Indiana Medicaid Enrollment Drops 174,000 Children in Three Months
Indiana lost 174,000 children from Medicaid between January and April 2025, a 20% decline that represents the steepest percentage drop in the nation, according to Georgetown University's Center for Children and Families. The state also recorded the third-highest absolute enrollment decline nationally during this period. This drop follows the end of continuous enrollment protections that were in place during the COVID-19 public health emergency. Indiana's redetermination process appears to be resulting in significantly higher disenrollment rates than most other states.
Rapid pediatric enrollment declines directly affect MCO capitation revenue, member months, and risk adjustment calculations, while potentially increasing administrative costs for re-enrollment and care continuity gaps.
CHIP · Managed Care
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