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
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Montana | null | 29,030 | -- | 0 | -- | -- | -- | -- | -- | -- | -- | 2,019 |
Nebraska | null | 35,058 | 34,583 | -- | -- | -- | -- | 34,555 | -- | 188 | -- | 2,019 |
Nevada | null | 78,641 | 0 | -- | -- | -- | -- | 0 | 0 | -- | -- | 2,019 |
New Hampshire | null | 31,704 | 16,866 | -- | -- | -- | -- | -- | -- | -- | -- | 2,019 |
New Jersey | null | 222,768 | 181,966 | -- | -- | -- | -- | -- | 180,945 | 1,034 | -- | 2,019 |
New Mexico | null | 40,824 | 40,824 | -- | -- | -- | -- | -- | -- | 732 | -- | 2,019 |
New York | null | 965,396 | 21,163 | -- | -- | 213,221 | -- | -- | -- | 5,167 | -- | 2,019 |
North Carolina | null | 348,227 | -- | -- | 146,588 | -- | 181,322 | -- | -- | 2,188 | -- | 2,019 |
North Dakota | null | 15,956 | 0 | 0 | -- | -- | -- | -- | -- | 171 | -- | 2,019 |
Northern Mariana Islands | null | null | null | null | null | null | null | null | null | null | null | 2,019 |
Ohio | null | 245,800 | 60,788 | -- | -- | -- | -- | -- | -- | 445 | -- | 2,019 |
Oklahoma | null | 116,025 | -- | 0 | -- | -- | -- | -- | 116,025 | 483 | -- | 2,019 |
Oregon7 | Oregon Health Plan includes (1) Coordinated Care Organizations (CCOs); (2) Dental Care Organizations (DCOs), like Advantage Dental Services; Capitol Dental Care, Inc.; CareOregon Dental; Managed Dental Care of Oregon; ODS Community Health, Inc.; and Family Dental Care, 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. | 77,545 | 54,116 | -- | -- | -- | -- | -- | -- | 1,403 | -- | 2,019 |
Pennsylvania | null | 491,909 | 229,066 | -- | -- | -- | 356,550 | -- | 77,770 | 6,793 | 77 | 2,019 |
Puerto Rico | null | 328,980 | 328,980 | -- | -- | -- | -- | -- | -- | -- | -- | 2,019 |
Rhode Island | null | 47,085 | 0 | -- | -- | -- | -- | 0 | 36,831 | 320 | -- | 2,019 |
South Carolina | null | 162,309 | 0 | 0 | -- | -- | -- | -- | 162,309 | 374 | -- | 2,019 |
South Dakota | null | 12,202 | -- | 0 | -- | -- | -- | -- | -- | -- | -- | 2,019 |
Tennessee | null | 274,779 | 147,455 | -- | -- | -- | -- | -- | -- | 269 | -- | 2,019 |
Texas | null | 653,629 | 293,758 | -- | -- | -- | -- | 0 | 353,546 | 1,129 | -- | 2,019 |
Utah | null | 31,574 | 24,239 | -- | -- | -- | 30,766 | 20,832 | 27,106 | -- | -- | 2,019 |
Vermont8 | The Department of Vermont Health Access, a state agency, acts as Vermont's single MCO entity. This program is classified as a “Comprehensive MCO + MLTSS” program but is considered by CMS and the state to be a “Comprehensive non-risk PIHP” program. Vermont pays for Medicaid services for dually eligible enrollees on a FFS basis. Dually eligible enrollees reported in the Global Commitment to Health Demonstration are Medicaid enrollees who have become newly eligible for Medicare and, as of July 1, have not yet transferred out of the program. | 31,491 | 445 | -- | -- | -- | -- | -- | -- | -- | -- | 2,019 |
Virgin Islands | null | null | null | null | null | null | null | null | null | null | null | 2,019 |
Virginia | null | 190,867 | 113,201 | -- | -- | -- | -- | -- | -- | 1,319 | -- | 2,019 |
Washington | null | 105,198 | 0 | 0 | -- | -- | 0 | -- | 0 | 0 | 0 | 2,019 |
West Virginia | null | 81,865 | 0 | -- | -- | -- | -- | -- | -- | -- | -- | 2,019 |
Wisconsin | null | 59,037 | 18,076 | -- | -- | 40,438 | 2 | -- | -- | 521 | 0 | 2,019 |
Wyoming | null | 11,413 | -- | -- | -- | -- | -- | -- | -- | 133 | -- | 2,019 |
TOTALS | null | 11,253,390 | 3,325,565 | 123,729 | 247,668 | 440,257 | 734,110 | 479,318 | 1,373,246 | 46,310 | 86 | 2,020 |
Alabama | null | 218,182 | -- | -- | 18,553 | -- | -- | -- | -- | 145 | -- | 2,020 |
Alaska | null | null | -- | -- | -- | -- | -- | -- | -- | -- | -- | 2,020 |
American Samoa | null | null | null | null | null | null | null | null | null | null | null | 2,020 |
Arizona | null | 236,810 | 162,619 | -- | -- | -- | -- | -- | -- | -- | -- | 2,020 |
Arkansas | null | 140,326 | 5,750 | -- | 1,610 | -- | -- | 53,629 | 56,654 | 331 | -- | 2,020 |
California | null | 1,379,410 | 892,712 | -- | -- | -- | 0 | 55,757 | -- | 7,530 | -- | 2,020 |
Colorado4 | Colorado did not provide enrollment counts for plans with less than 30 beneficiaries. As a result, PACE program-level enrollment may be lower than actual enrollment. | 123,691 | 9,709 | -- | 72,636 | -- | -- | -- | -- | 4,468 | -- | 2,020 |
Connecticut | null | null | -- | -- | -- | -- | -- | -- | -- | -- | -- | 2,020 |
Delaware | null | 30,994 | 13,908 | -- | -- | -- | -- | -- | 15,394 | 241 | -- | 2,020 |
District of Columbia | null | 36,247 | 1,079 | -- | -- | -- | -- | -- | 23,193 | -- | -- | 2,020 |
Florida | null | 1,316,856 | 101,961 | -- | -- | 109,875 | -- | 218,322 | -- | 2,148 | -- | 2,020 |
Georgia5 | 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. | 349,193 | 0 | -- | -- | -- | -- | -- | 0 | -- | 0 | 2,020 |
Guam | null | null | null | null | null | null | null | null | null | null | null | 2,020 |
Hawaii | null | 36,719 | 36,719 | -- | -- | -- | -- | -- | -- | -- | -- | 2,020 |
Idaho | null | 50,739 | 25,711 | 4,437 | -- | -- | 6,103 | 28,449 | 28,449 | -- | -- | 2,020 |
Illinois | null | 387,780 | 0 | -- | -- | 56,910 | -- | -- | -- | -- | -- | 2,020 |
Indiana6 | The dually eligible enrollees shown in the enrollment counts for Healthy Indiana, Hoosier Healthwise, and Hoosier Care Connect are Medicaid managed care enrollees who gained Medicare eligibility during the public health emergency and, due to maintenance of effort requirements, remained in their existing Medicaid managed care plan. | 226,813 | 4,990 | -- | -- | -- | -- | -- | -- | 423 | -- | 2,020 |
Iowa | null | 88,700 | 66,954 | -- | -- | -- | -- | 67,234 | 779 | 558 | -- | 2,020 |
Kansas | null | 85,381 | 42,450 | -- | -- | -- | -- | -- | -- | 0 | -- | 2,020 |
Kentucky | null | 103,806 | 69,622 | -- | -- | -- | -- | -- | 70,922 | -- | -- | 2,020 |
Louisiana | null | 230,998 | 230 | -- | -- | -- | 125,376 | 0 | -- | 452 | -- | 2,020 |
Maine | null | 93,127 | -- | 0 | -- | -- | -- | -- | 51,041 | -- | -- | 2,020 |
Maryland | null | 150,332 | 0 | -- | -- | -- | -- | -- | -- | 108 | -- | 2,020 |
Massachusetts | null | 358,851 | 59,914 | 0 | 0 | -- | 0 | -- | -- | 4,635 | -- | 2,020 |
Michigan7 | Michigan updated their reporting methodology in 2020 to more accurately calculate overall Medicaid and managed care enrollment, resulting in a significant decrease in enrollment counts between 2019 and 2020. | 328,585 | 41,168 | -- | -- | 11,098 | 0 | 0 | -- | 3,397 | -- | 2,020 |
Minnesota | null | 128,357 | 34,204 | -- | -- | -- | -- | -- | -- | -- | -- | 2,020 |
Mississippi | null | 162,695 | 0 | -- | -- | -- | -- | -- | -- | -- | -- | 2,020 |
Missouri | null | 193,089 | 0 | -- | -- | -- | -- | -- | 158,232 | -- | -- | 2,020 |
Montana | null | 30,000 | -- | 0 | -- | -- | -- | -- | -- | -- | -- | 2,020 |
Nebraska | null | 35,888 | 35,280 | -- | -- | -- | -- | 35,246 | -- | 193 | -- | 2,020 |
Nevada | null | 81,465 | 0 | -- | -- | -- | -- | 0 | 0 | -- | -- | 2,020 |
New Hampshire | null | 33,062 | 17,756 | -- | -- | -- | -- | -- | -- | -- | -- | 2,020 |
New Jersey | null | 197,043 | 183,547 | -- | -- | -- | -- | -- | 183,649 | 1,020 | -- | 2,020 |
New Mexico | null | 42,542 | 42,542 | -- | -- | -- | -- | -- | -- | 794 | -- | 2,020 |
New York | null | 974,235 | 24,853 | -- | -- | 220,910 | -- | -- | -- | 4,941 | -- | 2,020 |
North Carolina | null | 359,965 | -- | -- | 154,869 | -- | 178,758 | -- | -- | 2,090 | -- | 2,020 |
North Dakota | null | 15,956 | 0 | 0 | -- | -- | -- | -- | -- | 164 | -- | 2,020 |
Northern Mariana Islands | null | null | null | null | null | null | null | null | null | null | null | 2,020 |
Ohio | null | 251,412 | 64,111 | -- | -- | -- | -- | -- | -- | 517 | -- | 2,020 |
Oklahoma | null | 119,292 | -- | 119,292 | -- | -- | -- | -- | 119,292 | 569 | -- | 2,020 |
Oregon8 | Oregon Health Plan includes (1) Coordinated Care Organizations (CCOs), (2) Dental Care Organizations (DCOs), and (3) the Mental Health Organization. CCO enrollees receive physical, dental and mental health services and may be enrolled in more than one plan type simultaneously. | 76,417 | 76,417 | -- | -- | -- | -- | -- | -- | 1,536 | -- | 2,020 |
Pennsylvania | null | 492,575 | 367,361 | -- | -- | -- | 392,716 | -- | 80,739 | 6,701 | 86 | 2,020 |
Puerto Rico | null | 384,146 | 325,508 | -- | -- | -- | -- | -- | -- | -- | -- | 2,020 |
Rhode Island9 | The number of Medicare-Medicaid dual eligible enrollees decreased 72 percent from 2019 due to discontinuation of the Rhode Health Options (RHO) program and transition of those enrollees either into fee-for-service or Rhody Health Partners. | 37,111 | 0 | -- | -- | -- | -- | 0 | 37,111 | 0 | -- | 2,020 |
South Carolina | null | 164,438 | 0 | 0 | -- | -- | -- | -- | 164,438 | 320 | -- | 2,020 |
South Dakota | null | 18,628 | -- | 0 | -- | -- | -- | -- | -- | -- | -- | 2,020 |
Tennessee10 | Tennessee’s enrollment in comprehensive MCOs includes 364 dually eligible beneficiaries who were also enrolled in OptumRx for pharmacy benefits and 364 dually eligible beneficiaries who are also enrolled in an MCO plus DentaQuest USA Insurance Company for dental services. | 270,830 | 153,180 | -- | -- | -- | -- | -- | -- | 260 | -- | 2,020 |
Texas | null | 672,073 | 300,437 | -- | -- | -- | -- | 0 | 356,258 | 1,135 | -- | 2,020 |
Utah | null | 32,026 | 24,234 | -- | -- | -- | 31,155 | 20,681 | 27,095 | -- | -- | 2,020 |
Vermont11 | Vermont pays for Medicaid services for dually eligible enrollees on a FFS basis. Dually eligible enrollees reported in the Global Commitment to Health Demonstration are Medicaid enrollees who have become newly eligible for Medicare and, as of July 1, have not yet transferred out of the program. | 32,211 | 552 | -- | -- | -- | -- | -- | -- | -- | -- | 2,020 |
Virgin Islands | null | null | null | null | null | null | null | null | null | null | null | 2,020 |
Virginia | null | 200,017 | 120,351 | -- | -- | -- | -- | -- | -- | 981 | -- | 2,020 |
Washington12 | Washington is unable to report plan-level enrollment counts separately for Medicaid-only and Medicare-Medicaid dually eligible enrollees. As a result, enrollment counts for Medicare-Medicaid beneficiaries are excluded from this report. | 117,021 | 0 | 0 | -- | -- | 0 | -- | 0 | 0 | 0 | 2,020 |
West Virginia | null | 83,798 | 0 | -- | -- | -- | -- | -- | -- | -- | -- | 2,020 |
Wisconsin | null | 61,723 | 19,736 | -- | -- | 41,464 | 2 | -- | -- | 521 | 0 | 2,020 |
Wyoming | null | 11,835 | -- | -- | -- | -- | -- | -- | -- | 132 | -- | 2,020 |
TOTALS | null | 11,138,348 | 3,154,697 | 4,755 | 266,945 | 471,165 | 737,347 | 617,068 | 1,080,612 | 50,425 | 92 | 2,021 |
Alabama | null | 221,216 | -- | -- | 18,277 | -- | -- | -- | -- | 152 | -- | 2,021 |
Alaska | null | null | -- | -- | -- | -- | -- | -- | -- | -- | -- | 2,021 |
American Samoa | null | null | null | null | null | null | null | null | null | null | null | 2,021 |
Arizona | null | 249,510 | 128,391 | null | null | 29,507 | 14,816 | null | null | null | null | 2,021 |
Arkansas | null | 143,973 | 6,193 | 0 | null | null | null | 62,364 | 64,028 | 413 | 0 | 2,021 |
California | null | 1,472,734 | 961,385 | null | null | null | null | 61,758 | null | 8,850 | null | 2,021 |
Colorado | null | 97,676 | 11,402 | -- | 81,184 | -- | -- | -- | -- | 4,635 | -- | 2,021 |
Connecticut | null | null | -- | -- | -- | -- | -- | -- | -- | -- | -- | 2,021 |
Delaware | null | 31,047 | 15,027 | -- | -- | -- | -- | -- | 16,785 | 233 | -- | 2,021 |
District of Columbia | null | 38,902 | 1,855 | -- | -- | -- | -- | -- | 24,786 | -- | -- | 2,021 |
Florida | null | 945,043 | 104,308 | -- | -- | 110,549 | -- | 225,361 | -- | 2,929 | -- | 2,021 |
Georgia4 | Georgia is unable to provide separate counts of Medicaid-only and dually eligible individuals for their NEMT program. As a result, dually eligible enrollment is reported here as zero. | 371,127 | 0 | -- | -- | -- | -- | -- | 0 | -- | -- | 2,021 |
Guam | null | null | null | null | null | null | null | null | null | null | null | 2,021 |
Hawaii | null | 40,662 | 40,662 | -- | -- | -- | -- | -- | -- | -- | -- | 2,021 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.