data.medicaid.govHand-written summary
State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data
State reported Medicaid and CHIP applications, eligibility determinations, enrollment and call center measures for every state and DC.
Freshness
- Last posted
- Period covered
- Update frequency
- Monthly
Dates as CMS lists them in its catalog.
Before you use it
- States submit these numbers through the Performance Indicator dataset, so definitions and timing can differ slightly by state.
Columns 44
| Column | What it means | Type |
|---|---|---|
State Abbreviationstate_abbreviation | string | |
State Namestate_name | string | |
Reporting Periodreporting_period | Reporting period (month). | integer |
State Expanded Medicaidstate_expanded_medicaid | 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). | string |
Preliminary or Updatedpreliminary_or_updated | text | |
Final Reportfinal_report | Indicates whether data are from a final report (Y=Final Report, N=Preliminary Report). | string |
New Applications Submitted to Medicaid and CHIP Agenciesnew_applications_submitted_to_medicaid_and_chip_agencies | 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. | integer |
New Applications Submitted to Medicaid and CHIP Agencies - footnotesnew_applications_submitted_to_medicaid_and_chip_agencies__f_85d7 | text | |
Applications for Financial Assistance Submitted to the State Based Marketplaceapplications_for_financial_assistance_submitted_to_the_stat_104d | text | |
Applications for Financial Assistance Submitted to the State Based Marketplace - footnotesapplications_for_financial_assistance_submitted_to_the_stat_c640 | text | |
Total Applications for Financial Assistance Submitted at State Leveltotal_applications_for_financial_assistance_submitted_at_st_d6fa | text | |
Total Applications for Financial Assistance Submitted at State Level - footnotestotal_applications_for_financial_assistance_submitted_at_st_9919 | text | |
Individuals Determined Eligible for Medicaid at Applicationindividuals_determined_eligible_for_medicaid_at_application | 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. | integer |
Individuals Determined Eligible for Medicaid at Application - footnotesindividuals_determined_eligible_for_medicaid_at_application_4f96 | text | |
Individuals Determined Eligible for CHIP at Applicationindividuals_determined_eligible_for_chip_at_application | 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. | integer |
Individuals Determined Eligible for CHIP at Application - footnotesindividuals_determined_eligible_for_chip_at_application__fo_e28a | text | |
Total Medicaid and CHIP Determinationstotal_medicaid_and_chip_determinations | 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. | integer |
Total Medicaid and CHIP Determinations - footnotestotal_medicaid_and_chip_determinations__footnotes | text | |
Medicaid and CHIP Child Enrollmentmedicaid_and_chip_child_enrollment | 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. | integer |
Medicaid and CHIP Child Enrollment - footnotesmedicaid_and_chip_child_enrollment__footnotes | text | |
Total Medicaid and CHIP Enrollmenttotal_medicaid_and_chip_enrollment | 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. | integer |
Total Medicaid and CHIP Enrollment - footnotestotal_medicaid_and_chip_enrollment__footnotes | text | |
Total Medicaid Enrollmenttotal_medicaid_enrollment | 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. | integer |
Total Medicaid Enrollment - footnotestotal_medicaid_enrollment__footnotes | text | |
Total CHIP Enrollmenttotal_chip_enrollment | 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. | integer |
Total CHIP Enrollment - footnotestotal_chip_enrollment__footnotes | text | |
Total Adult Medicaid Enrollmenttotal_adult_medicaid_enrollment | text | |
Total Adult Medicaid Enrollment - footnotestotal_adult_medicaid_enrollment__footnotes | text | |
Total Medicaid and CHIP Determinations Processed in Less than 24 Hourstotal_medicaid_and_chip_determinations_processed_in_less_th_1e84 | text | |
Total Medicaid and CHIP Determinations Processed in Less than 24 Hours - footnotestotal_medicaid_and_chip_determinations_processed_in_less_th_46c2 | text | |
Total Medicaid and CHIP Determinations Processed Between 24 Hours and 7 Daystotal_medicaid_and_chip_determinations_processed_between_24_756e | text | |
Total Medicaid and CHIP Determinations Processed Between 24 Hours and 7 Days - footnotestotal_medicaid_and_chip_determinations_processed_between_24_cf22 | text | |
Total Medicaid and CHIP Determinations Processed Between 8 Days and 30 Daystotal_medicaid_and_chip_determinations_processed_between_8__a7a5 | text | |
Total Medicaid and CHIP Determinations Processed Between 8 Days and 30 Days - footnotestotal_medicaid_and_chip_determinations_processed_between_8__e6e5 | text | |
Total Medicaid and CHIP Determinations Processed between 31 days and 45 daystotal_medicaid_and_chip_determinations_processed_between_31_a42c | text | |
Total Medicaid and CHIP Determinations Processed between 31 days and 45 days - footnotestotal_medicaid_and_chip_determinations_processed_between_31_49fa | text | |
Total Medicaid and CHIP Determinations Processed in More than 45 Daystotal_medicaid_and_chip_determinations_processed_in_more_th_a7ec | text | |
Total Medicaid and CHIP Determinations Processed in More than 45 Days - footnotestotal_medicaid_and_chip_determinations_processed_in_more_th_bfce | text | |
Total Call Center Volume (Number of Calls)total_call_center_volume_number_of_calls | text | |
Total Call Center Volume (Number of Calls) - footnotestotal_call_center_volume_number_of_calls__footnotes | text | |
Average Call Center Wait Time (Minutes)average_call_center_wait_time_minutes | text | |
Average Call Center Wait Time (Minutes) - footnotesaverage_call_center_wait_time_minutes__footnotes | text | |
Average Call Center Abandonment Rateaverage_call_center_abandonment_rate | 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. | number |
Average Call Center Abandonment Rate - footnotesaverage_call_center_abandonment_rate__footnotes | text |
No column matches that filter.
At a glance
- Catalog
- data.medicaid.gov
- Publisher
- Centers for Medicare & Medicaid Services (CMS), data.medicaid.gov
- Rows
- 11,118
- Columns
- 44
- State column
state_abbreviation- Contact
- Medicaid.gov@cms.hhs.gov
API
Free, no key needed. This request returns the first 10 rows as JSON:
https://data.medicaid.gov/api/1/datastore/query/6165f45b-ca93-5bb5-9d06-db29c692a360/0?limit=10
To keep only one state, filter on the state_abbreviation column.
CMS's 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 .
The summary at the top was written by hand from this description. Record id mcd:6165f45b-ca93-5bb5-9d06-db29c692a360. This record as JSON.