Dataset Viewer
State
stringlengths 4
24
| Notes
stringclasses 39
values | Total beneficiaries
stringlengths 1
10
⌀ | Comprehensive MCO (with or without MLTSS)
stringlengths 1
9
⌀ | PCCM
stringclasses 19
values | PCCM entity
stringclasses 30
values | MLTSS only
stringclasses 43
values | BHO (PIHP and/or PAHP)
stringclasses 55
values | Dental
stringclasses 57
values | Transportation
stringlengths 1
9
⌀ | PACE
stringlengths 1
6
⌀ | Other
stringclasses 17
values | Year
int64 2.02k
2.02k
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
American Samoa | null | null | null | null | null | null | null | null | null | null | null | 2,016 |
TOTALS | null | 10,003,132 | 2,461,330 | 19,479 | 183,144 | 273,791 | 714,831 | 172,835 | 1,222,840 | 33,678 | 388 | 2,016 |
Arkansas4 | Arkansas is unable to report enrollment as of July 1, 2016. Enrollment figures represent cumulative enrollment for the state fiscal year (July 1,2015-June 30, 2016). | 148,603 | -- | 0 | -- | -- | -- | -- | 57,213 | 0 | -- | 2,016 |
District of Columbia | null | 16,383 | 43 | -- | -- | -- | -- | -- | 16,340 | -- | -- | 2,016 |
Wyoming | null | 10,681 | -- | -- | -- | -- | -- | -- | -- | 93 | 0 | 2,016 |
Pennsylvania | null | 444,833 | 22,275 | -- | -- | -- | 272,137 | -- | 72,933 | 5,382 | -- | 2,016 |
Massachusetts | null | 352,604 | 26,003 | 0 | -- | -- | 247 | -- | -- | 3,759 | -- | 2,016 |
North Dakota | null | 14,162 | 0 | 0 | -- | -- | -- | -- | -- | 111 | 0 | 2,016 |
Michigan5 | Michigan is not able to provide dual-eligible enrollment for the Specialty Prepaid Inpatient Health plan. | 320,491 | 34,483 | -- | -- | 10,605 | 0 | 0 | -- | 1,640 | -- | 2,016 |
Virginia | null | 61,966 | 0 | -- | -- | -- | -- | -- | -- | 1,330 | -- | 2,016 |
Hawaii | null | 44,311 | 28,361 | -- | -- | -- | -- | -- | -- | -- | -- | 2,016 |
Kentucky | null | 167,990 | 65,562 | -- | -- | -- | -- | -- | 0 | -- | -- | 2,016 |
South Dakota | null | 11,912 | -- | 0 | -- | -- | -- | -- | -- | -- | -- | 2,016 |
Montana | null | 26,774 | -- | 0 | -- | -- | -- | -- | -- | -- | -- | 2,016 |
Alabama | null | 209,660 | -- | 0 | -- | -- | -- | -- | -- | 171 | 0 | 2,016 |
California | null | 1,405,112 | 856,418 | -- | -- | -- | 0 | 49,076 | -- | 4,883 | 388 | 2,016 |
Missouri | null | 181,883 | 0 | -- | -- | -- | -- | -- | 144,162 | -- | -- | 2,016 |
Northern Mariana Islands | null | null | null | null | null | null | null | null | null | null | null | 2,016 |
Louisiana | null | 211,760 | 0 | -- | -- | -- | 100,960 | 100,263 | -- | 397 | -- | 2,016 |
New Jersey | null | 214,625 | 166,097 | -- | -- | -- | -- | -- | 166,086 | 829 | -- | 2,016 |
Delaware | null | 28,972 | 11,791 | -- | -- | -- | -- | -- | -- | 183 | -- | 2,016 |
Washington9 | Washington is unable to provide separate counts of Medicaid-only and dual enrollment for their NEMT, ICMH, and PACE programs. Enrollment counts presented in Table 2 include both Medicaid-only and Medicare-Medicaid dually eligible beneficiaries. | 123,714 | 0 | 0 | -- | -- | 0 | -- | 0 | 0 | -- | 2,016 |
Guam | null | null | null | null | null | null | null | null | null | null | null | 2,016 |
Oregon6 | Oregon’s enrollment in comprehensive MCOs includes dually eligible beneficiaries in (1) Coordinated Care Organizations (CCOs); (2) Dental Care Organizations (DCOs), like Access Dental Plan, LLC; Advantage Dental Services; Capitol Dental Care, Inc.; CareOregon Dental; Family Dental Care; and ODS Community Health, Inc., or (3) the Mental Health Organization called Greater Oregon Behavioral Health, Inc. CCO enrollees receive physical, dental and mental health services and may be enrolled in more than one plan type simultaneously. Plan-level enrollment is found in Report 5. | 72,400 | 44,419 | -- | -- | -- | -- | -- | -- | 1,099 | -- | 2,016 |
Alaska | null | null | -- | -- | -- | -- | -- | -- | -- | -- | -- | 2,016 |
New Hampshire | null | 31,392 | 15,957 | -- | -- | -- | -- | -- | -- | -- | -- | 2,016 |
New Mexico | null | 41,676 | 40,944 | -- | -- | -- | -- | -- | -- | 732 | -- | 2,016 |
South Carolina | null | 163,382 | 0 | 0 | -- | -- | -- | -- | 163,382 | 345 | -- | 2,016 |
Indiana | null | 198,694 | 5,079 | -- | -- | -- | -- | -- | -- | -- | -- | 2,016 |
Maine | null | 93,402 | -- | 0 | -- | -- | -- | -- | 51,562 | -- | -- | 2,016 |
Rhode Island | null | 42,672 | 21,399 | 0 | -- | -- | -- | 0 | 34,191 | 247 | -- | 2,016 |
Mississippi | null | 159,518 | 0 | -- | -- | -- | -- | -- | -- | -- | -- | 2,016 |
Georgia | null | 302,526 | 0 | -- | -- | -- | -- | -- | -- | -- | 0 | 2,016 |
West Virginia | null | 82,212 | 0 | -- | -- | -- | -- | -- | -- | -- | -- | 2,016 |
Utah | null | 30,197 | 21,429 | -- | -- | -- | 27,219 | 80 | 24,015 | -- | -- | 2,016 |
Colorado | null | 113,226 | 6,319 | -- | 33,590 | -- | 69,345 | -- | -- | 2,923 | -- | 2,016 |
Ohio | null | 93,385 | 41,724 | -- | -- | -- | -- | -- | -- | 316 | -- | 2,016 |
New York | null | 878,246 | 14,217 | -- | -- | 141,509 | -- | -- | -- | 4,789 | -- | 2,016 |
Texas | null | 631,571 | 44,542 | 4 | -- | -- | 0 | 0 | 357,384 | 1,157 | -- | 2,016 |
Iowa | null | 80,230 | 58,511 | -- | -- | -- | -- | 0 | 1,123 | 265 | -- | 2,016 |
Vermont8 | Vermont pays for Medicaid services for dually eligible enrollees on a FFS basis. Dually eligible enrollees reported in the Global Commitment to Health are Medicaid enrollees who have become newly eligible for Medicare and, as of July 1, have not yet transferred out of the program. | 35,189 | 363 | -- | -- | -- | -- | -- | -- | -- | -- | 2,016 |
Illinois | null | 363,072 | 0 | 0 | -- | 214 | -- | -- | -- | -- | -- | 2,016 |
Nevada | null | 64,120 | 0 | 0 | -- | -- | -- | -- | 0 | -- | -- | 2,016 |
Florida | null | 768,103 | 147,268 | -- | -- | 85,845 | -- | -- | -- | 1,229 | -- | 2,016 |
Puerto Rico | null | 366,591 | 365,862 | -- | -- | -- | -- | -- | -- | -- | -- | 2,016 |
Oklahoma | null | 111,886 | -- | 0 | -- | -- | -- | -- | 111,886 | 277 | -- | 2,016 |
Minnesota | null | 139,128 | 74,541 | -- | -- | -- | -- | -- | -- | -- | -- | 2,016 |
Wisconsin | null | 51,638 | 15,433 | -- | -- | 35,618 | 7 | -- | -- | 580 | 0 | 2,016 |
Maryland | null | 139,112 | 0 | -- | -- | -- | -- | -- | -- | 93 | -- | 2,016 |
Connecticut | null | null | -- | -- | -- | -- | -- | -- | -- | -- | -- | 2,016 |
North Carolina | null | 330,949 | -- | -- | 149,554 | -- | 190,351 | -- | -- | 565 | -- | 2,016 |
Nebraska | null | 34,811 | 47 | -- | -- | -- | 33,813 | -- | -- | 15 | -- | 2,016 |
Virgin Islands | null | null | null | null | null | null | null | null | null | null | null | 2,016 |
Kansas | null | 78,943 | 38,107 | -- | -- | -- | -- | -- | -- | 0 | -- | 2,016 |
Arizona | null | 201,884 | 139,177 | -- | -- | -- | -- | -- | -- | -- | -- | 2,016 |
Tennessee7 | Tennessee’s enrollment in comprehensive MCOs includes 367 dually eligible beneficiaries who are also enrolled in Magellan Health Services for pharmacy benefits and 367 dually eligible beneficiaries who are also enrolled in DentaQuest USA Insurance Company for dental services. | 280,797 | 152,633 | -- | -- | -- | -- | -- | -- | 268 | -- | 2,016 |
Idaho | null | 25,744 | 2,326 | 19,475 | -- | -- | 20,752 | 23,416 | 22,563 | -- | -- | 2,016 |
Nevada | null | 76,221 | 0 | 0 | -- | -- | -- | -- | 0 | -- | -- | 2,017 |
Georgia5,6 | Georgia is unable to provide separate counts of Medicaid-only and dually eligible beneficiaries for their NEMT program. As a result, Medicare-Medicaid beneficiary enrollment is reported here as zero. The total number of dually eligible beneficiaries reported for Georgia only includes beneficiaries in the QMB, SLMB, and QI programs. | 308,492 | 0 | -- | -- | -- | -- | -- | 0 | -- | 0 | 2,017 |
Rhode Island | null | 45,845 | 9,905 | -- | -- | -- | -- | 0 | 0 | 254 | -- | 2,017 |
Washington11 | Washington is unable to provide separate counts of Medicaid-only and dual enrollment for their NEMT, ICMH, and PACE programs. Combined Medicaid-only and Medicare-Medicaid beneficiary enrollment counts are presented in Table 3. | 125,613 | 0 | 0 | -- | -- | 0 | -- | 0 | 0 | -- | 2,017 |
North Carolina | null | 337,847 | -- | -- | 151,657 | -- | 184,490 | -- | -- | 490 | -- | 2,017 |
TOTALS | null | 10,302,266 | 2,835,244 | 20,638 | 209,235 | 333,856 | 689,688 | 180,690 | 1,130,158 | 34,936 | 406 | 2,017 |
Louisiana | null | 223,475 | 681 | -- | -- | -- | 102,520 | 102,899 | -- | 430 | -- | 2,017 |
Utah | null | 26,282 | 23,427 | -- | -- | -- | 24,516 | 64 | 22,136 | -- | -- | 2,017 |
Mississippi | null | 160,687 | 0 | -- | -- | -- | -- | -- | -- | -- | -- | 2,017 |
Arizona | null | 212,464 | 144,971 | -- | -- | -- | -- | -- | -- | -- | -- | 2,017 |
New Hampshire | null | 31,799 | 16,147 | -- | -- | -- | -- | -- | -- | -- | -- | 2,017 |
Indiana | null | 206,148 | 4,653 | -- | -- | -- | -- | -- | -- | 127 | -- | 2,017 |
American Samoa | null | null | null | null | null | null | null | null | null | null | null | 2,017 |
Missouri | null | 181,092 | 0 | -- | -- | -- | -- | -- | 143,038 | -- | -- | 2,017 |
South Carolina | null | 168,671 | 0 | 0 | -- | -- | -- | -- | 168,671 | 390 | -- | 2,017 |
Guam | null | null | null | null | null | null | null | null | null | null | null | 2,017 |
New York | null | 908,358 | 15,892 | -- | -- | 165,429 | -- | -- | -- | 4,974 | -- | 2,017 |
Connecticut | null | null | -- | -- | -- | -- | -- | -- | -- | -- | -- | 2,017 |
Oklahoma | null | 114,624 | -- | 0 | -- | -- | -- | -- | 114,624 | 377 | -- | 2,017 |
Virginia | null | 60,630 | 0 | -- | -- | -- | -- | -- | -- | 1,404 | -- | 2,017 |
Kentucky | null | 151,956 | 56,746 | -- | -- | -- | -- | -- | 0 | -- | -- | 2,017 |
Ohio | null | 251,004 | 82,652 | -- | -- | -- | -- | -- | -- | 336 | -- | 2,017 |
Illinois | null | 373,053 | 0 | 0 | -- | 28,223 | -- | -- | -- | -- | -- | 2,017 |
Texas | null | 644,765 | 296,462 | 0 | -- | -- | -- | 0 | 280,246 | 1,187 | -- | 2,017 |
Colorado4 | Colorado reported plan level enrollment as 30 for plans that had less than 30 beneficiaires. As a result, Medicaid Enrollment in Comprehensive Managed Care may be slightly inflated. | 117,917 | 7,436 | -- | 57,578 | -- | 78,581 | -- | -- | 3,458 | -- | 2,017 |
Alaska | null | null | -- | -- | -- | -- | -- | -- | -- | -- | -- | 2,017 |
Hawaii | null | 42,901 | 35,175 | -- | -- | -- | -- | -- | -- | -- | -- | 2,017 |
Montana | null | 26,852 | -- | 0 | -- | -- | -- | -- | -- | -- | -- | 2,017 |
Wyoming | null | 10,942 | -- | -- | -- | -- | -- | -- | -- | 127 | 0 | 2,017 |
Massachusetts | null | 356,336 | 42,814 | 0 | -- | -- | 331 | -- | -- | 3,370 | -- | 2,017 |
Kansas | null | 80,780 | 38,798 | -- | -- | -- | -- | -- | -- | 0 | -- | 2,017 |
Oregon8 | Oregon’s enrollment in comprehensive MCOs includes beneficiaries in (1) Coordinated Care Organizations (CCOs); (2) Dental Care Organizations (DCOs), like Access Dental Plan, LLC; Advantage Dental Services; Capitol Dental Care, Inc.; CareOregon Dental; Family Dental Care; Managed Dental Care or Oregon; and ODS Community Health, Inc., or (3) the Mental Health Organization called Greater Oregon Behavioral Health, Inc. CCO enrollees receive physical, dental and mental health services and may be enrolled in more than one plan type simultaneously. Plan-level enrollment is found in Report 5. | 74,088 | 43,012 | -- | -- | -- | -- | -- | -- | 1,190 | -- | 2,017 |
South Dakota | null | 12,086 | -- | 0 | -- | -- | -- | -- | -- | -- | -- | 2,017 |
New Mexico | null | 41,822 | 41,121 | -- | -- | -- | -- | -- | -- | 701 | -- | 2,017 |
Delaware | null | 30,620 | 5,755 | -- | -- | -- | -- | -- | -- | 216 | -- | 2,017 |
Virgin Islands | null | null | null | null | null | null | null | null | null | null | null | 2,017 |
Maryland | null | 139,698 | 0 | -- | -- | -- | -- | -- | -- | 97 | -- | 2,017 |
Wisconsin | null | 56,045 | 16,445 | -- | -- | 39,040 | 4 | -- | -- | 556 | 0 | 2,017 |
California | null | 1,420,937 | 943,716 | -- | -- | -- | 0 | 53,255 | -- | 5,424 | 349 | 2,017 |
Northern Mariana Islands | null | null | null | null | null | null | null | null | null | null | null | 2,017 |
District of Columbia | null | 21,052 | 123 | -- | -- | -- | -- | -- | 20,929 | -- | -- | 2,017 |
Idaho | null | 46,342 | 2,290 | 20,638 | -- | -- | 24,391 | 24,472 | 26,741 | -- | -- | 2,017 |
Pennsylvania | null | 456,314 | 7,957 | -- | -- | -- | 274,855 | -- | 75,251 | 5,850 | 57 | 2,017 |
End of preview. Expand
in Data Studio
Managed Care Enrollment by Program and Population (Duals)
Description
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.
- 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.
- 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.
- 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.
- The “Total dually eligible individuals” column represents an unduplicated count of all beneficiaries in FFS and any type of managed care, including enrollees receiving full Medicaid benefits or Medicaid cost sharing.
"--" indicates states that do not operate 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.
Dataset Details
- Publisher: Centers for Medicare & Medicaid Services
- Last Modified: 2024-10-16
- Contact: Jeff Chamblee ([email protected])
Source
Original data can be found at: https://healthdata.gov/d/f4j7-krxz
Usage
You can load this dataset using:
from datasets import load_dataset
dataset = load_dataset('HHS-Official/managed-care-enrollment-by-program-and-population')
License
This dataset is licensed under https://www.usa.gov/government-works
- Downloads last month
- 37