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

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 https://www.medicaid.gov/medicaid/programinformation/medicaid-and-chip-enrollment-data/report-highlights/index.html. 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 https://www.medicaid.gov/medicaid/program-information/medicaid-and-chip-enrollment-data/report-highlights/index.html. 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 2013. 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.

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. 2013 to % Change, July-Sept. 2013 States Expanding Medicaid Marketplace Type Enrollment, March 2017 Enrollment, April 2017 2017 (Columns (I) and (II)) and CHIP Enrollment, July- Sept. 2013 April 2017 (Columns and (II)) to April 2017 (Columns and (II)) (I) (II) (III) (V) Alaska FFM 184,081 186,940 1.55% 122,334 64,606 52.81% Arizona FFM 1,741,301 1,746,566 0.30% 1,201,770 544,796 45.33% Arkansas Partnership 912,043 921,347 1.02% 556,851 364,496 65.46% SBM 12,288,131 12,264,071-0.20% 7,755,381 4,508,690 58.14% Colorado SBM 1,388,472 1,381,578-0.50% 783,420 598,158 76.35% Connecticut SBM 771,588 756,600-1.94% - - - Delaware Partnership 244,571 243,004-0.64% 223,324 19,680 8.81% District of Columbia SBM 271,511 272,699 0.44% 235,786 36,913 15.66% Hawaii SBM** 348,406 345,954-0.70% 288,357 57,597 19.97% Illinois Partnership 3,062,978 3,059,844-0.10% 2,626,943 432,901 16.48% Indiana FFM 1,504,273 1,492,417-0.79% 1,120,674 371,743 33.17% Iowa Partnership 632,571 629,295-0.52% 493,515 135,780 27.51% Kentucky SBM 1,246,349 1,247,764 0.11% 606,805 640,959 105.63% Louisiana FFM 1,447,315 1,448,406 0.08% 1,019,787 428,619 42.03% Maryland SBM 1,293,753 1,292,786-0.07% 856,297 436,489 50.97% Massachusetts SBM 1,631,999 1,663,917 1.96% 1,296,359 367,558 28.35% Michigan Partnership 2,341,524 2,346,668 0.22% 1,912,009 434,659 22.73% Minnesota SBM 1,038,663 1,042,231 0.34% 873,040 169,191 19.38% Montana Plan Management 254,112 255,425 0.52% 148,974 106,451 71.46% Nevada SBM** 631,128 629,913-0.19% 332,560 297,353 89.41% New Hampshire Partnership 186,941 186,050-0.48% 127,082 58,968 46.40% New Jersey FFM 1,777,465 1,772,154-0.30% 1,283,851 488,303 38.03% New Mexico SBM** 787,110 784,403-0.34% 457,678 326,725 71.39% New York SBM 6,437,968 6,431,748-0.10% 5,678,417 753,331 13.27% North Dakota FFM 93,474 93,360-0.12% 69,980 23,380 33.41% Ohio Plan Management 2,807,525 2,802,733-0.17% 2,161,785 640,948 29.65% Oregon SBM** 973,271 992,232 1.95% 626,356 365,876 58.41% Pennsylvania FFM 2,927,904 2,922,313-0.19% 2,386,046 536,267 22.48% Rhode Island SBM 306,959 308,266 0.43% 190,833 117,433 61.54% Vermont SBM 168,961 168,479-0.29% 161,081 7,398 4.59% Washington SBM 1,807,908 1,807,149-0.04% 1,117,576 689,573 61.70% West Virginia Partnership 564,408 562,183-0.39% 354,544 207,639 58.57% 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. 2013 52,074,663 52,058,495-0.03% 37,069,415 14,232,480 38.39% 52,074,663 52,058,495-0.03% 37,069,415 14,232,480 38.39% 52,074,663 52,058,495 Difference March to April 2017-16,168 51,301,895 37,069,415 Difference July-Sept 2013 to April 2017 14,232,480

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. 2013 period. The subtotals for states reporting data from both and April 2017 and the July-Sept. 2013 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.

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. 2013 period. The subtotals for states reporting data from both and April 2017 and the July-Sept. 2013 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.

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. 2013 to % Change, July-Sept. 2013 All States Enrollment, March 2017 Enrollment, April 2017 2017 (Columns (I) and (II)) and CHIP Enrollment, July- Sept. 2013 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. 2013 74,600,261 74,531,002-0.09% 56,803,091 16,705,235 29.41% 74,600,261 74,531,002 Difference March to April 2017-69,259 73,508,326 56,803,091 Difference July-Sept 2013 to April 2017 16,705,235 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. 2013 period. Totals for states reporting data from both and April 2017 and the July-Sept. 2013 period exclude CT and ME.

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 https://www.medicaid.gov/medicaid/programinformation/medicaid-and-chip-enrollment-data/report-highlights/index.html. 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 https://www.medicaid.gov/medicaid/program-information/medicaid-and-chip-enrollment-data/report-highlights/index.html. 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.

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 635,131 631,645 629,694 631,143 627,341 622,948 880,113 70.78% Alaska 83,943 84,820 85,992 86,794 87,966 87,553 186,940 46.83% Arizona - - - - - - 1,746,566 - Arkansas 438,513 451,418 444,588 404,226 418,449 426,133 921,347 46.25% 5,176,184 5,243,373 5,227,148 5,235,489 5,230,923 5,179,413 12,264,071 42.23% Colorado 629,945 631,603 632,966 629,477 635,103 632,879 1,381,578 45.81% Connecticut 301,347 304,871 305,823 307,372 302,885 311,561 756,600 41.18% Delaware 104,570 105,138 105,700 105,513 105,596 104,604 243,004 43.05% District of Columbia - - - - - - 272,699 - Florida 2,587,604 2,589,822 2,597,539 2,602,270 2,606,127 2,604,622 4,352,537 59.84% Georgia 1,239,007 1,233,096 1,230,891 1,235,862 1,240,947 1,214,895 1,730,273 70.21% Hawaii 145,323 144,887 144,888 145,747 146,032 145,025 345,954 41.92% Idaho 218,292 218,748 211,033 212,199 213,162 213,540 295,487 72.27% Illinois 1,448,034 1,433,363 1,445,400 1,443,801 1,438,391 1,428,118 3,059,844 46.67% Indiana 788,660 786,615 800,188 798,581 803,792 791,659 1,492,417 53.05% Iowa 304,103 303,163 309,621 307,354 308,187 307,016 629,295 48.79% Kansas 290,999 285,083 276,989 269,590 272,541 267,860 387,934 69.05% Kentucky 560,779 560,943 564,359 566,083 567,772 568,157 1,247,764 45.53% Louisiana 764,457 763,874 764,533 764,198 760,949 757,013 1,448,406 52.27% Maine 114,187 113,491 113,118 112,947 112,937 111,650 266,076 41.96% Maryland 605,735 607,970 610,190 609,842 609,678 604,761 1,292,786 46.78% Massachusetts 674,911 662,030 655,618 653,520 657,796 661,050 1,663,917 39.73% Michigan 944,443 947,442 950,574 950,748 953,097 944,328 2,346,668 40.24% Minnesota 517,714 519,078 519,931 522,245 522,670 511,922 1,042,231 49.12% Mississippi 464,246 463,023 462,881 462,971 461,482 456,466 675,158 67.61% Missouri 635,448 635,074 635,902 633,097 635,297 634,305 978,080 64.85% Montana 122,660 123,226 124,348 121,594 126,001 125,279 255,425 49.05% Nebraska 161,717 161,504 161,430 161,896 162,279 158,625 239,862 66.13% Nevada 298,560 298,571 300,010 300,762 300,783 300,527 629,913 47.71% New Hampshire 94,923 94,911 94,621 94,346 94,002 92,350 186,050 49.64% New Jersey 850,805 851,370 851,348 851,672 851,538 839,032 1,772,154 47.35% New Mexico 358,969 359,726 360,543 361,204 361,893 360,311 784,403 45.93% New York 2,465,754 2,467,972 2,471,680 2,470,730 2,475,417 2,468,569 6,431,748 38.38% North Carolina 1,438,797 1,440,854 1,444,680 1,448,739 1,444,866 1,412,835 2,033,060 69.49% North Dakota 44,594 44,366 44,249 43,455 43,675 43,868 93,360 46.99% Ohio 1,138,151 1,139,344 1,144,523 1,151,051 1,157,727 1,155,805 2,802,733 41.24% Oklahoma 525,138 526,111 533,422 532,090 531,029 535,756 819,316 65.39% Oregon 414,323 411,023 412,053 415,085 423,543 420,614 992,232 42.39% Pennsylvania 1,378,846 1,381,781 1,388,079 1,391,282 1,392,260 1,380,369 2,922,313 47.24% Rhode Island 117,385 118,289 119,138 119,102 120,383 120,239 308,266 39.00% South Carolina 650,139 648,908 648,690 649,317 636,229 636,826 1,011,597 62.95% South Dakota 82,510 82,773 82,878 82,892 82,843 82,107 119,227 68.87% Tennessee - - - - - - 1,534,091 - Texas 3,539,137 3,538,963 3,546,026 3,537,275 3,531,919 3,494,601 4,747,287 73.61% Utah 219,427 219,265 219,635 219,716 219,089 216,091 306,405 70.52% Vermont 64,171 64,641 64,700 65,224 65,427 64,400 168,479 38.22% Virginia 661,804 661,236 662,225 667,516 668,717 658,256 993,171 66.28% Washington 839,686 843,198 846,049 845,460 845,820 842,054 1,807,149 46.60% West Virginia 227,678 226,294 227,419 227,405 225,801 225,382 562,183 40.09% Wisconsin 491,612 490,488 490,756 491,492 493,287 490,743 1,041,182 47.13% Wyoming 37,724 38,502 38,254 38,101 38,203 38,218 61,651 61.99% (VIII) Total For All States 35,898,085 35,953,886 36,002,322 35,978,475 36,011,851 35,750,335 74,531,002 50.37% Number of States Reporting 48 48 48 48 48 48 51 48

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.

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 https://www.medicaid.gov/medicaid/program-information/medicaid-and-chip-enrollment-data/report-highlights/index.html. 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.

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 3,501-9.88% 3,620-3,620 Arizona FFM - N/A - - - - - - Arkansas Partnership - N/A - - - - - - SBM 155,604-155,604 186,986-16.78% 157,574 12,563 170,137 Colorado SBM 16,582 1,548 18,130 21,413-15.33% 13,626 189 13,815 Connecticut SBM 6,125 4,382 10,507 14,017-25.04% 10,138 123 10,261 Delaware Partnership - N/A - - - - - - District of Columbia SBM 2,672 1,821 4,493 5,389-16.63% 5,040-5,040 Hawaii SBM** 4,339-4,339 4,207 3.14% 6,863 350 7,213 Illinois Partnership 67,396 N/A 67,396 69,594-3.16% 42,795 13,435 56,230 Indiana FFM 69,057 N/A 69,057 86,778-20.42% 30,565 2,134 32,699 Iowa Partnership 14,210 N/A 14,210 16,635-14.58% 3,056-3,056 Kentucky SBM - 9,451 9,451 10,662-11.36% - - - Louisiana FFM 22,263 N/A 22,263 26,733-16.72% 28,748 1,796 30,544 Maryland SBM 7,219 70,639 77,858 82,199-5.28% 22,741 3,266 26,007 Massachusetts SBM 15,210 4,068 19,278 28,850-33.18% - - - Michigan Partnership 41,726 N/A 41,726 46,986-11.19% 42,959 1,282 44,241 Minnesota SBM 4,427 23,295 27,722 32,147-13.76% 30,969 64 31,033 Montana Plan Management 3,583 N/A 3,583 4,097-12.55% 3,956 178 4,134 Nevada SBM** 17,735-17,735 19,750-10.20% 11,319 52 11,371 New Hampshire Partnership 8,156 N/A 8,156 9,480-13.97% 5,263 434 5,697 New Jersey FFM 25,999 N/A 25,999 34,427-24.48% 11,408 3,373 14,781 New Mexico SBM** 8,220 N/A 8,220 9,231-10.95% 10,781 1,378 12,159 New York SBM - 832,472 832,472 690,549 20.55% 132,133 10,817 142,950 North Dakota FFM 1,605 N/A 1,605 1,977-18.82% 1,993 54 2,047 Ohio Plan Management 48,087 N/A 48,087 56,831-15.39% 42,611 2,611 45,222 Oregon SBM** 11,082-11,082 14,457-23.35% 38,104 2,860 40,964 Pennsylvania FFM 60,110 N/A 60,110 70,045-14.18% 36,350 8,600 44,950 Rhode Island SBM 5,206-5,206 4,820 8.01% 3,309 325 3,634 Vermont SBM 2,886 1,317 4,203 4,815-12.71% 3,341 105 3,446 Washington SBM 16,088 53,776 69,864 83,219-16.05% 32,951 813 33,764 West Virginia Partnership 18,237 N/A 18,237 24,268-24.85% 10,838 516 11,354 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 656,979 1,002,769 1,659,748 1,664,063-0.26% 743,051 67,318 810,369 656,979 1,002,769 1,659,748 1,664,063-0.26% 743,051 67,318 810,369 1,659,748 1,664,063 Difference March to April 2017-4,315

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.

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 17,440-13.86% 24,542 2,998 27,540 Florida FFM 251,051 N/A 251,051 269,030-6.68% 124,727 16,445 141,172 Georgia FFM 48,731 N/A 48,731 76,262-36.10% 48,035 1,695 49,730 Idaho SBM 7,054-7,054 7,877-10.45% 4,264 240 4,504 Kansas Plan Management - N/A - - - - - - Maine Plan Management 1,444 N/A 1,444 1,822-20.75% 9,268 324 9,592 Mississippi FFM/SBM-SHOP 14,628 N/A 14,628 18,516-21.00% 10,081 388 10,469 Missouri FFM 16,634 N/A 16,634 20,125-17.35% 10,016-10,016 Nebraska Plan Management 5,459 N/A 5,459 6,671-18.17% 6,207 701 6,908 North Carolina FFM 19,170 N/A 19,170 22,949-16.47% 28,166 3,475 31,641 Oklahoma FFM 36,072 N/A 36,072 38,753-6.92% 29,382 4,389 33,771 South Carolina FFM 20,829 N/A 20,829 24,694-15.65% 8,015 219 8,234 South Dakota Plan Management 2,192 N/A 2,192 2,856-23.25% 1,326-1,326 Tennessee FFM 520 N/A 520 611-14.89% - 439 439 Texas FFM 115,916 N/A 115,916 119,930-3.35% 106,080 12,992 119,072 Utah FFM/SBM-SHOP 18,618 N/A 18,618 21,273-12.48% 53,623-53,623 Virginia Plan Management 20,918 N/A 20,918 24,540-14.76% 13,984 611 14,595 Wisconsin FFM 21,254 N/A 21,254 24,312-12.58% 17,034 1,020 18,054 Wyoming FFM 1,554 N/A 1,554 - - - - - Subtotal for All States Not Expanding Medicaid Subtotal for States Not Expanding Medicaid that Reported in March and April 2017 617,066-617,066 697,661-11.77% 494,750 45,936 540,686 615,512 697,661 Difference March to April 2017-82,149 Total Across All States Total for States that Reported in March and April 2017 1,274,045 1,002,769 2,276,814 2,361,724-3.66% 1,237,801 113,254 1,351,055 2,275,260 2,361,724 Difference March to April 2017-86,464

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.