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Federal
Health Insurance Marketplace: Summary Enrollment Data for the Initial Annual Open Enrollment Period
U.S. Department of Health & Human Services —
This file includes data for states that are implementing their own Marketplaces, also known as State-Based Marketplaces or SBMs, and states with Marketplaces that are... -
Federal
MLR Summary Reports
U.S. Department of Health & Human Services —
The MLR Summary Reports provide plan-specific MLRs for Medicaid managed care programs. The MLR summary report data include MLRs for MCOs, PIHPs, and PAHPs submitted... -
Federal
PI dataset
U.S. Department of Health & Human Services —
All states (including the District of Columbia) are required to provide data to The Centers for Medicare & Medicaid Services (CMS) on a range of indicators... -
Federal
Telehealth Services Provided to the Medicaid and CHIP Population
U.S. Department of Health & Human Services —
This data set includes monthly counts and rates (per 1,000 beneficiaries) of services provided via telehealth, including live audio video, remote patient monitoring,... -
Federal
Contraceptive Care Services Provided to Medicaid and CHIP Beneficiaries ages 15 to 44
U.S. Department of Health & Human Services —
This data set includes monthly counts and rates (per 1,000 beneficiaries) of contraceptives, including any contraceptives and long-acting reversible contraceptives,... -
Federal
Managed Care Information for Medicaid and CHIP Beneficiaries by Year
U.S. Department of Health & Human Services —
This data set presents annual enrollment counts of Medicaid and CHIP beneficiaries by managed care participation (comprehensive managed care, primary care case... -
Federal
Medicaid and CHIP CAA Reporting Metrics
U.S. Department of Health & Human Services —
State-reported data on Medicaid and CHIP eligibility renewals conducted during the reporting period and call center operations Sources: (1) March and April 2023 state... -
Federal
Pregnancy Outcomes for Medicaid and CHIP Beneficiaries ages 15 to 44
U.S. Department of Health & Human Services —
This data set includes monthly counts and rates (per 1,000 beneficiaries) of pregnancy outcomes, including (1) live births and (2) miscarriages, stillbirths, and... -
Federal
Managed Care Information for Medicaid and CHIP Beneficiaries by Month
U.S. Department of Health & Human Services —
This data set includes monthly enrollment counts of Medicaid and CHIP beneficiaries by managed care participation (comprehensive managed care, primary care case... -
Federal
Medicaid and CHIP Updated Renewal Outcomes
U.S. Department of Health & Human Services —
State-reported data on Medicaid and CHIP eligibility renewals that reflect the outcomes of previously pending renewals three months after the renewal was due and also... -
Federal
Dental Services Provided to Medicaid and CHIP Beneficiaries Under Age 19
U.S. Department of Health & Human Services —
This data set includes monthly counts and rates (per 1,000 beneficiaries) of dental services provided to Medicaid and CHIP beneficiaries under the age of 19 (as of... -
Federal
Repository of Evaluation Reports
U.S. Department of Health & Human Services —
To inform the HHS, Congress, and the public about the efficiency, effectiveness, and integrity of HHS programs and to recommend actions to promote those goals. -
Federal
Respiratory Conditions in the Medicaid and CHIP Population
U.S. Department of Health & Human Services —
This data set includes monthly counts and percentages of Medicaid and CHIP beneficiaries, by state, who received at least one service for each of the following... -
Federal
State Medicaid and CHIP Eligibility Processing Data
U.S. Department of Health & Human Services —
All states (including the District of Columbia) provide data to the Centers for Medicare & Medicaid Services (CMS) on a range of Medicaid and Children’s Health... -
Federal
Medicaid Fraud Control Units (MFCU) Annual Spending and Performance Statistics
U.S. Department of Health & Human Services —
To inform HHS, States, Congress, and the public about the results and accomplishments of the State Medicaid Fraud Control Units. -
Federal
Medicaid and CHIP enrollees who received mental health or SUD services
U.S. Department of Health & Human Services —
This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees who received mental health (MH) or substance... -
Federal
Medicaid CMS-64 CAA 2023 Increased FMAP Expenditure Data Collected through MBES/CBES
U.S. Department of Health & Human Services —
Notes: 1. CAA 2023 provides a temporary 5.0 percentage point FMAP increase to each qualifying state and territory's FMAP under section 1905(b) of the Act, beginning... -
Federal
Benefit Package for Medicaid and CHIP Beneficiaries by Month
U.S. Department of Health & Human Services —
This data set includes monthly enrollment counts of Medicaid and CHIP beneficiaries by benefit package (full-scope, comprehensive, limited, or unknown). These metrics... -
Federal
Medicaid Fraud Control Units (MFCUs)
U.S. Department of Health & Human Services —
Medicaid Fraud Control Units (MFCU or Unit) investigate and prosecute Medicaid fraud as well as patient abuse and neglect in health care facilities. OIG certifies,...