CMS releases state reporting templates and resources for monitoring the resumption of routine Medicaid, CHIP, and BHP operations when the PHE ends


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Today, the Centers for Medicare & Medicaid Services (CMS) released templates and resources for two state reporting requirements that will help CMS and states monitor enrollment and renewal efforts as states resume routine Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program operations following the end of the COVID-19 public health emergency (PHE). 

The State Report on Plans for Prioritizing and Distributing Renewals Following the End of the Medicaid Continuous Enrollment Provisions (Renewal Distribution Report) is a form that states will be required to complete and submit to CMS to summarize a state’s plan to distribute renewals and mitigate against inappropriate coverage loss within the state’s 12-month unwinding period.  States will be expected to submit this report 45 days before the end of the month in which the PHE ends.  CMS will provide additional notice in advance of this one-time submission requirement.

The Unwinding Eligibility and Enrollment Data Report Excel workbook and specifications document are tools states can use to support their efforts to report on certain metrics to demonstrate their progress towards restoring timely application processing, initiating and completing renewals of eligibility for all Medicaid and CHIP enrollees, and processing fair hearings.  In the coming weeks, CMS will share more information about the monthly submission process, including a training for states on the data specifications, the submission portal, and the timing of submissions.  After a baseline submission before the end of the PHE, states will eventually report on these metrics on a monthly basis through the same portal in which states enter Performance Indicator (PI) data