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Federal
Health conditions among children under age 18, by selected characteristics: United States
U.S. Department of Health & Human Services —
NOTE: On October 19, 2021, estimates for 2016–2018 by health insurance status were revised to correct errors. Changes are highlighted and tagged at... -
Federal
List of Excluded Individuals and Entities
U.S. Department of Health & Human Services —
Our objective is to ensure that providers who bill Federal health care programs do not submit claims for services furnished, ordered or prescribed by an excluded... -
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 Claims (MAX) - Vision and Eye Health Surveillance
U.S. Department of Health & Human Services —
2016-2019. This dataset is a de-identified summary table of prevalence rates for vision and eye health data indicators from the Medicaid Analytic eXtract (MAX) data.... -
State
All-Cause Unplanned 30-Day Hospital Readmission Rate, California (LGHC Indicator)
State of California —
This dataset contains the statewide number and (unadjusted) rate for all-cause, unplanned, 30-day inpatient readmissions in California hospitals. Data are categorized... -
Federal
Medicaid Spending by Drug
U.S. Department of Health & Human Services —
The Medicaid by Drug dataset presents information on spending for covered outpatient drugs prescribed to beneficiaries enrolled in Medicaid by physicians and other... -
State
Health & Human Services Program Counts - Dashboard & Record Reconciliation
State of California —
Introduction ## California Health and Human Services (CalHHS) single and multi-program participation counts with demographics by year and geography, both the Annual... -
Federal
State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data
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 Medicaid and... -
Federal
Managed Care Programs by State
U.S. Department of Health & Human Services —
Provides program names, program features, population enrolled, benefits covered, quality assurance and improvement, performance incentives, provider value-based... -
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
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
Managed Care Enrollment by Program and Population (All)
U.S. Department of Health & Human Services —
The Medicaid Managed Care Enrollment Report profiles enrollment statistics on Medicaid managed care programs on a plan-specific level. The managed care enrollment... -
Federal
Medicaid and CHIP Eligibility Levels
U.S. Department of Health & Human Services —
The following table provides eligibility levels in each state for key coverage groups that use Modified Adjusted Gross Income (MAGI), as of April 1, 2018. The data... -
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
Action Transmittal (AT-79-12)
U.S. Department of Health & Human Services —
This Action Transmittal (AT) provides information on fiscal disallowance for erroneous payments in the aid to families with dependent children and medicaid programs;... -
State
SHIP Adolescents Who Received A Wellness Checkup In The Last Year 2010-2021
State of Maryland —
This is historical data. The update frequency has been set to "Static Data" and is here for historic value. Updated on 8/14/2024 Adolescents Who Received A Wellness... -
State
California Medicaid Eligibility Groups by Medi-Cal Aid Code
State of California —
This dataset identifies California’s eligibility groups by aid code. California uses aid codes to account for eligibility group populations and the eligibility... -
State
Department of Social Services - People Served by Town and Program, 2015-2024
State of Connecticut —
This dataset includes the number of people enrolled in DSS services by town and by program from CY 2015-2024. To view the full dataset and filter the data, click the... -
State
OASAS Medicaid Trend Recipient Summary Profile: Beginning State Fiscal Year 2010
State of New York —
This profile shows a summary of recipients, paid claims, and claim dollars spent for services reimbursed by Medicaid Fee for Service billing as well as Medicaid... -
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...