This report presents findings from a survey of state Medicaid and CHIP program officials conducted by Kaiser Family Foundation and the Georgetown University Center for Children and Families on actions states are taking to prepare for the lifting of the Medicaid continuous enrollment provision (aka unwinding), as of January 2023. The report summarizes state policies on outreach to enrollees, staff capacity, and plans to monitor the impact of the unwinding on enrollment, and the tables show state-level policies on these issues. Nearly a quarter of individuals under age 65 who live in rural areas are covered by Medicaid.