Objective:

To provide an overview of the monthly enrollment data for Medicaid and CHIP programs as reported by CMS.

Approach:

• Enrollment Data Tracking: The tracker presents updated monthly data on Medicaid and CHIP enrollment, focusing on full-benefit enrollees.
• Trend Analysis: The article analyzes enrollment trends following the implementation of the ACA and the impact of the COVID-19 pandemic.
• Unwinding Data: The article discusses the unwinding of continuous enrollment provisions and its effects on disenrollment rates.

Key Findings:

• Medicaid/CHIP enrollment peaked at 94 million in March 2023 before declining to 80 million by September 2024.
• Enrollment decreased by 4.6 million (6%) from April 2025 to March 2026.
• Child enrollment in Medicaid/CHIP decreased by 445,000 (1%) from February 2020 to March 2026.
• Disenrollment rates varied significantly by state, with 31% of completed renewals resulting in disenrollment.

Interpretation:

Limitations:

• Data only captures full-benefit enrollees, excluding those with limited benefits.
• Cannot monitor changes in enrollment by eligibility pathway.

Conclusion:

Sources:

• Centers for Medicare & Medicaid Services (CMS)