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Technical Details

Dataset Description
State-reported data on Medicaid and CHIP eligibility renewals conducted during the reporting period and call center operations Sources: (1) March and April 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of June 13, 2023. Florida's March and April 2023 Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of June 05, 2023. May 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of July 12, 2023. Florida's May 2023 Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of July 03, 2023. June 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of August 16, 2023. Florida's June 2023 Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of July 31, 2023. July 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of September 12, 2023. August 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of October 23, 2023. September 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of November 07, 2023. Delaware’s September state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of November 28, 2023. October 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of December 05, 2023. November 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of January 05, 2024. December 2023 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of February 08, 2024. January 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of March 05, 2024. February 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of April 02, 2024. The total number of Medicaid and CHIP beneficiaries for whom a renewal was initiated in the reporting month (metric 4) for Idaho and Nebraska as of April 12, 2024. March 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of May 07, 2024. April 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of June 11, 2024. May 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of July 02, 2024. June 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of August 06, 2024. July 2024 state Medicaid and CHIP Renewal and Termination Data for the Unwinding Data Report as of September 09, 2024. (2) Call Center Data from the Medicaid and CHIP Eligibility and Enrollment Performance Indicator Data as of September 10, 2024. Notes: For all states, data may be affected by mitigation strategies in place, such as those related to ex parte functionality. Georgia reported data for individuals who continue to be eligible following a change in circumstances and were granted a new 12-month eligibility period during the April - July 2024 reporting periods, along with data on individuals due for renewal in these months. South Dakota did not initiate or complete renewals in the March - July 2024 reporting period due to a mitigation strategy for ex parte functionality. South Dakota did not initiate renewals in the February 2024 reporting period due to a mitigation strategy for ex parte functionality. Due to temporary renewal process changes, most renewals due in Iowa, including ex parte renewals, were not completed by the end of the reporting month for the December 2023 - February 2024 reporting periods. Hawaii and Vermont experienced a natural disaster, and the number of renewals initiated and completed in the reporting period were impacted due to the disaster response efforts in the month of August 2023. South Carolina does not have renewal outcomes to report in the month of July 2023. Massachusetts reports the dispositions of renewals completed in the reporting period. Therefore, the state is unable to report the number of pending renewals to CMS, and Massachusetts’ data are excluded from the national totals for the May - July 2023 reporting periods. Vermont experienced a natural disaster, and the number of renewals initiated and completed in the July 2023 reporting period were impacted due to the disaster response efforts. Texas does not have renewal outcomes to report in the month of June 2023. For the May 2023 reporting period, Texas’ renewal disposition data include actions completed after the end of the reporting period. For the April 2023 reporting period, Iowa's renewal disposition data include actions completed after the end of the reporting period. States report renewal outcomes for a cohort in the month renewals are scheduled for completion. States that held procedural terminations reflect these data in metric 5d as pending renewals along with renewals that were due but not completed by the end of the reporting period. See the Data Sources and Metrics Definitions Overview document for a full description of the metric definitions and how they relate to each other. Starting in the February 2024 reporting period, state-specific data may vary depending on states' unwinding timelines. State-specific data may include both unwinding renewals, or renewals conducted following the end of the continuous enrollment condition, and "regular", or non-unwinding renewals. Metric summation note: Total number of beneficiaries due for renewal in the reporting month (Metric 5) = Total number of beneficiaries due for renewal in the reporting month whose coverage was renewed (Metric 5a) + Total beneficiaries determined ineligible for Medicaid and CHIP based on the return of a renewal form (Metric 5b) + Total beneficiaries whose coverage was terminated for a procedural or administrative reason (Metric 5c) + Total number of beneficiaries due for renewal in the reporting month whose renewal was pending at the end of the month (Metric 5d); Total number of beneficiaries due for renewal in the reporting month whose coverage was renewed (Metric 5a) = Total beneficiaries renewed on an ex parte basis (i.e., based on available information) (Metric 5a1) + Total beneficiaries renewed based on the return of a renewal form (Metric 5a2). Data notes: (C1) Callbacks are included (C2) Call centers offer callbacks (C3) Does not include all calls received by call centers (C4) Does not include all calls received after business hours (C5) Includes calls for other benefit programs (C6) Includes only calls transferred to a live agent (C7) Includes state-based marketplace (SBM) data (C8) New call center added in reporting period (C9) Wait times for callbacks are included but reported separately from live calls (C10) Does not operate a call center (C11) Calls handled to completion by the automated system are counted as abandoned calls (C12) Did not report data because of technical reasons (C13) Wait time reflects time spent on hold after the call is answered by a live agent (R1) Initiated two months' renewals due to delayed system modifications (R2) Data do not reflect all Medicaid and CHIP enrollees with renewal actions in the reporting period (R3) Reporting renewals at case level, as opposed to individual level (R4) State held some or all procedural and/or other terminations for the report month (R5) State implemented other mitigation strategies related to submission of renewal forms (R6) Data reflect renewals and other eligibility and enrollment actions (R7) Data represent Medicaid and CHIP enrollees whose renewal was completed in the reporting month rather than the cohort due for renewal in the reporting month (R8) Data undercount renewals and reflect these outcomes in another metric in the data set (R9) Data include renewals held and reassigned to a future month (R10) State only processed renewals in the report month that could be completed on an ex parte basis This document includes Medicaid and CHIP data submitted to CMS by states regarding the number of renewals initiated and monthly renewal outcomes from the Unwinding Data Report and call center data from the Medicaid and CHIP Performance Indicator data set. These data include reporting metrics consistent with section 1902(tt)(1) of the Social Security Act and additional state-submitted renewal metrics.
MetaData
Landing Page

https://data.medicaid.gov/dataset/ebcfc16f-8291-4c61-82a4-055846d72f3a#overview

Keywords

program enrollment, child enrollment, eligibility determinations, applications, chip, enrollment, medicaid

Publisher

data.medicaid.gov

Program Code

09:00

Bureau Code

09:00

Medicaid and CHIP CAA Reporting Metrics

Download Medicaid and CHIP CAA Reporting Metrics In Real Time

Getting CMS data into your dashboards shouldn’t require a team of engineers. We automate the end-to-end process, from pulling fresh datasets from data.cms.gov, to cleaning, structuring, and feeding them into your BI environment.

 

Whether you’re using Power BI, Tableau, Metabase, or need help picking the right tool, we make sure your data is accurate, up-to-date, and always ready for analysis.

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Anyone can wire up a CMS API. Red Corner has done far more than we’ve led data platform projects in providers, payers, and analytics firms, where CMS data wasn’t optional; it was mission-critical. We understand the downstream pressure: reports must run, queries must work, and decision-makers need answers quickly.

 

That’s why we build systems that aren’t just technically correct; they’re reliable under pressure, scalable, and deeply aligned with your business goals.

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Most teams stop at pulling CMS data. We don’t. Red Corner understand that raw CMS datasets are messy, often duplicated, inconsistently structured, and a pain to work with.

 

That’s why we build more than just pipelines. We design and maintain robust processing systems that normalize, clean, and reshape CMS data into models that analysts and BI tools can work with immediately.

 

We don’t just deliver data; we deliver clarity, speed, and answers.

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We’ve already done the heavy lifting. Red Corner builds and manages robust systems that extract, clean, and structure CMS data reliably, so you don’t have to sink hundreds of thousands of dollars into solving the same problems.

 

From day one, your team gets access to a dependable, production-grade pipeline that’s been hardened across multiple clients and use cases. It’s plug-in ready, maintainable, and built for scale.

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Once your CMS data is flowing and structured, we don’t stop. Red Corner ensures historical consistency by storing and managing all past data in the same unified structure. That means the reports you build today won’t break tomorrow, even as CMS releases new versions or modifies schemas.

 

We will also guide you through understanding where this stability delivers cost savings, analytics acceleration, and long-term ROI across teams.

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With a reliable CMS data pipeline in place, your organization can stop relying on analysts for every insight.

 

Red Corner structures your data to work natively with modern BI tools, enabling business leaders to explore trends, spot risks, and make informed decisions without bottlenecks.

 

We will help extend that reach across teams, empowering everyone to move faster with data they can trust.

Expert Guidance

We have worked deep in the healthcare trenches, where CMS data is not just a compliance tool but a driver of strategic decisions. We’ve seen the pitfalls: broken queries, outdated datasets, overworked analysts, and built systems that avoid them.

 

With Red Corner, you’re not just getting someone to wire up a feed. You’re getting a seasoned partner who knows how CMS data powers quality improvement, benchmarking, and real-world business outcomes.

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The moment you sign up with us, your CMS data stays fresh. Red Corner ensures automated, ongoing updates from data.cms.gov starting on day zero. No stale reports, no surprise schema changes.

 

We monitor, manage, and maintain the entire flow so your teams always have access to the latest available data, ready for analysis when you need it.

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Whether you need your CMS data in your existing Power BI, Tableau, or Metabase setup or you’re starting from scratch, we’ve got you covered.

 

Red Corner offers a ready-to-use, self-service BI interface that lets your team chat with the data directly, no SQL or tech support required. Prefer your own environment? We’ll integrate clean, query-ready data right into your existing tools. 

Innovative Approach

Innovation, for us, means cutting through the usual complexity. With Red Corner, your CMS data arrives report-ready from day one, clean, structured, and instantly usable in any BI tool. No manual wrangling, no delayed timelines, no guesswork.

 

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FAQ

  1. What CMS datasets can you integrate?

    We support a wide range of datasets published on data.cms.gov, including Medicare Provider Utilization, Hospital Quality, Medicare Advantage plan ratings, and more. If it’s available from CMS, we can pull it, process it, and deliver it into your analytics workflow fully structured and analysis-ready.
     

  2. How often is the data updated?

    We update CMS data weekly, as new files are published. Our system automatically detects updates, processes the latest versions, and syncs them to your destination, whether that’s a BI tool, a data warehouse, or our self-service interface. You don’t have to lift a finger.
     

  3. Do you clean and structure the CMS data?

    Yes. CMS datasets are often unstructured, inconsistent, and full of duplicate entries. We clean every record, normalize date formats, and ensure column consistency so that your analysts spend time analyzing, not fixing broken rows and cells.
     

  4. Can you integrate with our existing BI tools?

    Absolutely. Whether you use Power BI, Tableau, Metabase, Looker, or another tool, we adapt to your environment. If you don’t yet have a BI tool, we’ll provide a powerful self-service interface where your team can explore and visualize the data from day one.
     

  5. How do you handle schema changes from CMS?

    CMS can change field names, column formats, or file layouts without notice. Our pipelines track version changes, test against historical schemas, and preserve your existing data model. That means your reports don’t break, even when CMS makes changes upstream.
     

  6. Is this secure and compliant with healthcare standards?

    Yes. However, due to the public nature of the data, HIPAA does not apply.
     

  7. Do I need a technical team to manage this?

    No. Red Corner manages the full stack from ingestion to transformation to delivery. Your team gets clean, up-to-date data in the tools they already use, without needing internal engineers to maintain scripts or fix broken pipelines.
     

  8. What if I need historical data?

    We don’t just keep current data; we preserve all historical files in the same structured schema. This makes it easy to build reports over time, compare year-over-year trends, and answer complex analytical questions without having to jump through hoops.
     

  9. Can you help with analytics and reporting?

    Yes. We provide not only the data but also expert analysts who understand the healthcare context behind it. Whether you need ad hoc reports, dashboard design, or help interpreting trends, we’re here to support your goals, not just deliver files.
     

  10. What’s the onboarding time?

    In most cases, we can have your CMS data live and integrated in under a few weeks. Our systems are built and battle-tested, which means we don’t start from scratch; we start with what works and tailor it to your needs.

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