The following data represents the final outcomes for individuals who had a Medicaid renewal date who are beyond the 90-day reconsideration and appeal window. This data differs from the monthly data tracker and information submitted to the Centers for Medicare and Medicaid Services (CMS) because it accounts for appeals, reconsideration, or other administrative remedies.

If a Medicaid closes after the renewal is due, an individual has 90 days to return their renewal late, submit missing or alternate documentation, or request reconsideration for DHS to reconsider their eligibility without the need for a new application. An individual can also formally appeal a Medicaid closure within 30 days of receiving their closure notice.

Data submitted to CMS and hosted on DHS' Unwinding Data Tracker are point-in-time measurements looking at the previous month – they should be viewed as an immediate progress report on the previous month. This report will track final monthly outcomes after the 90-day window has closed. Closed individuals contained in this report could reopen in the future should they apply for assistance at a later date.

Definition of Terms

Number and percent Remained Eligible: This is the number and percent of persons whose renewal was due in the reporting month who remained eligible for Medicaid. This includes individuals who may have initially had coverage closed but, have been reopened in Medicaid as a result of a reconsideration or because the individual filed an appeal.

Number and Percent Determined Ineligible: This is the number and percent of persons whose renewal was due in the reporting month who were determined ineligible for Medicaid for non-procedural reasons.

Number and Percent closed for Procedural Reasons: This is the number and percent of persons who failed to provide the required documentation for DHS to complete a renewal determination.

Statewide Numbers

Gender

Race and Ethnicity

Age Groups

County Data