Managed Care Enrollment by Program and Population (Duals)

Metadata Updated: May 3, 2021

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 MLTSS only, BHO, Dental, Transportation, and Other cover a narrower set of services.
  3. The indicated territory was not able to supply data for this report. The Northern Mariana Islands reported that they have no Medicaid managed care enrollment, but they did not report total Medicaid enrollees.

"--" indicates states that do not operates 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.

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Dates

Metadata Created Date November 10, 2020
Metadata Updated Date May 3, 2021

Metadata Source

Harvested from Healthdata.gov

Additional Metadata

Resource Type Dataset
Metadata Created Date November 10, 2020
Metadata Updated Date May 3, 2021
Publisher Centers for Medicare & Medicaid Services
Unique Identifier Unknown
Maintainer
Identifier https://data.medicaid.gov/api/views/gvym-w343
Data First Published 2019-04-17
Data Last Modified 2020-06-12
Category Enrollment
Public Access Level public
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
Homepage URL https://data.medicaid.gov/d/gvym-w343
License https://www.usa.gov/government-works
Program Code 009:000
Source Datajson Identifier True
Source Hash 1f6eecb49a7bbe6c4b5209ac78320787e56a7078
Source Schema Version 1.1

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