Implementing Health Reform: December Data On Medicaid And CHIP Applications And Eligibility Determinations
January 22nd, 2014
On January 22, 2014, the Centers for Medicare and Medicaid Services released the December (2013) Monthly Applications and Eligibility Determinations Report for the Medicaid and CHIP programs. The top line of this report is that 1,918,484 applications for Medicaid and CHIP were received by state Medicaid and CHIP agencies in December 2013, while 2,293,359 individuals were determined eligible for Medicaid and CHIP, for a total of 6,323,188 individuals determined eligible for Medicaid and CHIP since October 1, 2013. The bottom line is that a lot of new people are being signed up for Medicaid and CHIP — primarily in states that expanded Medicaid — but we don’t know how many more for certain..
Applications are reportedly up 14.4 percent from baseline figures for the three-month period preceding October 2013 data in states that have expanded Medicaid. More impressively, Medicaid eligibility determinations are up 73 percent in expansion states over baseline data, but only up 3 percent in states that did not expand Medicaid. Medicaid expansion states accounted for 1.2 million of the new determinations, non-expansion states for 1 million.
These numbers come with many caveats however. First, application data are only available from 46 states and the District of Columbia, not including New York, Ohio, Washington, and Pennsylvania — not insignificant states. Only 41 states reported both determinations and baseline data. Both applications and determinations data are, for most states, not limited to individuals newly eligible under the Affordable Care Act, but also include individuals in traditional Medicaid categories. The 1.9 million application number counts applications, not individuals, and an application may (and often does) include more than one individual. Four states include renewals in their application data.Read the rest of this entry »