Medicaid and CHIP Child Enrollment",
   "type": "integer",
   "meaning": "A point-in-time count of the number of children enrolled in Medicaid and the number of individuals enrolled in CHIP as of the last day of each month. Note that since some states use CHIP to extend coverage to adults, this measure is not strictly limited to children in all states. Includes only those individuals who are eligible for comprehensive benefits. This metric is calculated as the sum of Performance Indicator elements 8c, 8f, and 8h when 8c and 8f are greater than 0; otherwise, the metric is set equal to 0.",
   "source": "medicaid-dictionary"
  },
  {
   "name": "medicaid_and_chip_child_enrollment__footnotes",
   "label": "Medicaid and CHIP Child Enrollment - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_and_chip_enrollment",
   "label": "Total Medicaid and CHIP Enrollment",
   "type": "integer",
   "meaning": "A point-in-time count of the number of individuals enrolled in Medicaid or CHIP as of the last day of each month. Includes only those individuals who are eligible for comprehensive benefits. This metric is calculated as the sum of Performance Indicator elements 8a and 8h.",
   "source": "medicaid-dictionary"
  },
  {
   "name": "total_medicaid_and_chip_enrollment__footnotes",
   "label": "Total Medicaid and CHIP Enrollment - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_enrollment",
   "label": "Total Medicaid Enrollment",
   "type": "integer",
   "meaning": "A point-in-time count of the number of individuals enrolled in Medicaid as of the last day of each month. Includes only those individuals who are eligible for comprehensive benefits. This metric is set equal to Performance Indicator data element 8a.",
   "source": "medicaid-dictionary"
  },
  {
   "name": "total_medicaid_enrollment__footnotes",
   "label": "Total Medicaid Enrollment - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_chip_enrollment",
   "label": "Total CHIP Enrollment",
   "type": "integer",
   "meaning": "A point-in-time count of the number of individuals enrolled in CHIP (including separate CHIP and Medicaid-expansion CHIP) as of the last day of each month. Note that since some states use CHIP to extend coverage to adults, this measure is not strictly limited to children in all states. Includes only those individuals who are eligible for comprehensive benefits. This metric is set equal to Performance Indicator data element 8h.",
   "source": "medicaid-dictionary"
  },
  {
   "name": "total_chip_enrollment__footnotes",
   "label": "Total CHIP Enrollment - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_adult_medicaid_enrollment",
   "label": "Total Adult Medicaid Enrollment",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_adult_medicaid_enrollment__footnotes",
   "label": "Total Adult Medicaid Enrollment - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_and_chip_determinations_processed_in_less_th_1e84",
   "label": "Total Medicaid and CHIP Determinations Processed in Less than 24 Hours",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_and_chip_determinations_processed_in_less_th_46c2",
   "label": "Total Medicaid and CHIP Determinations Processed in Less than 24 Hours - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_and_chip_determinations_processed_between_24_756e",
   "label": "Total Medicaid and CHIP Determinations Processed Between 24 Hours and 7 Days",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_and_chip_determinations_processed_between_24_cf22",
   "label": "Total Medicaid and CHIP Determinations Processed Between 24 Hours and 7 Days - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_and_chip_determinations_processed_between_8__a7a5",
   "label": "Total Medicaid and CHIP Determinations Processed Between 8 Days and 30 Days",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_and_chip_determinations_processed_between_8__e6e5",
   "label": "Total Medicaid and CHIP Determinations Processed Between 8 Days and 30 Days - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_and_chip_determinations_processed_between_31_a42c",
   "label": "Total Medicaid and CHIP Determinations Processed between 31 days and 45 days",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_and_chip_determinations_processed_between_31_49fa",
   "label": "Total Medicaid and CHIP Determinations Processed between 31 days and 45 days - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_and_chip_determinations_processed_in_more_th_a7ec",
   "label": "Total Medicaid and CHIP Determinations Processed in More than 45 Days",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_and_chip_determinations_processed_in_more_th_bfce",
   "label": "Total Medicaid and CHIP Determinations Processed in More than 45 Days - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_call_center_volume_number_of_calls",
   "label": "Total Call Center Volume (Number of Calls)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_call_center_volume_number_of_calls__footnotes",
   "label": "Total Call Center Volume (Number of Calls) - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "average_call_center_wait_time_minutes",
   "label": "Average Call Center Wait Time (Minutes)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "average_call_center_wait_time_minutes__footnotes",
   "label": "Average Call Center Wait Time (Minutes) - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "average_call_center_abandonment_rate",
   "label": "Average Call Center Abandonment Rate",
   "type": "number",
   "meaning": "The average abandonment rate for all call centers reported in the call center volume metric above. The abandonment rate is calculated as the number of calls abandoned by the caller (numerator) divided by the total call volume (denominator). The metric is set equal to the value states report in Performance Indicator data element 3.",
   "source": "medicaid-dictionary"
  },
  {
   "name": "average_call_center_abandonment_rate__footnotes",
   "label": "Average Call Center Abandonment Rate - footnotes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  }
 ],
 "caveats": [
  "States submit these numbers through the Performance Indicator dataset, so definitions and timing can differ slightly by state."
 ],
 "curated": true,
 "license": "https://www.usa.gov/government-works",
 "detail_key": "6165f45b-ca93-5bb5-9d06-db29c692a360|2026-09-25T18:00:00+00:00|https://download.medicaid.gov/data/pi-dataset-september-2026-release.csv",
 "checked": "2026-10-25",
 "cms365": 6,
 "source_name": "data.medicaid.gov"
}