CHA News Article

Monthly Medicaid, CHIP Enrollment Data Released

The Centers for Medicare & Medicaid Services (CMS) has released the attached monthly report on state Medicaid and Children’s Health Insurance Program (CHIP) data. The report measures eligibility and enrollment activity during January 2016 for Medicaid and CHIP programs in all states, as well as activity for all populations receiving comprehensive program benefits in all states — including states that have not yet chosen to adopt the new low-income adult group established by the Affordable Care Act (ACA).

Key report findings reveal:

  • Nearly 72.4 million individuals were enrolled in Medicaid and CHIP in January 2016. This enrollment count reflects enrollment on the last day of the month and includes all enrollees in the Medicaid and CHIP programs who are receiving a comprehensive benefit package. Total enrollment in California was 12,259,866.
  • Since the initial marketplace open enrollment period began in October 2013,  the 49 states reporting both January 2016 enrollment data and data from July-September 2013 have recorded nearly 15 million additional individuals enrolled in Medicaid and CHIP as of January 2016 — a 26.5 percent increase over the average monthly enrollment for July-September 2013 (Connecticut and Maine are not included in this count.)  In California, the net change for this same period was 4,504,485 individuals (or 58 percent).
  • Among states that had implemented the Medicaid expansion and were covering newly eligible adults in January 2016, Medicaid and CHIP enrollment rose by more than 35.5 percent compared to the July-September 2013 baseline period. States that have not expanded Medicaid reported an increase of nearly 10.4 percent over the same period.
  • These enrollment counts are in addition to the enrollment increases from the nearly 950,000 individuals who gained coverage as a result of the ACA before open enrollment began. Seven states implemented an “early option” to expand Medicaid coverage to adults with incomes up to 133 percent of the federal poverty level between April 1, 2010, and Jan. 1, 2014, using either new state plan authority provided by the ACA or a demonstration under section 1115 of the Social Security Act building upon that authority. California transferred more than 630,000 Californians from the state’s Low Income Health Program to Medi-Cal during this period under its 1115 “Bridge to Reform” Demonstration waiver.

The full report is attached. Historical reports are available on the CMS website.