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
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Idaho | null | 51,066 | 23,603 | 4,755 | -- | -- | 6,116 | 29,853 | 29,853 | -- | -- | 2,021 |
Illinois5 | In Illinois, the total number of beneficiaries using MLTSS increased substantially in 2021 due to the statewide expansion of the Medicare-Medicaid Alignment Initiative (MMAI) Program with initial enrollment effective dates of July 1, 2021. MLTSS members disenrolling from the MMAI program enrolled in the MLTSS program, with initial enrollment effective dates of July 1, 2021. | 422,567 | 0 | -- | -- | 64,799 | -- | -- | -- | -- | -- | 2,021 |
Indiana6 | The dually eligible individuals 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. | 237,807 | 9,209 | -- | -- | -- | -- | -- | -- | 402 | -- | 2,021 |
Iowa | null | 92,987 | 70,192 | -- | -- | -- | -- | 70,515 | -- | 568 | -- | 2,021 |
Kansas | null | 85,977 | 41,815 | -- | -- | -- | -- | -- | -- | 0 | -- | 2,021 |
Kentucky | null | 102,045 | 72,313 | -- | -- | -- | -- | -- | 102,045 | -- | -- | 2,021 |
Louisiana | null | 249,986 | 1,046 | null | null | null | 125,586 | 131,128 | null | 403 | null | 2,021 |
Maine | null | 97,691 | -- | 0 | -- | -- | -- | -- | 54,881 | -- | -- | 2,021 |
Maryland | null | 182,712 | 0 | -- | -- | -- | -- | -- | -- | 83 | -- | 2,021 |
Massachusetts | null | 377,275 | 65,632 | 0 | 0 | -- | 0 | -- | -- | 4,788 | -- | 2,021 |
Michigan | null | 352,294 | 47,574 | -- | -- | 11,435 | 0 | 0 | -- | 3,795 | -- | 2,021 |
Minnesota | null | 131,786 | 41,785 | null | null | null | null | null | null | null | null | 2,021 |
Mississippi | null | 165,884 | 0 | -- | -- | -- | -- | -- | -- | -- | -- | 2,021 |
Missouri | null | 203,982 | 0 | -- | -- | -- | -- | -- | 168,429 | -- | -- | 2,021 |
Montana | null | 28,950 | -- | 0 | -- | -- | -- | -- | -- | -- | -- | 2,021 |
Nebraska | null | 36,925 | 36,233 | null | null | null | null | 36,019 | null | 193 | null | 2,021 |
Nevada | null | 6,484 | 0 | -- | -- | -- | -- | 0 | 0 | -- | -- | 2,021 |
New Hampshire | null | 35,518 | 19,556 | -- | -- | -- | -- | -- | -- | -- | -- | 2,021 |
New Jersey | null | 235,908 | 199,422 | -- | -- | -- | -- | -- | 199,598 | 1,012 | -- | 2,021 |
New Mexico | null | 48,519 | 47,575 | -- | -- | -- | -- | -- | -- | 944 | -- | 2,021 |
New York | null | 1,027,881 | 32,052 | -- | -- | 213,455 | -- | -- | -- | 4,856 | -- | 2,021 |
North Carolina | null | 379,080 | 347 | -- | 167,484 | -- | 181,139 | -- | -- | 1,992 | -- | 2,021 |
North Dakota | null | 17,305 | 17,305 | 0 | -- | -- | -- | -- | -- | 158 | -- | 2,021 |
Northern Mariana Islands | null | null | null | null | null | null | null | null | null | null | null | 2,021 |
Ohio | null | 251,693 | 57,450 | -- | -- | -- | -- | -- | -- | 543 | -- | 2,021 |
Oklahoma | null | 124,856 | -- | 0 | -- | -- | -- | -- | 99,411 | 1,023 | -- | 2,021 |
Oregon7 | 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. | 87,316 | 87,316 | -- | -- | -- | -- | -- | -- | 1,468 | -- | 2,021 |
Pennsylvania | null | 490,940 | 42,332 | -- | -- | -- | 381,219 | -- | 84,424 | 7,022 | 92 | 2,021 |
Puerto Rico | null | 341,495 | 341,495 | -- | -- | -- | -- | -- | -- | -- | -- | 2,021 |
Rhode Island | null | 40,513 | 3,693 | -- | -- | -- | -- | 52 | 39,335 | 316 | -- | 2,021 |
South Carolina | null | 170,605 | 0 | 0 | -- | -- | -- | -- | 170,605 | 389 | -- | 2,021 |
South Dakota | null | 18,930 | -- | 0 | -- | -- | -- | -- | -- | -- | -- | 2,021 |
Tennessee8 | Tennessee’s enrollment in comprehensive MCOs includes 420 dually eligible individuals who were also enrolled in OptumRx for pharmacy benefits and 420 dually eligible individuals who are also enrolled in an MCO plus DentaQuest USA Insurance Company for dental services. | 279,004 | 158,035 | -- | -- | -- | -- | -- | -- | 255 | -- | 2,021 |
Texas | null | 681,233 | 296,579 | -- | -- | -- | -- | 0 | -- | 1,032 | -- | 2,021 |
Utah | null | 35,721 | 23,808 | -- | -- | -- | 28,471 | 18 | 26,432 | -- | -- | 2,021 |
Vermont9 | The Department of Vermont Health Access, a state agency, acts as Vermont's single MCO entity via a managed care-like model that operates like a non-risk pre-paid inpatient health plan (PIHP). Vermont pays for Medicaid services for dually eligible individuals on an 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. | 33,822 | 669 | null | null | null | null | null | null | null | null | 2,021 |
Virgin Islands | null | null | null | null | null | null | null | null | null | null | null | 2,021 |
Virginia | null | 127,891 | 126,407 | null | null | null | null | null | null | 1,484 | null | 2,021 |
Washington10 | Washington is unable to report plan-level enrollment counts separately for Medicaid-only and dually eligible individuals. As a result, enrollment counts for dually eligible individuals are excluded from this report. | 119,074 | 0 | 0 | null | null | 0 | null | 0 | 0 | 0 | 2,021 |
West Virginia | null | 88,798 | 0 | -- | -- | -- | -- | -- | -- | -- | -- | 2,021 |
Wisconsin | null | 63,938 | 22,031 | -- | -- | 41,420 | 0 | -- | -- | 487 | 0 | 2,021 |
Wyoming | null | null | -- | -- | -- | -- | -- | -- | -- | -- | -- | 2,021 |
TOTALS | -- | 11,329,890 | 3,912,270 | 157,933 | 289,331 | 299,013 | 762,954 | 594,393 | 1,053,509 | 51,115 | 256,858 | 2,022 |
Alabama | -- | 228,339 | -- | -- | 18,983 | -- | -- | -- | -- | 163 | -- | 2,022 |
Alaska | -- | null | -- | -- | -- | -- | -- | -- | -- | -- | -- | 2,022 |
American Samoa | -- | null | null | null | null | null | null | null | null | null | null | 2,022 |
Arizona | -- | 263,180 | 139,969 | -- | -- | 29,464 | 15,112 | -- | -- | -- | -- | 2,022 |
Arkansas | -- | 153,050 | 6,904 | 153,050 | -- | -- | -- | 74,216 | 75,684 | 461 | -- | 2,022 |
California | -- | 1,559,182 | 1,020,629 | -- | -- | -- | -- | 68,405 | -- | 10,651 | -- | 2,022 |
Colorado | -- | 142,508 | -- | -- | 101,683 | -- | -- | -- | -- | 4,282 | -- | 2,022 |
Connecticut | -- | null | -- | -- | -- | -- | -- | -- | -- | -- | -- | 2,022 |
Delaware | -- | 23,421 | 14,146 | -- | -- | -- | -- | -- | 17,901 | 266 | -- | 2,022 |
District of Columbia | -- | 41,101 | 15,403 | -- | -- | -- | -- | -- | 18,304 | -- | -- | 2,022 |
Florida | -- | 979800 | 173,138 | -- | -- | -- | -- | 173,087 | 42,053 | 2,351 | 256,765 | 2,022 |
Georgia | -- | 390,739 | 0 | -- | -- | -- | -- | -- | 0 | -- | 0 | 2,022 |
Guam | -- | null | null | null | null | null | null | null | null | null | null | 2,022 |
Hawaii | -- | 39,522 | 39,522 | -- | -- | -- | -- | -- | -- | -- | -- | 2,022 |
Idaho | -- | 53,001 | 25,689 | 4,883 | -- | -- | 6,543 | 32,232 | 32,232 | -- | -- | 2,022 |
Illinois | -- | 456,554 | 0 | -- | -- | -- | -- | -- | -- | -- | -- | 2,022 |
Indiana | -- | 251,845 | 14,449 | -- | -- | -- | -- | -- | -- | 419 | -- | 2,022 |
Iowa | -- | 96,950 | 72,835 | -- | -- | -- | -- | 73,189 | 841 | 578 | -- | 2,022 |
Kansas | -- | 93,763 | 44,244 | -- | -- | -- | -- | -- | -- | 0 | -- | 2,022 |
Kentucky | -- | 196403 | 78,422 | -- | -- | -- | -- | -- | 104,585 | -- | -- | 2,022 |
Louisiana | -- | 261,993 | 2,371 | -- | -- | -- | 128,726 | 135,648 | -- | 393 | -- | 2,022 |
Maine | -- | 93,532 | -- | 0 | -- | -- | -- | -- | 59,045 | -- | -- | 2,022 |
Maryland | -- | 174,112 | 0 | -- | -- | -- | -- | -- | -- | 0 | -- | 2,022 |
Massachusetts | -- | 377,275 | 65,632 | 0 | 0 | -- | 0 | -- | -- | 4,788 | -- | 2,022 |
Michigan | -- | 51,546 | 47,433 | -- | -- | 10,586 | 0 | 0 | -- | 4,086 | -- | 2,022 |
Minnesota | -- | 43,465 | 42,963 | -- | -- | -- | -- | -- | -- | -- | -- | 2,022 |
Mississippi | -- | 0 | 0 | -- | -- | -- | -- | -- | -- | -- | -- | 2,022 |
Missouri | -- | 211,620 | 0 | -- | -- | -- | -- | -- | 175,613 | 10 | -- | 2,022 |
Montana | -- | 30,204 | -- | 0 | -- | -- | -- | -- | -- | -- | -- | 2,022 |
Nebraska | -- | 38,314 | 37,518 | -- | -- | -- | -- | 37,490 | -- | 181 | -- | 2,022 |
Nevada | -- | 91,338 | 0 | -- | -- | -- | -- | 0 | 0 | -- | -- | 2,022 |
New Hampshire | -- | 37,638 | 21,283 | -- | -- | -- | -- | -- | -- | -- | -- | 2,022 |
New Jersey | -- | 199,783 | 283,013 | -- | -- | -- | -- | -- | 182,983 | 1,034 | -- | 2,022 |
New Mexico | -- | 46,254 | 46,254 | -- | -- | -- | -- | -- | -- | 384 | -- | 2,022 |
New York | -- | 1,057,154 | 57,326 | -- | -- | 216,658 | -- | -- | -- | 4,870 | -- | 2,022 |
North Carolina | -- | 401,840 | 465 | -- | 168,661 | -- | 181,104 | -- | -- | 1,929 | -- | 2,022 |
North Dakota | -- | 17,677 | 0 | 0 | -- | -- | -- | -- | -- | 175 | -- | 2,022 |
Northern Mariana Islands | -- | null | null | null | null | null | null | null | null | null | null | 2,022 |
Ohio | -- | 395,829 | 147,777 | -- | -- | -- | -- | -- | -- | 532 | -- | 2,022 |
Oklahoma | -- | 133,713 | -- | 0 | -- | -- | -- | -- | 133,713 | 623 | -- | 2,022 |
Oregon | -- | 100,539 | 98,998 | -- | -- | -- | -- | -- | -- | 1,541 | -- | 2,022 |
Pennsylvania | -- | 512,383 | 370,173 | -- | -- | -- | 394,973 | -- | 87,571 | 7,287 | 93 | 2,022 |
Puerto Rico | -- | 370,273 | 370,273 | -- | -- | -- | -- | -- | -- | -- | -- | 2,022 |
Rhode Island | -- | 45,271 | 5,151 | -- | -- | -- | -- | 60 | 42,694 | 358 | -- | 2,022 |
South Carolina | -- | 172,796 | 359 | -- | 4 | -- | -- | -- | -- | 447 | -- | 2,022 |
South Dakota | -- | 19,173 | -- | 0 | -- | -- | -- | -- | -- | -- | -- | 2,022 |
Tennessee | -- | 285,069 | 167,802 | -- | -- | -- | -- | -- | -- | 273 | -- | 2,022 |
Texas | -- | 702,582 | 310,012 | -- | -- | -- | -- | 0 | -- | 1,041 | -- | 2,022 |
Utah | -- | 37,689 | 29,827 | -- | -- | -- | 36,496 | 66 | 33,327 | -- | -- | 2,022 |
Vermont | -- | 34,888 | 796 | -- | -- | -- | -- | -- | -- | -- | -- | 2,022 |
Virgin Islands | -- | null | null | null | null | null | null | null | null | null | null | 2,022 |
Virginia | -- | 139,708 | 136,143 | -- | -- | -- | -- | -- | -- | 1,507 | -- | 2,022 |
Washington | -- | 113,005 | 0 | -- | 0 | -- | 0 | -- | -- | 0 | -- | 2,022 |
West Virginia | -- | 95,728 | 0 | -- | -- | -- | -- | -- | 46,963 | -- | -- | 2,022 |
Wisconsin | -- | 68,141 | 25,351 | -- | -- | 42,305 | 0 | -- | -- | 485 | 0 | 2,022 |
Wyoming | -- | null | -- | -- | -- | -- | -- | -- | -- | -- | -- | 2,022 |
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