State Dashboards to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement (SHVS Expert Perspective Cross-Post)
May 15, 2023:

The following content is cross-posted from State Health & Value Strategies.
Authors: Elizabeth Lukanen, Emily Zylla, SHADAC
This expert perspective (EP) will be updated by SHADAC experts as additional dashboards/reports go live. Please visit the State Health & Values Strategies webpage for the most recent version of this EP.
Original publication date: March 16, 2023. Updated May 15, 2023.
The unwinding of the Medicaid continuous coverage requirement represents the largest nationwide coverage transition since the Affordable Care Act, with significant health equity implications. As states restart eligibility redeterminations, millions of Medicaid enrollees will be at risk of losing their coverage with some portion exiting because they are no longer eligible, some losing coverage due to administrative challenges despite continued eligibility, and some transitioning to another source of coverage. As part of this process, the Centers for Medicare & Medicaid Services (CMS) will require states to closely track and monitor the impacts of the resumption of eligibility redeterminations and disenrollments, and plans to make some of those data public. CMS’ commitment to transparency is mirrored by calls from advocates and researchers eager to see how progress is being made as people enrolled in Medicaid have their eligibility redetermined.
Given the intense focus on coverage transitions during the unwinding, some states have initiated plans to publish a data dashboard to monitor progress. Data dashboards are useful for publishing dynamic data that is in high demand. They allow states to make proactive decisions about what data to release and on what schedule and then organize that data in an easy-to-digest visual format that facilitates the interpretation of key trends and patterns at a glance.
States Publicly Posting Unwinding Data
To date, the District of Columbia and 11 states have published unwinding data in a visual dashboard format (this does not include states with pre-existing enrollment dashboards that don’t specifically identify unwinding cohorts). The majority of states are releasing data online in an interactive format; but two states, Arizona and Washington, have released their data as a static pdf). Three states—Arkansas, Indiana, and Iowa (which is not shown on the map above because Iowa also released a dashboard)—have released their Monthly Unwinding Data reports that states are required to submit to CMS. SHADAC will update this expert perspective as additional dashboards and reports go live.
Variation in States’ Reporting of Indicators
There is a wide variation in the required indicators that states are reporting on their data dashboards (Table 1). It’s important to note, however, that states are beginning to disenroll people from Medicaid in different months; for example, five states began disenrollments in April and another 14 states are expected to begin disenrollments in May. Several states with live dashboards, such as Pennsylvania, have not yet begun disenrollments and therefore have not populated their outcome data (e.g., the number of terminations, electronic transfers, etc.).
Table 1. Unwinding Indicators Reported by States

Even fewer states are reporting disaggregated data on their dashboards (Table 2). The most common breakdown states are providing is by program type. Although CMS only asks states to report data by modified adjusted gross income (MAGI) and non-disability applications, versus disability applications, additional data breakdowns by age, race, ethnicity, and geography can elucidate important trends about the disproportionate impact of unwinding on groups that have been economically or socially marginalized.
Table 2. Disaggregated Unwinding Data Reported by States

State Unwinding Dashboards - Select Data Highlights
Arizona Health Care Cost Containment System – Eligibility Dashboard
Unwinding data is presented as a static document (pdf). Provides the number of renewals in process, closed, and approved for regular Medicaid members and “COVID override” members (individuals who did not complete a renewal or failed to supply needed documentation during the public health emergency, or those who were found to be factually ineligible during that time). Also provides counts of the number of COVID override individuals enrolled by health plan and detailed race and ethnicity information for individuals enrolled, renewed, and terminated.


Screenshot: 5/10/2023
Minnesota Department of Human Services – Renewal Dashboard
Provides the ability to disaggregate data in various ways such as by county, social vulnerability quartile and member race/ethnicity.

Screenshot: 3/13/2023
Ohio Department of Medicaid – Eligibility Renewal Dashboard
Provides overviews of pending renewals, ex parte renewals, non-response closures, and renewals completed by geographic level (county) and by different metrics (e.g., counts by county, rates per 1,000 active Medicaid members, and by caseworker staff load).

Screenshot: 5/9/2023
Oregon Department of Human Services – Medical Redeterminations Dashboard
Provides statistics showing the number of renewals due each month as well as the number not started, initiated, and completed. Oregon also publishes call center data (shown below). Oregon’s House Bill 4035 requires that the Oregon Health Authority and Oregon Department of Human Services make information about the Medical Assistance program redetermination process available on a publicly accessible website. The state notes that additional demographic and other program data will be published in the future.

Screenshot: 5/3/2023
Utah Department of Health & Human Services – Unwinding Eligibility Data Dashboard
Provides detail on redetermination progress (e.g., average days to decision, fair hearing requests, reviews for non-Medical program) and outcomes (e.g., transfers to the Marketplace, transitions from Medicaid to CHIP).


Screenshot: 3/13/2023
Washington State Health Care Authority – Continuous Enrollment Unwind Data
Unwinding data is presented as a static document (pdf). It appears this data will be updated monthly. Data are focused on the timing and characteristics of forthcoming renewals, including detail by month, managed care organization, and demographics (e.g., age, race, language, and geography).


Screenshot: 5/3/2023