Table 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment

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1 Table 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment Performance Indicator Information: The Medicaid and CHIP performance indicators were developed in consultation with states, and are intended to assist in monitoring the eligibility and enrollment processes for Medicaid and CHIP programs in all states. A common set of definitions were developed for consistency in reporting the Medicaid and CHIP performance indicators. More detailed information about the performance indicators, including these standardized definitions can be found in the Methodology: About the Medicaid and CHIP Application, Eligibility Determination, and Enrollment Report at Total enrollment figures represent the total unduplicated number of individuals enrolled in Medicaid and CHIP as of the last day of the reporting period, including those with retroactive, conditional, and presumptive eligibility. These figures are a point-in-time count of total program enrollment, and not solely a count of those newly enrolled during the reporting period. These figures include only those individuals who are eligible for comprehensive benefits (e.g., emergency Medicaid, family planning-only coverage and limited benefit dual eligible individuals are excluded), except as indicated in the statespecific notes included with the tables. Individuals eligible under demonstration projects authorized by section 1115 of the Social Security Act are included as long as the benefits and networks are comprehensive. The enrollment impact of the Medicaid expansion varies; some states expanded coverage to parents and other adults at income levels above the level required under federal law before the Affordable Care Act. For purposes of this report, the term states includes the 50 states and the District of Columbia. Some of the data contained in this table is designated as "preliminary" because it is reported soon after the close of the reporting month and contains few, if any, individuals who become eligible in current month after the close of the month due to retroactive eligibility under Medicaid or similar reasons. When applicable, states report updated data one month after the close of the reporting period to account for retroactive enrollment. Updated enrollment data for prior months is available on the Monthly Medicaid and CHIP Application, Eligibility Determination, and Enrollment Reports and Updated Data page at The figures in this table may differ from other published state and national enrollment figures because they include only individuals with comprehensive benefits, except as indicated in the state-specific notes included with the tables. For purposes of this report, the term states includes the 50 states and the District of Columbia. States are at various points in the process of transitioning from their historic definitions to the updated standardized reporting specifications. Where states have provided data that vary from our specifications, we have included that information in the data quality limitations sections below. Data Context Notes: For April 2017, CMS is reporting growth of 16,705,235 compared to July-September This figure is less than the 16,758,330 in net enrollment growth that was included in the Medicaid and CHIP: March 2017 Applications, Eligibility Determinations, and Enrollment Report by over 53,000. This difference does not match the 69,259 decrease in the full report for the March to April 2017 period because the 69,259 figure is based on 51 states, while the 53,000 figure is based on only 49 states.

2 Table 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment Enrollment Total Medicaid and CHIP Total Medicaid and CHIP % Change March to April Average Monthly Medicaid Net Change, July-Sept to % Change, July-Sept States Expanding Medicaid Marketplace Type Enrollment, March 2017 Enrollment, April (Columns (I) and (II)) and CHIP Enrollment, July- Sept April 2017 (Columns and (II)) to April 2017 (Columns and (II)) (I) (II) (III) (V) Alaska FFM 184, , % 122,334 64, % Arizona FFM 1,741,301 1,746, % 1,201, , % Arkansas Partnership 912, , % 556, , % SBM 12,288,131 12,264, % 7,755,381 4,508, % Colorado SBM 1,388,472 1,381, % 783, , % Connecticut SBM 771, , % Delaware Partnership 244, , % 223,324 19, % District of Columbia SBM 271, , % 235,786 36, % Hawaii SBM** 348, , % 288,357 57, % Illinois Partnership 3,062,978 3,059, % 2,626, , % Indiana FFM 1,504,273 1,492, % 1,120, , % Iowa Partnership 632, , % 493, , % Kentucky SBM 1,246,349 1,247, % 606, , % Louisiana FFM 1,447,315 1,448, % 1,019, , % Maryland SBM 1,293,753 1,292, % 856, , % Massachusetts SBM 1,631,999 1,663, % 1,296, , % Michigan Partnership 2,341,524 2,346, % 1,912, , % Minnesota SBM 1,038,663 1,042, % 873, , % Montana Plan Management 254, , % 148, , % Nevada SBM** 631, , % 332, , % New Hampshire Partnership 186, , % 127,082 58, % New Jersey FFM 1,777,465 1,772, % 1,283, , % New Mexico SBM** 787, , % 457, , % New York SBM 6,437,968 6,431, % 5,678, , % North Dakota FFM 93,474 93, % 69,980 23, % Ohio Plan Management 2,807,525 2,802, % 2,161, , % Oregon SBM** 973, , % 626, , % Pennsylvania FFM 2,927,904 2,922, % 2,386, , % Rhode Island SBM 306, , % 190, , % Vermont SBM 168, , % 161,081 7, % Washington SBM 1,807,908 1,807, % 1,117, , % West Virginia Partnership 564, , % 354, , % Subtotal for All States Expanding Medicaid Subtotal for All States with Expansions in Effect and Providing Coverage in Reporting Month Subtotal for States Expanding Medicaid that Reported in March and April 2017 Subtotal for States Expanding Medicaid that Reported in April 2017 and July-Sept ,074,663 52,058, % 37,069,415 14,232, % 52,074,663 52,058, % 37,069,415 14,232, % 52,074,663 52,058,495 Difference March to April ,168 51,301,895 37,069,415 Difference July-Sept 2013 to April ,232,480

3 Table 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment **= The state s Marketplace uses the FFM s information technology platform for eligibility and enrollment functions (the FFM makes either assessments or determinations of Medicaid and CHIP eligibility). (-)=state has not reported data except as noted below. Partnership, Plan Management, FFM/SBM-SHOP are all types of FFMs. Column III is calculated for only those states that reported both March and April 2017 data. Columns V and VI are calculated for only those states that reported data from both and April 2017 and the July-Sept period. The subtotals for states reporting data from both and April 2017 and the July-Sept period exclude CT. Arkansas Connecticut District of Columbia Illinois Minnesota New York New York North Dakota Oregon Washington (I), (II) (I), (II) (I), (II), (I), (II) (I), (II) (I), (II) Includes Private Option enrollees. Includes approximately 650,000 individuals transferred from the Low Income Health Program section 1115 demonstration. May not include all enrollees. Includes limited benefit dual eligible individuals and individuals enrolled in the locally funded DC Health Alliance. Includes individuals who received retroactive coverage (unlike columns (I) and (II)). May include duplicates (unlike columns (I) and (II)). Includes estimated retroactive enrollment. Includes partial benefit program enrollees. Data is from July 2013 only. Includes emergency Medicaid population. Includes individuals enrolled at any point during the month.

4 Table 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment Enrollment Total Medicaid and CHIP Total Medicaid and CHIP % Change March to April Average Monthly Medicaid Net Change, July-Sept to % Change, July-Sept States Not Expanding Medicaid Marketplace Type Enrollment, March 2017 Enrollment, April (Columns (I) and (II)) and CHIP Enrollment, July- Sept April 2017 (Columns and (II)) to April 2017 (Columns and (II)) (I) (II) (III) (V) Alabama FFM 874, , % 799,176 80, % Florida FFM 4,360,830 4,352, % 3,695, , % Georgia FFM 1,736,905 1,730, % 1,535, , % Idaho SBM 294, , % 238,150 57, % Kansas Plan Management 393, , % 378,160 9, % Maine Plan Management 267, , % Mississippi FFM/SBM-SHOP 676, , % 637,229 37, % Missouri FFM 977, , % 846, , % Nebraska Plan Management 239, , % 244,600-4, % North Carolina FFM 2,037,941 2,033, % 1,595, , % Oklahoma FFM 810, , % 790,051 29, % South Carolina FFM 1,010,715 1,011, % 889, , % South Dakota Plan Management 120, , % 115,501 3, % Tennessee FFM 1,552,167 1,534, % 1,244, , % Texas FFM 4,764,366 4,747, % 4,441, , % Utah FFM/SBM-SHOP 308, , % 294,029 12, % Virginia Plan Management 991, , % 935,434 57, % Wisconsin FFM 1,046,217 1,041, % 985,531 55, % Wyoming FFM 61,635 61, % 67,518-5, % Subtotal for All States Not Expanding Medicaid Subtotal for States Not Expanding Medicaid that Reported in March and April 2017 Subtotal for States Not Expanding Medicaid that Reported in April 2017 and July-Sept ,525,598 22,472, % 19,733,676 2,472, % 22,525,598 22,472,507 Difference March to April ,091 22,206,431 19,733,676 Difference July-Sept 2013 to April ,472,755

5 Table 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment (-)=state has not reported data except as noted below. Partnership, Plan Management, FFM/SBM-SHOP are all types of FFMs. Column III is calculated for only those states that reported both March and April 2017 data. Columns V and VI are calculated for only those states that reported data from both and April 2017 and the July-Sept period. The subtotals for states reporting data from both and April 2017 and the July-Sept period exclude ME. Alabama Missouri Utah Wisconsin (I), (II) (I), (II), Data is from September 2013 only. Does not include all individuals funded under Title XXI or enrollees in a premium grace period. Includes service limited Medicare program beneficiaries (SLMBs). Does not include retroactive enrollment.

6 Table 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment Total Enrollment Total Medicaid and CHIP Total Medicaid and CHIP % Change March to April Average Monthly Medicaid Net Change, July-Sept to % Change, July-Sept All States Enrollment, March 2017 Enrollment, April (Columns (I) and (II)) and CHIP Enrollment, July- Sept April 2017 (Columns and (II)) to April 2017 (Columns and (II)) (I) (II) (III) (V) Total Across All States Total for States that Reported in March and April 2017 Total for States that Reported in April 2017 and July-Sept ,600,261 74,531, % 56,803,091 16,705, % 74,600,261 74,531,002 Difference March to April ,259 73,508,326 56,803,091 Difference July-Sept 2013 to April ,705,235 Column III is calculated for only those states that reported both March and April 2017 data. Columns V and VI are calculated for only those states that reported data from both and April 2017 and the July-Sept period. Totals for states reporting data from both and April 2017 and the July-Sept period exclude CT and ME.

7 Table 2: Medicaid and CHIP: April 2017 Preliminary Monthly Medicaid and CHIP Child Enrollment Performance Indicator Information: The Medicaid and CHIP performance indicators were developed in consultation with states, and are intended to assist in monitoring the eligibility and enrollment processes for Medicaid and CHIP programs in all states. A common set of definitions were developed for consistency in reporting the Medicaid and CHIP performance indicators. More detailed information about the performance indicators, including these standardized definitions can be found in the Methodology: About the Medicaid and CHIP Application, Eligibility Determination, and Enrollment Report at Child enrollment figures represent the children enrolled in the Medicaid program and the total enrollment for separate CHIP programs as of the last day of the reporting period, including those with retroactive, conditional, and presumptive eligibility. These figures are a point-in-time count of total program enrollment, and not solely counts of those newly enrolled during the reporting period. These figures include only those individuals who are eligible for comprehensive benefits (e.g., emergency Medicaid, family planning-only coverage and limited benefit dual eligible individuals are excluded). States use the definition of "child" as included in the state s Medicaid or CHIP state plan in reporting performance indicator data to CMS, which varies from state to state. Some of the data contained in this table is designated as "preliminary" because it is reported soon after the close of the reporting month and contains few, if any, individuals who become eligible in current month after the close of the month due to retroactive eligibility under Medicaid or similar reasons. When applicable, states report updated data one month after the close of the reporting period to account for retroactive enrollment. Updated enrollment data for prior months is available on the Monthly Medicaid and CHIP Application, Eligibility Determination, and Enrollment Reports and Updated Data page at The figures in this table may differ from other published state and national enrollment figures because they include only individuals with comprehensive benefits, except as indicated in the state-specific notes included with the tables. For purposes of this report, the term states includes the 50 states and the District of Columbia. States are at various points in the process of transitioning from their historic definitions to the updated standardized reporting specifications. Where states have provided data that vary from our specifications, we have included that information in the data quality limitations sections below. Data Context Notes: Prior months total child enrollment figures include data that is reported more than a month after the close of the reporting period, and thus include some children enrolled retroactively. The preliminary April 2017 data included in this report is collected in the month after the reporting period and includes very few (if any) children enrolled retroactively. An updated April figure that includes more retroactively enrolled individuals will be included in the next report in this series.

8 Table 2: Medicaid and CHIP: April 2017 Preliminary Monthly Medicaid and CHIP Child Enrollment Medicaid and CHIP Child Enrollment Enrollment Total Medicaid and CHIP Enrollment Medicaid and CHIP Child Enrollment as a % of Total Enrollment (Columns and (VII)) State November, 2016 (I) December, 2016 (II) January, 2017 (III) February, 2017 March, 2017 (V) April, 2017 April, 2017 (VII) April, 2017 Alabama 635, , , , , , , % Alaska 83,943 84,820 85,992 86,794 87,966 87, , % Arizona ,746,566 - Arkansas 438, , , , , , , % 5,176,184 5,243,373 5,227,148 5,235,489 5,230,923 5,179,413 12,264, % Colorado 629, , , , , ,879 1,381, % Connecticut 301, , , , , , , % Delaware 104, , , , , , , % District of Columbia ,699 - Florida 2,587,604 2,589,822 2,597,539 2,602,270 2,606,127 2,604,622 4,352, % Georgia 1,239,007 1,233,096 1,230,891 1,235,862 1,240,947 1,214,895 1,730, % Hawaii 145, , , , , , , % Idaho 218, , , , , , , % Illinois 1,448,034 1,433,363 1,445,400 1,443,801 1,438,391 1,428,118 3,059, % Indiana 788, , , , , ,659 1,492, % Iowa 304, , , , , , , % Kansas 290, , , , , , , % Kentucky 560, , , , , ,157 1,247, % Louisiana 764, , , , , ,013 1,448, % Maine 114, , , , , , , % Maryland 605, , , , , ,761 1,292, % Massachusetts 674, , , , , ,050 1,663, % Michigan 944, , , , , ,328 2,346, % Minnesota 517, , , , , ,922 1,042, % Mississippi 464, , , , , , , % Missouri 635, , , , , , , % Montana 122, , , , , , , % Nebraska 161, , , , , , , % Nevada 298, , , , , , , % New Hampshire 94,923 94,911 94,621 94,346 94,002 92, , % New Jersey 850, , , , , ,032 1,772, % New Mexico 358, , , , , , , % New York 2,465,754 2,467,972 2,471,680 2,470,730 2,475,417 2,468,569 6,431, % North Carolina 1,438,797 1,440,854 1,444,680 1,448,739 1,444,866 1,412,835 2,033, % North Dakota 44,594 44,366 44,249 43,455 43,675 43,868 93, % Ohio 1,138,151 1,139,344 1,144,523 1,151,051 1,157,727 1,155,805 2,802, % Oklahoma 525, , , , , , , % Oregon 414, , , , , , , % Pennsylvania 1,378,846 1,381,781 1,388,079 1,391,282 1,392,260 1,380,369 2,922, % Rhode Island 117, , , , , , , % South Carolina 650, , , , , ,826 1,011, % South Dakota 82,510 82,773 82,878 82,892 82,843 82, , % Tennessee ,534,091 - Texas 3,539,137 3,538,963 3,546,026 3,537,275 3,531,919 3,494,601 4,747, % Utah 219, , , , , , , % Vermont 64,171 64,641 64,700 65,224 65,427 64, , % Virginia 661, , , , , , , % Washington 839, , , , , ,054 1,807, % West Virginia 227, , , , , , , % Wisconsin 491, , , , , ,743 1,041, % Wyoming 37,724 38,502 38,254 38,101 38,203 38,218 61, % (VIII) Total For All States 35,898,085 35,953,886 36,002,322 35,978,475 36,011,851 35,750,335 74,531, % Number of States Reporting

9 Table 2: Medicaid and CHIP: April 2017 Preliminary Monthly Medicaid and CHIP Child Enrollment For general notes on enrollment data, see Table 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment. (-)=State has not reported data or data submitted was incomplete. States that provide coverage to pregnant women through CHIP and whose child enrollment figures include pregnant women are CO, MO, NJ, RI, VA. Column VIII is calculated for only those states that reported both and April 2017 child enrollment data and April 2017 Total Medicaid and CHIP enrollment data. Michigan Missouri New York Washington (I) - (VII) (I) - (VII) (I) - (VII) (I) - (VII) Does not include share of cost and full benefit 1115 waiver enrollees. Does not include all individuals funded under Title XXI or enrollees in a premium grace period. Includes estimated retroactive enrollment. Includes individuals enrolled at any point during the month.

10 Table 3: Medicaid and CHIP: April 2017 Monthly Applications and Eligibility Determinations Performance Indicator Information: The Medicaid and CHIP performance indicators were developed in consultation with states, and are intended to assist in monitoring the eligibility and enrollment processes for Medicaid and CHIP programs in all states. A common set of definitions were developed for consistency in reporting the Medicaid and CHIP performance indicators. More detailed information about the performance indicators, including these standardized definitions can be found in the Methodology: About the Medicaid and CHIP Application, Eligibility Determination, and Enrollment Report at The number of applications received by the Medicaid agency, a separate CHIP agency (if one exists in the state), or both during the reporting period (column (I)), includes applications received online, via mail, in person or phone. These figures do not include applications submitted to a State-Based Marketplace (SBM) or the Federally-Facilitated Marketplace (FFM). Applications requesting financial assistance (Medicaid, CHIP or the Advanced Premium Tax Credit and Cost-Sharing Reductions) that have been received by the SBM during the reporting period are reported in column (II). Please note, information on applications received by (and Medicaid and CHIP assessments and determinations made by) the Marketplaces during the Marketplace open enrollment period is included in the Health Insurance Marketplace s 2016 Open Enrollment Period: Final Enrollment Report (March 11, 2016). Columns and (VII) include the total number of individuals determined eligible for Medicaid (under title XIX of the Social Security Act) (column ) and CHIP (column (VII)) during the reporting period based on applications for coverage submitted to any state agency (Medicaid, CHIP or the SBM) or based on administrative determinations authorized under a targeted enrollment strategy approved by CMS. The unit of measurement is a count of individuals (as compared to the application numbers, which may include multiple people in one application). In states receiving account transfers from the FFM in the reporting period where the FFM makes an eligibility assessment (and the state then completes the Medicaid determination), these numbers include determinations made on accounts assessed as eligible and transferred from the FFM. In other states, where the state has delegated to the FFM the authority to make Medicaid eligibility determinations, the report does not include the FFM determinations because the Medicaid/CHIP agency is not performing the determinations. States are at various points in the process of transitioning from their historic definitions to the updated standardized reporting specifications. Where states have provided data that vary from our specifications, we have included that information in the data quality limitations sections below. Data Context Notes: Because of reporting capability, some states included renewals, applications to SBMs, or transfers from the FFM in their Medicaid and CHIP agency application data. See the data quality limitation notes below for state-specific caveats. did not report SBM application data in April, and Tennessee only provided determination data from their CHIP program.

11 Table 3: Medicaid and CHIP: April 2017 Monthly Applications and Eligibility Determinations Applications Determinations States Expanding Medicaid Marketplace Type Applications for Financial New Applications Total Applications for Total Applications for Individuals Determined Individuals Determined Assistance Submitted to % Change March to Total New Submitted to Medicaid and Financial Assistance Financial Assistance Eligible for Medicaid at Eligible for CHIP at the State Based April 2017 (Columns Determinations, April 2017 CHIP Agencies, April 2017 Submitted at State Level, Submitted at State Level, Application, April 2017 Application, April 2017 Marketplace, April 2017 and (III)) April 2017 March 2017 (V) (VIII) (I) (III) (VII) (II) Alaska FFM 3,155 N/A 3,155 3, % 3,620-3,620 Arizona FFM - N/A Arkansas Partnership - N/A SBM 155, , , % 157,574 12, ,137 Colorado SBM 16,582 1,548 18,130 21, % 13, ,815 Connecticut SBM 6,125 4,382 10,507 14, % 10, ,261 Delaware Partnership - N/A District of Columbia SBM 2,672 1,821 4,493 5, % 5,040-5,040 Hawaii SBM** 4,339-4,339 4, % 6, ,213 Illinois Partnership 67,396 N/A 67,396 69, % 42,795 13,435 56,230 Indiana FFM 69,057 N/A 69,057 86, % 30,565 2,134 32,699 Iowa Partnership 14,210 N/A 14,210 16, % 3,056-3,056 Kentucky SBM - 9,451 9,451 10, % Louisiana FFM 22,263 N/A 22,263 26, % 28,748 1,796 30,544 Maryland SBM 7,219 70,639 77,858 82, % 22,741 3,266 26,007 Massachusetts SBM 15,210 4,068 19,278 28, % Michigan Partnership 41,726 N/A 41,726 46, % 42,959 1,282 44,241 Minnesota SBM 4,427 23,295 27,722 32, % 30, ,033 Montana Plan Management 3,583 N/A 3,583 4, % 3, ,134 Nevada SBM** 17,735-17,735 19, % 11, ,371 New Hampshire Partnership 8,156 N/A 8,156 9, % 5, ,697 New Jersey FFM 25,999 N/A 25,999 34, % 11,408 3,373 14,781 New Mexico SBM** 8,220 N/A 8,220 9, % 10,781 1,378 12,159 New York SBM - 832, , , % 132,133 10, ,950 North Dakota FFM 1,605 N/A 1,605 1, % 1, ,047 Ohio Plan Management 48,087 N/A 48,087 56, % 42,611 2,611 45,222 Oregon SBM** 11,082-11,082 14, % 38,104 2,860 40,964 Pennsylvania FFM 60,110 N/A 60,110 70, % 36,350 8,600 44,950 Rhode Island SBM 5,206-5,206 4, % 3, ,634 Vermont SBM 2,886 1,317 4,203 4, % 3, ,446 Washington SBM 16,088 53,776 69,864 83, % 32, ,764 West Virginia Partnership 18,237 N/A 18,237 24, % 10, ,354 Subtotal for All States Expanding Medicaid Subtotal for All States with Expansions in Effect and Providing Coverage in Reporting Month Subtotal for States Expanding Medicaid that Reported in March and April ,979 1,002,769 1,659,748 1,664, % 743,051 67, , ,979 1,002,769 1,659,748 1,664, % 743,051 67, ,369 1,659,748 1,664,063 Difference March to April ,315

12 Table 3: Medicaid and CHIP: April 2017 Monthly Applications and Eligibility Determinations **= The state s Marketplace uses the FFM s information technology platform for eligibility and enrollment functions (the FFM makes either assessments or determinations of Medicaid and CHIP eligibility). (-)=state has not reported data except as noted below. Column V is calculated for only those states that report March and April 2017 Applications data (subtotals exclude AR, AZ, DE). Partnership, Plan Management, FFM/SBM-SHOP are all types of FFMs. Reported value is less than 10, excluded from data set to ensure privacy. Alaska Alaska Connecticut Connecticut Connecticut Connecticut Connecticut Connecticut District of Columbia District of Columbia District of Columbia Iowa Iowa Iowa Iowa Maryland (I), (III),,, (VII), (VIII) (I),, (VII), (VIII), (VII), (VIII) (I), (II), (III) (I), (III) (I), (III), (II) (II),, (VII), (VIII), (VII), (VIII) (I) (III),, (VII), (VIII) (I), (III),,, (VII) (I), (III),, (VII), (VIII) Includes renewals converting to MAGI methodology. Includes CHIP. Reflects primarily newly-determined and likely eligible Medicaid applicants, as well as some ongoing caseload activity conducted via the state s health exchange automation system. Does not include data from all consortia. Reflects primarily newly-determined and likely eligible Medicaid applicants as well as some ongoing caseload activity conducted via the state s health exchange automation system. Does not include all eligibility determinations. Only includes applications that have been entered into the Eligibility Management System; applications that were received during the month but are still waiting to be screened are excluded. May not include all Medicaid applications. Data may include some duplication of applications between Medicaid and CHIP. Data may contain duplicate applications. May include some change in circumstance updates that are not new applications for coverage. May not include all Medicaid determinations. Includes SBM data. Includes all determinations (e.g., renewals). Includes CHIP. Does not include MAGI determinations. Data are incomplete; does not include all determinations. Includes SSI enrollees automatically enrolled in Medicaid without submitting an application. Count is of households, not individuals. Includes State Medicaid Agency data and SBM data from 04/1-04/30. Maryland Michigan Michigan Nevada Nevada New Jersey New Jersey (II), (III),,, (VII), (VIII) (I), (III), (I), (III),, (VII), (VIII) Includes some renewals from the SBM. Does not include MAGI determinations. Count is of households, not individuals. Includes applications received at county welfare agencies. Does not include all eligibility determinations; county welfare agency determinations are not included. New York Ohio Ohio Ohio Oregon Oregon Pennsylvania Pennsylvania Pennsylvania Rhode Island Vermont Vermont (II), (III),,, (VII), (VIII) (I), (III),, (VIII) (I), (III),, (VIII) (I), (III),, (VIII), (VII), (VIII) (I), (III),,, (VII) (III), Includes CHIP. Count is of households, not individuals. Includes MAGI populations only. Count is of households, not individuals. Includes only applications received and determinations made through new MAGI system.

13 Table 3: Medicaid and CHIP: April 2017 Monthly Applications and Eligibility Determinations Applications Determinations States Not Expanding Medicaid Marketplace Type New Applications Submitted to Medicaid and CHIP Agencies, April 2017 (I) Applications for Financial Assistance Submitted to the State Based Marketplace, April 2017 (II) Total Applications for Financial Assistance Submitted at State Level, April 2017 (III) Total Applications for Financial Assistance Submitted at State Level, March 2017 % Change March to April 2017 (Columns and (III)) (V) Individuals Determined Eligible for Medicaid at Application, April 2017 Individuals Determined Eligible for CHIP at Application, April 2017 (VII) Total New Determinations, April 2017 (VIII) Alabama FFM 15,022 N/A 15,022 17, % 24,542 2,998 27,540 Florida FFM 251,051 N/A 251, , % 124,727 16, ,172 Georgia FFM 48,731 N/A 48,731 76, % 48,035 1,695 49,730 Idaho SBM 7,054-7,054 7, % 4, ,504 Kansas Plan Management - N/A Maine Plan Management 1,444 N/A 1,444 1, % 9, ,592 Mississippi FFM/SBM-SHOP 14,628 N/A 14,628 18, % 10, ,469 Missouri FFM 16,634 N/A 16,634 20, % 10,016-10,016 Nebraska Plan Management 5,459 N/A 5,459 6, % 6, ,908 North Carolina FFM 19,170 N/A 19,170 22, % 28,166 3,475 31,641 Oklahoma FFM 36,072 N/A 36,072 38, % 29,382 4,389 33,771 South Carolina FFM 20,829 N/A 20,829 24, % 8, ,234 South Dakota Plan Management 2,192 N/A 2,192 2, % 1,326-1,326 Tennessee FFM 520 N/A % Texas FFM 115,916 N/A 115, , % 106,080 12, ,072 Utah FFM/SBM-SHOP 18,618 N/A 18,618 21, % 53,623-53,623 Virginia Plan Management 20,918 N/A 20,918 24, % 13, ,595 Wisconsin FFM 21,254 N/A 21,254 24, % 17,034 1,020 18,054 Wyoming FFM 1,554 N/A 1, Subtotal for All States Not Expanding Medicaid Subtotal for States Not Expanding Medicaid that Reported in March and April , , , % 494,750 45, , , ,661 Difference March to April ,149 Total Across All States Total for States that Reported in March and April ,274,045 1,002,769 2,276,814 2,361, % 1,237, ,254 1,351,055 2,275,260 2,361,724 Difference March to April ,464

14 Table 3: Medicaid and CHIP: April 2017 Monthly Applications and Eligibility Determinations (-)=state has not reported data except as noted below. Column V is calculated for only those states that reported March and April 2017 Applications data (subtotals exclude KS and WY; totals exclude AR, AZ, DE, KS, WY). Partnership, Plan Management, FFM/SBM-SHOP are all types of FFMs. # Percent change figures in the subtotal of column V exclude TN, which only reports CHIP data. Reported value is less than 10, excluded from data set to ensure privacy. Florida Florida Florida Missouri Missouri South Carolina South Dakota South Dakota South Dakota South Dakota South Dakota South Dakota Tennessee Tennessee Tennessee Tennessee Utah Utah Utah Virginia Virginia Wisconsin Wisconsin Wyoming Wyoming (I), (III), (I), (III),, (VIII), (VIII), (VIII), (VII), (VIII) (I), (III), (I), (III), (I), (III),, (VII), (VIII), (VII), (VIII) (I), (III) (VII), (VIII) (I), (III), (I), (III), (I), (III),, (VII) (I), (III),, (VII) (I), (III), (I), (III), Includes account transfers from the FFM assessed for CHIP. Does not include applications for partial benefit programs. Does not include determinations for partial benefit programs. Includes CHIP. Count is of households, not individuals. Includes only determinations made in legacy system, which include MAGI and/or CHIP cases that are in blended non-magi households or non-magi only households. Includes account transfers from the FFM. Number of applications is undercounted. Includes individuals who are administratively enrolled without submitting an application. Includes CHIP. Count is of households, not individuals. Includes only unborn CHIP children. Data are from CHIP agency only. Medicaid reporting capability in development. Includes only unborn CHIP children. Excluded because data is only from CHIP agency. Includes applications for non-health coverage programs. Includes account transfers from the FFM. Includes CHIP. Excludes all partial benefit program applications except for family planning. Count is of unique individuals receiving determinations, not unique determinations. Does not include applications received online. Includes SSI enrollees automatically enrolled in Medicaid without submitting an application.

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