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    • Managed Long Term Services and Supports (MLTSS) Enrollees

    Metadata Updated: February 3, 2025

    1. Enrollment includes both Medicaid-only and Medicare-Medicaid (“dual”) enrollees. For both types of enrollees, Medicaid covers LTSS. For dual enrollees, Medicaid may also cover Medicare cost-sharing for acute, primary care, and specialty services covered by Medicare, and other non-LTSS services that are not covered by Medicare.
    2. Some comprehensive managed care programs enroll beneficiaries who may be at risk of needing LTSS but do not receive any LTSS. These counts only include individuals that receive LTSS. Moreover, states differ in their ability to report individuals who use MLTSS versus those who are enrolled (and may or may not be using LTSS). This table reports MLTSS users unless otherwise noted.
    3. Comprehensive Managed Care Including LTSS does not include PACE programs.
    4. MLTSS Only programs cover LTSS under capitation; acute, primary, and specialty care services for these enrollees may be covered by another Medicaid MCO, Medicaid FFS, or by Medicare for dual enrollees. These data include states that provide MLTSS plus other benefits in a package that does not include inpatient medical care.
    5. 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.
    6. Enrollment and user counts include both Medicaid-only enrollees and dually eligible individuals. For both types of enrollees, Medicaid covers LTSS. For dually eligible individuals, Medicaid may also cover Medicare cost-sharing for acute, primary care, and specialty services covered by Medicare, and other non-LTSS services that are not covered by Medicare.
    7. The “Comprehensive Managed Care Including LTSS” column does not include PACE programs.
    8. Columns indicating the "Number of enrollees using LTSS" reflect what states reported. In addition to the three states that reported LTSS users (Arizona, New York and Wisconsin), California and Delaware also offer LTSS services in a stand-alone program.
    9. Note: "n/a" indicates that a state or territory was not able to report data or does not have a managed care program. "--" indicates that a state or territory does not operate programs of the type listed in the column heading. Enrollment and user counts include both Medicaid-only and dually eligible individuals. For both types of enrollees, Medicaid covers LTSS. For dually eligible individuals, Medicaid may also cover Medicare cost-sharing for acute, primary care, and specialty services covered by Medicare and other non-LTSS services that are not covered by Medicare.
    10. Columns indicating the "Number of enrollees using LTSS" reflect what states reported. In addition to the three states that reported LTSS users (Arizona, New York and Wisconsin), California and Delaware also offer LTSS services in a stand-alone program.

    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

    Other Data Resources

    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 5394bcab-c748-5e4b-af07-b5bf77ed3aa3
    Data First Published 2017-12-09
    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 523b504c-a787-4651-838b-adf30ca2f109
    Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
    Harvest Source Title Healthdata.gov
    Homepage URL https://healthdata.gov/d/5vjr-nzpw
    License https://www.usa.gov/government-works
    Program Code 009:000
    Source Datajson Identifier True
    Source Hash 41649cc13ce59b78a111e9ecd0f69cc4d8d34a165d812e72018b9f49d1137085
    Source Schema Version 1.1

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