{"@type": "dcat:Dataset", "accessLevel": "public", "bureauCode": ["009:38"], "contactPoint": {"@type": "vcard:Contact", "fn": "Medicaid.gov", "hasEmail": "mailto:Medicaid.gov@cms.hhs.gov"}, "description": "2024 Medicaid Managed Care Enrollment Summary\n\nThe Medicaid Managed Care Enrollment Summary table (Table 1 in the Enrollment Report) displays each state and territory\u2019s total number of Medicaid enrollees, total managed care enrollment, number of enrollees in comprehensive managed care, and the number of enrollees in comprehensive managed care under the Affordable Care Act\u2019s Section VIII Expansion. \n\n1.\tThe \u201cTotal Medicaid Enrollees\u201d column represents an unduplicated count of all enrollees in FFS and any type of managed care, including Medicaid-only and dually eligible individuals receiving full Medicaid benefits or Medicaid cost sharing.\n2.\tThe \u201cTotal Medicaid Enrollment in Any Type of Managed Care\u201d column represents an unduplicated count of enrollees in any Medicaid managed care program, including comprehensive MCOs, limited benefit plans such as prepaid inpatient and ambulatory health plans, PCCMs, and PCCM Entities.\n3.\tThe \u201cMedicaid Enrollment in Comprehensive Managed Care\u201d column represents a count of Medicaid enrollees in a managed care plan that provides comprehensive benefits (acute, primary care, specialty, and any other), or PACE program. It excludes enrollees in a Financial Alignment Demonstration Medicare-Medicaid Plan as their only form of managed care.\n4.\tThe \u201cMedicaid Enrollment in Comprehensive MCOs Under ACA Section VIII Expansion\u201d column is a subset of the total reported in the \u201cTotal Medicaid Enrollment in Any Type of Managed Care\u201d column and includes individuals enrolled in comprehensive MCOs and who are low-income adults, with or without dependent children, eligible for Medicaid under ACA Section VIII.\n5.\tWhile Colorado did not report a Comprehensive Managed Care program in their 2024 data submission, the state operates Accountable Care Organization-PCCM-E collaboratives that the state considers to be comprehensive managed care.\n6.\tTennessee\u2019s 2024 data submission indicated that they were unable to provide an unduplicated count of enrollees in comprehensive MCO programs. Because Tennessee operates a comprehensive MCO program and a PACE program, their reported \u201cTotal Medicaid Enrollment in Any Type of Managed Care\u201d was used to populate \u201cMedicaid Enrollment in Comprehensive Managed Care\u201d in Table 1.\n\nNotes: \"--\" indicates the state or territory does not operate a specific program type or does not have a managed care program.\nTen states (California, Michigan, Minnesota, Missouri, New Jersey, Nevada, Ohio, Oregon, Virginia, Washington) reported data for \u201cMedicaid Enrollment in Comprehensive Managed Care\u201d that was greater than \u201cTotal Medicaid Enrollment in Any Type of Managed Care\u201d but did not provide an explanation for why the number was greater. \n\nAlaska, American Samoa, Connecticut, Guam, Northern Mariana Islands, and the U.S. Virgin Islands do not operate Medicaid managed care programs. For these states and territories, the \u201cTotal Medicaid Enrollees\u201d reported in this table is total Medicaid enrollment as of June 1, 2024, from the Medicaid Budget and Expenditure System, accessed on April 23, 2025. See https://data.medicaid.gov/dataset/6c114b2c-cb83-559b-832f-4d8b06d6c1b9/.\t\n\n2023 Medicaid Managed Care Enrollment Summary\n\nThe Medicaid Managed Care Enrollment Summary table (Table 1 in the Enrollment Report) displays each state and territory\u2019s total number of Medicaid enrollees, total managed care enrollment, number of enrollees in comprehensive managed care, and the number of enrollees in comprehensive managed care under the Affordable Care Act\u2019s Section VIII Expansion. \n\n1.\tThe \u201cTotal Medicaid Enrollees\u201d column represents an unduplicated count of all enrollees in FFS and any type of managed care, including Medicaid-only and dually eligible individuals receiving full Medicaid benefits or Medicaid cost sharing.\n2.\tThe \u201cTotal Medicaid Enrollment in Any Type of Managed Care\u201d column represents an unduplicated count of enrollees in any Medicaid managed care program, including comprehensive MCOs, limited benefit plan", "distribution": [{"@type": "dcat:Distribution", "downloadURL": "https://download.medicaid.gov/data/managed-care-enrollment-summary-2024-table1.csv", "mediaType": "text/csv", "title": "CSV"}], "identifier": "52ed908b-0cb8-5dd2-846d-99d4af12b369", "issued": "2017-12-01", "keyword": ["medicaid"], "landingPage": "https://healthdata.gov/d/ntvu-ca3y", "license": "https://www.usa.gov/government-works", "modified": "2026-02-11", "programCode": ["009:000"], "publisher": {"@type": "org:Organization", "name": "Centers for Medicare & Medicaid Services"}, "theme": ["Enrollment"], "title": "Managed Care Enrollment Summary"}