Medicaid Expansion

Alabama

Updated 6/21/21: Thanks to the just-released December 2020/January 2021 Medicaid & CHIP Application, Eligibility Determiniation & Enrollment Reports & Data from CMS, I've been able to add estimated January 2021 enrollment to this entry.

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

ACA Signups Logo

Yesterday's big story on the ACA front was that the HHS Dept. confirmed more than 1.24 million additional Qualified Health Plan (QHP) selections via the federal exchange (HealthCare.Gov) so far during the ongoing Special Enrollment Period (which runs through 8/15).

In addition to that, however, I've also been tracking the (admittedly scattershot) SEP enrollments across the other 15 states (including DC) which operate their own ACA exchanges. So far only 10 of the State-Based Marketplaces (SBMs) have released any SEP enrollment data, and even then it's been very incomplete. Washington State only released data for the first 9 days of the SEP, for instance...while Pennie (Pennsylvania) just released data all the way through yesterday.

West Virginia

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources.

For January 2021 and beyond, I'm using adjusted estimates based on raw data from the West Virginia Bureau for Medical Services.

Washington State

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources.

For Washington State, I'm using adjusted estimates based on raw data from the Washington State Health Care Authority.

Virginia

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources.

For Virginia, I'm using adjusted raw data from the Virginia Dept. of Medical Assistance Services.

Vermont

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources, but Vermont isn't among them.

Vermont is one of only two states (the other is Massachusetts) where everyone enrolled in Medicaid via ACA expansion was already previously eligible before the law passed via state programs or federal waivers. However, those programs (and funding) have presumably long since been discontinued, so if the ACA is struck down, those enrollees would be in the same boat as those enabled specifically due to the ACA unless funding was immediately restored.

Utah

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources. Unfortunately, Rhode Island is among the few states where I haven't been able to get ahold of post-2020 data yet, even estimates.

Rhode Island

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources. Unfortunately, Rhode Island is among the few states where I haven't been able to get ahold of post-2020 data yet, even estimates.

Rhode Island's total Medicaid enrollment (including ACA expansion) reached an all-time high of around 313,000 back in mid-2017. Since then it gradually dropped to around 290,000 just ahead of the COVID pandemic...but since then non-expansion enrollment has gone up by 7% and the ACA expansion population has risen by over 30%, meaning total enrollment is up 12% overall.

Pennsylvania

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources.

For Pennsylvania, I'm relying on raw data from the Pennsylvania Dept. of Human Services for January 2021 and later.

Pennsylvania didn't launch ACA expansion until 2015. Once it ramped up, total enrollment (both ACA & non-ACA) hovered around the 2.8 - 2.9 million range until COVID hit. Since then, non-ACA Medicaid has gone up by 9.8%; the expansion population has grown by 29.8%; and overall enrollment is up 15.2%.

Oregon

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources.

For Oregon, I'm relying on raw data from the Oregon Health Authority for January 2021 and later.

Total Medicaid enrollment in Oregon (including ACA expansion peaked at a little over 1.1 million back in 2015, but dropped off to around 950,000 for a couple of years before COVID hit the country. Since then, non-ACA enrollment has gone up about 14%, ACA expansion has increased by over 30% and overall enrollment is 22% higher than it was in February 2020.

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