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Managed Care Enrollment by Program and Population (All)

Metadata Updated: February 3, 2025

The Medicaid Managed Care Enrollment Report profiles enrollment statistics on Medicaid managed care programs on a plan-specific level. The managed care enrollment statistics include enrollees receiving comprehensive benefits and limited benefits and are point-in-time counts.

  1. Because Medicaid beneficiaries may be enrolled concurrently in more than one type of managed care program (e.g., a Comprehensive MCO and a BHO), users should not sum enrollment across all program types, since the total would count individuals more than once and, in some states, exceed the actual number of Medicaid enrollees.

  2. Comprehensive MCOs cover acute, primary, and specialty medical care services; they may also cover behavioral health, long-term services and supports, and other benefits in some states. Limited benefit managed care programs, including PCCM, MLTSS only, BHO, Dental, Transportation, and Other cover a narrower set of services.

  3. The “Total Medicaid Enrollees” column represents an unduplicated count of all beneficiaries in FFS and any type of managed care, including Medicaid-only and dually eligible individuals receiving full Medicaid benefits or Medicaid cost sharing.

"--" indicates states that do not operate programs of a given type. 0 signifies that a state operated a program of this type in 2014, but it ended before July 1, 2014, or began after that date.

Access & Use Information

Public: This dataset is intended for public access and use. License: See this page for license information.

Downloads & Resources

Dates

Metadata Created Date October 8, 2021
Metadata Updated Date February 3, 2025
Data Update Frequency R/P10Y

Metadata Source

Harvested from Healthdata.gov

Additional Metadata

Resource Type Dataset
Metadata Created Date October 8, 2021
Metadata Updated Date February 3, 2025
Publisher Centers for Medicare & Medicaid Services
Maintainer
Identifier e2ce0d2f-07c5-5213-947a-31e19bc649f6
Data First Published 2017-12-06
Data Last Modified 2024-10-16
Category Enrollment
Public Access Level public
Data Update Frequency R/P10Y
Bureau Code 009:38
Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
Metadata Catalog ID https://healthdata.gov/data.json
Schema Version https://project-open-data.cio.gov/v1.1/schema
Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
Harvest Object Id 96c05b14-29c6-43c6-8b95-6e751465908d
Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
Harvest Source Title Healthdata.gov
Homepage URL https://healthdata.gov/d/ge4b-j6f6
License https://www.usa.gov/government-works
Program Code 009:000
Source Datajson Identifier True
Source Hash a87e86af901da81808d3a2145f829f41aac2d2fcab78fc83e4f1ea42e9c0911b
Source Schema Version 1.1

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