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Managed Care Enrollment Summary

Metadata Updated: July 25, 2023

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. Total Medicaid Enrollees represents an unduplicated count of all beneficiaries in FFS and any type of managed care, including Medicaid-only and Medicare-Medicaid ("dual") enrollees.
  2. Total Medicaid enrollment in Any Type of Managed Care represents an unduplicated count of beneficiaries enrolled in any Medicaid managed care program, including comprehensive MCOs, limited benefit MCOs, and PCCMs.
  3. Medicaid Enrollment in Comprehensive Managed Care represents an unduplicated count of Medicaid beneficiaries enrolled in a managed care plan that provides comprehensive benefits (acute, primary care, specialty, and any other), as well as PACE programs. It excludes beneficiaries who are enrolled in a Financial Alignment Initiative Medicare-Medicaid Plan as their only form of managed care.
  4. Medicaid Newly Eligible Adults Enrolled in Comprehensive MCOs represents individuals who are enrolled in comprehensive MCOs and are low-income adults, with or without dependent children, newly eligible for Medicaid under ACA Section VIII, and not covered under a waiver or other authority prior to 2014.

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 July 25, 2023
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 July 25, 2023
Publisher Centers for Medicare & Medicaid Services
Maintainer
Identifier 52ed908b-0cb8-5dd2-846d-99d4af12b369
Data First Published 2017-12-01
Data Last Modified 2023-07-21
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 823e630e-7f2a-4efa-8bef-55ecd1858ebb
Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
Harvest Source Title Healthdata.gov
Homepage URL https://healthdata.gov/d/seqp-2d8w
License https://www.usa.gov/government-works
Program Code 009:000
Source Datajson Identifier True
Source Hash f602050a92f24fd02eee3a4a08e2f1259034459b
Source Schema Version 1.1

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