The wide range of Medicaid disenrollment rates

There is a wide variation in Medicaid disenrollment rates across reporting states, ranging from 82 percent in Texas to 10 percent in Michigan, according to a July 24 KFF report. 

KFF said differences in who states are targeting with early renewals, as well as differences in policies and systems capacity, likely explain some of the variation in disenrollment rates. 

States like Texas and Idaho are initially targeting people in the early unwinding period who they think are no longer eligible, or who did not respond to renewal requests during the COVID-19 pandemic, according to the report. Other states are conducting renewals based on a beneficiary's renewal date, while others have adopted a number of policies that promote continued coverage among those who remain eligible and have automated eligibility systems that care more easily and accurately process renewals. Other states use more manually driven systems.    

To date, 37 percent of people with a completed renewal were disenrolled in reporting states, according to the report.  

Here are the state-reported Medicaid disenrollments as a share of total completed renewals in 32 states and Washington, D.C.:

Texas: 82 percent 

Idaho: 76 percent

South Carolina: 72 percent

Kansas: 65 percent 

Montana: 61 percent

Arkansas: 59 percent

Nevada: 58 percent

Georgia: 58 percent

Utah: 57 percent

Kentucky: 48 percent

Vermont: 47 percent

Mississippi: 47 percent 

New Hampshire: 44 percent 

Colorado: 44 percent 

West Virginia: 43 percent 

Tennessee: 42 percent 

New Mexico: 41 percent 

Indiana: 41 percent 

Florida: 34 percent

New York: 33 percent 

Pennsylvania: 33 percent 

Arizona: 31 percent

Maryland: 27 percent

Connecticut: 26 percent 

Ohio: 25 percent 

Rhode Island: 23 percent 

Nebraska: 22 percent

District of Columbia: 22 percent

California: 21 percent 

Iowa: 21 percent

North Carolina: 20 percent

Virginia: 20 percent

Michigan: 10 percent  

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