{"@type": "dcat:Dataset", "accessLevel": "public", "bureauCode": ["009:38"], "contactPoint": {"@type": "vcard:Contact", "fn": "Jeff Chamblee", "hasEmail": "mailto:Medicaid.gov@cms.hhs.gov"}, "description": "2024 Share of Medicaid Enrollees in Managed Care\n\nThe Share of Medicaid Enrollees in Managed Care table (Table 4 in the Enrollment Report) displays the total number of Medicaid enrollees nationally, and by state and territory, as well as the number and percentage of the total in any type of managed care, and the number and percentage of the total enrolled in comprehensive managed care.\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: Number of Individuals\u201d column represents an unduplicated count of enrollees in any Medicaid managed care program, including comprehensive MCOs, limited benefit MCOs, PCCMs, and PCCM Entities.\n3.\tThe \u201cMedicaid Enrollment in Comprehensive Managed Care: Number of Individuals\u201d column represents a count of Medicaid enrollees in a managed care plan that provides comprehensive benefits (acute, primary care, specialty, and any other), as well as PACE programs. It excludes individuals enrolled in a Financial Alignment Initiative Medicare-Medicaid Plan as their only form of managed care.\n4.\tTennessee\u2019s 2024 data submission indicated 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 4.\n\nNotes: \"--\" indicates the state or territory does not operate a specific program type or does not have a managed care program.\n\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 Share of Medicaid Enrollees in Managed Care\n\nThe Share of Medicaid Enrollees in Managed Care table (Table 4 in the Enrollment Report) displays the total number of Medicaid enrollees nationally, and by state and territory, as well as the number and percentage of the total in any type of managed care, and the number and percentage of the total enrolled in comprehensive managed care.\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: Number of Individuals\u201d column represents an unduplicated count of enrollees in any Medicaid managed care program, including comprehensive MCOs, limited benefit MCOs, PCCMs, and PCCM Entities.\n3.\tThe \u201cMedicaid Enrollment in Comprehensive Managed Care: Number of Individuals\u201d column represents a count of Medicaid enrollees in a managed care plan that provides comprehensive benefits (acute, primary care, specialty, and any other), as well as PACE programs. It excludes individuals enrolled in a Financial Alignment Initiative Medicare-Medicaid Plan as their only form of managed care.\n4.\tTennessee\u2019s 2023 data submission indicated they were unable to provide an unduplicated count of enrollees in comprehensive MCO programs. Because Tennessee operates a compr", "distribution": [{"@type": "dcat:Distribution", "downloadURL": "https://download.medicaid.gov/data/share-of-medicaid-enrollees-in-managed-care.2024-table5.csv", "mediaType": "text/csv", "title": "CSV"}], "identifier": "79692ea5-21e1-56bf-8149-97d437120c4b", "issued": "2017-12-05", "keyword": ["comprehensive managed care", "enrollment", "managed care", "medicaid"], "landingPage": "https://healthdata.gov/d/c5jx-d539", "license": "https://www.usa.gov/government-works", "modified": "2026-02-12", "programCode": ["009:000"], "publisher": {"@type": "org:Organization", "name": "Centers for Medicare & Medicaid Services"}, "theme": ["Enrollment"], "title": "Share of Medicaid Enrollees in Managed Care"}