Datasets:

HHS-Official
/

managed-long-term-services-and-supports-mltss-enro

+State,Notes,Total Any Managed Care Enrollees,Comprehensive Managed Care LTSS Enrollees ,Comprehensive Managed Care LTSS Percent,Managed LTSS Only Enrollees,Managed LTSS Only Percent,Year
+TOTALS,,"65,034,032",1.30%,1.30%,"352,986",0.50%,2016
+Arkansas5,"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).","512,041",0.00%,0.00%,0,0.00%,2016
+District of Columbia,,"180,942",0.00%,0.00%,0,0.00%,2016
+Wyoming,,391,0.00%,0.00%,0,0.00%,2016
+Pennsylvania,,"2,521,421",0.00%,0.00%,0,0.00%,2016
+Massachusetts,,"1,268,120",3.70%,3.70%,0,0.00%,2016
+North Dakota,,"48,621",0.00%,0.00%,0,0.00%,2016
+Michigan6,"7,743 of Michigan's MLTSS users are receiving capitated HCBS under the state's Specialty Prepaid Inpatient Health Plan, a BHO. The remainder are receiving MLTSS under MI Choice, an MLTSS Only program.","4,370,138",0.00%,0.00%,"19,120",0.40%,2016
+Virginia,,"761,019",0.00%,0.00%,0,0.00%,2016
+Hawaii,,"354,289",2.60%,2.60%,0,0.00%,2016
+Kentucky,,"1,284,134",0.00%,0.00%,0,0.00%,2016
+South Dakota,,"94,295",0.00%,0.00%,0,0.00%,2016
+Montana,,"121,277",0.00%,0.00%,0,0.00%,2016
+Alabama,,"664,687",0.00%,0.00%,0,0.00%,2016
+California,,"10,574,784",3.00%,3.00%,0,0.00%,2016
+Missouri,,"961,682",0.00%,0.00%,0,0.00%,2016
+Northern Mariana Islands,,n/a,n/a,n/a,n/a,n/a,2016
+Louisiana,,"1,381,116",0.00%,0.00%,0,0.00%,2016
+New Jersey,,"1,557,081",1.90%,1.90%,0,0.00%,2016
+Delaware4,"Delaware, Idaho, Illinois, and Rhode Island report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. In previous years, they reported the number of users of LTSS. The totals in this column do not include those five states because it is a count of users, not enrollees.","196,102",6.30%,6.30%,0,0.00%,2016
+Washington,,"1,820,084",0.00%,0.00%,0,0.00%,2016
+Guam,,n/a,n/a,n/a,n/a,n/a,2016
+Oregon,,"894,543",0.00%,0.00%,0,0.00%,2016
+Alaska,,0,0.00%,0.00%,0,0.00%,2016
+New Hampshire,,"136,985",0.00%,0.00%,0,0.00%,2016
+New Mexico,,"684,488",4.40%,4.40%,0,0.00%,2016
+South Carolina,,"1,235,361",0.00%,0.00%,0,0.00%,2016
+Indiana,,"1,078,625",0.00%,0.00%,0,0.00%,2016
+Maine,,"239,953",0.00%,0.00%,0,0.00%,2016
+Rhode Island4,"Delaware, Idaho, Illinois, and Rhode Island report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. In previous years, they reported the number of users of LTSS. The totals in this column do not include those five states because it is a count of users, not enrollees.","278,087",1.80%,1.80%,0,0.00%,2016
+Mississippi,,"499,365",0.00%,0.00%,0,0.00%,2016
+Georgia,,"1,228,700",0.00%,0.00%,0,0.00%,2016
+West Virginia,,"390,083",0.00%,0.00%,0,0.00%,2016
+Utah,,"291,426",0.00%,0.00%,0,0.00%,2016
+Colorado,,"1,291,043",0.00%,0.00%,0,0.00%,2016
+Ohio8,"Since 2014, Ohio has operated an MLTSS program for dually eligible beneficiaries who chose not to participate in (i.e., opt out of) the MyCare Financial Alignment. Ohio began reporting the MyCare Opt-Out as an MLTSS program in 2016.","2,455,224",0.00%,0.00%,"40,709",1.70%,2016
+American Samoa,,n/a,n/a,n/a,n/a,n/a,2016
+New York,,"4,669,344",0.10%,0.10%,"157,229",3.40%,2016
+Texas,,"3,922,822",4.90%,4.90%,0,0.00%,2016
+Iowa,,"562,382",7.20%,7.20%,0,0.00%,2016
+Vermont,,"124,399",0.90%,0.90%,0,0.00%,2016
+Illinois4,"Delaware, Idaho, Illinois, and Rhode Island report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. In previous years, they reported the number of users of LTSS. The totals in this column do not include those five states because it is a count of users, not enrollees.","1,967,783",1.80%,1.80%,214,0.00%,2016
+Nevada,,"557,397",0.00%,0.00%,0,0.00%,2016
+Florida,,"3,280,187",0.00%,0.00%,"92,350",2.80%,2016
+Puerto Rico,,"1,617,501",0.00%,0.00%,0,0.00%,2016
+Oklahoma,,"643,789",0.00%,0.00%,0,0.00%,2016
+Minnesota7,"Minnesota's MLTSS user count includes 6,134 dually eligible Medicare-Medicaid beneficiaries who received skilled nursing visits in the home, some of which may be paid for by Medicare rather than Medicaid.","817,463",4.00%,4.00%,0,0.00%,2016
+Wisconsin,,"801,939",0.40%,0.40%,"43,578",5.40%,2016
+Maryland,,"1,080,085",0.00%,0.00%,0,0.00%,2016
+Connecticut,,0,0.00%,0.00%,0,0.00%,2016
+North Carolina,,"1,581,301",0.00%,0.00%,0,0.00%,2016
+Nebraska,,"242,836",0.00%,0.00%,0,0.00%,2016
+Virgin Islands,,n/a,n/a,n/a,n/a,n/a,2016
+Kansas,,"390,829",7.80%,7.80%,0,0.00%,2016
+Arizona,,"1,560,972",3.60%,3.60%,0,0.00%,2016
+Tennessee,,"1,556,369",1.70%,1.70%,0,0.00%,2016
+Idaho4,"Delaware, Idaho, Illinois, and Rhode Island report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. In previous years, they reported the number of users of LTSS. The totals in this column do not include those five states because it is a count of users, not enrollees.","280,527",0.80%,0.80%,0,0.00%,2016
+Georgia5,"Georgia's Total Medicaid Enrollment in Any Type of Managed Care does not include 1,626,252 NEMT enrollees; a portion of these enrollees are simultaneously enrolled in other managed care programs.","1,256,809",0.00%,0.00%,0,0.00%,2017
+Rhode Island4,"Delaware, Idaho, Illinois, Kansas, and Rhode Island report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. In previous years, they reported the number of users of LTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","309,037",1.10%,1.10%,0,0.00%,2017
+Nevada,,"578,683",0.00%,0.00%,0,0.00%,2017
+Washington,,"1,824,730",0.00%,0.00%,0,0.00%,2017
+North Carolina,,"1,607,806",0.00%,0.00%,0,0.00%,2017
+TOTALS,,"65,796,338",1.20%,1.20%,347011,0.50%,2017
+Louisiana,,"1,493,106",0.00%,0.00%,0,0.00%,2017
+Utah,,"282,603",0.00%,0.00%,0,0.00%,2017
+Mississippi,,"487,201",0.00%,0.00%,0,0.00%,2017
+Arizona,,"1,617,558",3.60%,3.60%,0,0.00%,2017
+New Hampshire,,"133,811",0.00%,0.00%,0,0.00%,2017
+Indiana,,"1,138,368",0.00%,0.00%,0,0.00%,2017
+American Samoa,,n/a,n/a,n/a,n/a,n/a,2017
+Missouri,,"975,297",0.00%,0.00%,0,0.00%,2017
+South Carolina,,"1,217,302",0.00%,0.00%,0,0.00%,2017
+Guam,,n/a,n/a,n/a,n/a,n/a,2017
+New York,,"4,710,609",0.20%,0.20%,184298,3.90%,2017
+Connecticut,,0,0.00%,0.00%,0,0.00%,2017
+Oklahoma,,"652,952",0.00%,0.00%,0,0.00%,2017
+Virginia,,"723,896",0.00%,0.00%,0,0.00%,2017
+Kentucky,,"1,308,047",0.00%,0.00%,0,0.00%,2017
+Ohio8,"Since 2014, Ohio has operated an MLTSS program for dually eligible beneficiaries who chose not to participate in (i.e., opt out of) the MyCare Financial Alignment. Ohio began reporting the MyCare Opt-Out as an MLTSS program in 2016.","2,551,378",1.80%,1.80%,0,0.00%,2017
+Illinois4,"Delaware, Idaho, Illinois, Kansas, and Rhode Island report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. In previous years, they reported the number of users of LTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","1,912,602",1.80%,1.80%,28223,1.50%,2017
+Texas,,"3,903,380",4.50%,4.50%,0,0.00%,2017
+Colorado,,"1,327,452",0.00%,0.00%,0,0.00%,2017
+Alaska,,0,0.00%,0.00%,0,0.00%,2017
+Hawaii,,"360,905",1.20%,1.20%,0,0.00%,2017
+Montana,,"175,012",0.00%,0.00%,0,0.00%,2017
+Wyoming,,395,0.00%,0.00%,0,0.00%,2017
+Massachusetts,,"1,247,614",4.40%,4.40%,0,0.00%,2017
+Kansas4,"Delaware, Idaho, Illinois, Kansas, and Rhode Island report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. In previous years, they reported the number of users of LTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","398,556",7.30%,7.30%,0,0.00%,2017
+Oregon,,"859,634",0.00%,0.00%,0,0.00%,2017
+South Dakota,,"93,369",0.00%,0.00%,0,0.00%,2017
+New Mexico,,"695,772",4.30%,4.30%,0,0.00%,2017
+Delaware4,"Delaware, Idaho, Illinois, Kansas, and Rhode Island report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. In previous years, they reported the number of users of LTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","208,221",6.20%,6.20%,0,0.00%,2017
+Virgin Islands,,n/a,n/a,n/a,n/a,n/a,2017
+Maryland,,"1,161,315",0.00%,0.00%,0,0.00%,2017
+Wisconsin,,"799,040",0.40%,0.40%,46013,5.80%,2017
+California,,"10,805,936",3.00%,3.00%,0,0.00%,2017
+Northern Mariana Islands,,n/a,n/a,n/a,n/a,n/a,2017
+District of Columbia,,"196,704",0.00%,0.00%,0,0.00%,2017
+Idaho4,"Delaware, Idaho, Illinois, Kansas, and Rhode Island report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. In previous years, they reported the number of users of LTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","292,732",0.80%,0.80%,0,0.00%,2017
+Pennsylvania,,"2,562,466",0.00%,0.00%,0,0.00%,2017
+Nebraska,,"246,633",0.00%,0.00%,0,0.00%,2017
+Tennessee9,,"1,409,555",1.80%,1.80%,0,0.00%,2017
+Iowa,,"556,741",7.40%,7.40%,0,0.00%,2017
+Alabama,,"636,919",0.00%,0.00%,0,0.00%,2017
+Michigan6,"7,634 of Michigan's MLTSS users are receiving capitated HCBS under the state's Specialty Prepaid Inpatient Health Plan, a BHO. The remainder are receiving MLTSS under MI Choice, an MLTSS Only program.","4,655,013",0.00%,0.00%,19062,0.40%,2017
+Vermont,,"96,823",0.90%,0.90%,0,0.00%,2017
+Maine,,"238,937",0.00%,0.00%,0,0.00%,2017
+North Dakota,,"49,733",0.00%,0.00%,0,0.00%,2017
+Florida,,"3,280,341",0.00%,0.00%,97638,3.00%,2017
+Arkansas,,"522,252",0.00%,0.00%,0,0.00%,2017
+New Jersey,,"1,560,395",2.40%,2.40%,0,0.00%,2017
+West Virginia,,"424,662",0.00%,0.00%,0,0.00%,2017
+Minnesota7,"Minnesota's MLTSS user count includes 4,107 dually eligible Medicare-Medicaid beneficiaries who received skilled nursing visits in the home, some of which may be paid for by Medicare rather than Medicaid.","846,115",3.80%,3.80%,0,0.00%,2017
+Puerto Rico,,"1,401,921",0.00%,0.00%,0,0.00%,2017
+TOTALS,,"66,163,611","1,017,265",1.50%,"278,891",0.40%,2018
+Alabama,,"638,221",0,0.00%,0,0.00%,2018
+Alaska,,0,0,0.00%,0,0.00%,2018
+American Samoa,,n/a,n/a,n/a,n/a,n/a,2018
+Arizona,,"1,560,593","60,015",3.80%,0,0.00%,2018
+Arkansas,,"871,262",0,0.00%,0,0.00%,2018
+California,,"10,670,306","346,031",3.20%,0,0.00%,2018
+Colorado,,"1,171,171",0,0.00%,0,0.00%,2018
+Connecticut,,0,0,0.00%,0,0.00%,2018
+Delaware,,"208,802","13,542",6.50%,0,0.00%,2018
+District of Columbia,,"245,921",0,0.00%,0,0.00%,2018
+Florida4,"Florida, Hawaii, Idaho, Illinois, Kansas, and Pennsylvania report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","3,178,981",0,0.00%,"101,524",3.20%,2018
+Georgia5," Georgia's Total Medicaid Enrollment in Any Type of Managed Care does not include 1,626,252 NEMT enrollees; a portion of these enrollees are simultaneously enrolled in other managed care programs.","1,485,250",0,0.00%,0,0.00%,2018
+Guam,,n/a,n/a,n/a,n/a,n/a,2018
+Hawaii4,"Florida, Hawaii, Idaho, Illinois, Kansas, and Pennsylvania report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","351,685","9,466",2.70%,0,0.00%,2018
+Idaho4,"Florida, Hawaii, Idaho, Illinois, Kansas, and Pennsylvania report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","272,979","3,799",1.40%,0,0.00%,2018
+Illinois4,"Florida, Hawaii, Idaho, Illinois, Kansas, and Pennsylvania report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","2,176,902","28,756",1.30%,"31,143",1.40%,2018
+Indiana,,"1,126,425",0,0.00%,0,0.00%,2018
+Iowa,,"580,507","41,421",7.10%,0,0.00%,2018
+Kansas4,"Florida, Hawaii, Idaho, Illinois, Kansas, and Pennsylvania report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","358,225","29,083",8.10%,0,0.00%,2018
+Kentucky,,"1,259,525",0,0.00%,0,0.00%,2018
+Louisiana,,"1,504,540",0,0.00%,0,0.00%,2018
+Maine,,"234,327",0,0.00%,0,0.00%,2018
+Maryland,,"1,169,708",0,0.00%,0,0.00%,2018
+Massachusetts,,"1,211,485","61,367",5.10%,0,0.00%,2018
+Michigan6," 7,760 of Michigan's MLTSS users are receiving capitated HCBS under the state's Specialty Prepaid Inpatient Health Plan, a BHO. The remainder are receiving MLTSS under MI Choice, an MLTSS Only program.","4,608,988",0,0.00%,"19,055",0.40%,2018
+Minnesota7," Minnesota's MLTSS user count includes 3,867 dually eligible Medicare-Medicaid beneficiaries who received skilled nursing visits in the home, some of which may be paid for by Medicare rather than Medicaid.","892,137","33,382",3.70%,0,0.00%,2018
+Mississippi,,"441,782",0,0.00%,0,0.00%,2018
+Missouri,,"954,603",0,0.00%,0,0.00%,2018
+Montana,,"215,475",0,0.00%,0,0.00%,2018
+Nebraska,,"249,024",0,0.00%,0,0.00%,2018
+Nevada,,"588,111",0,0.00%,0,0.00%,2018
+New Hampshire,,"133,829",0,0.00%,0,0.00%,2018
+New Jersey8, LTSS users in New Jersey are enrolled in either the FamilyCare program or the FIDE SNP program. Total LTSS users include enrollees from both of these program who use LTSS services.,"1,569,344","44,715",2.80%,0,0.00%,2018
+New Mexico,,"666,050","28,957",4.30%,0,0.00%,2018
+New York9, New York provides LTSS services through a comprehensive MCO+MLTSS program and a separate MLTSS-only program.,"4,764,261","11,144",0.20%,"211,268",4.40%,2018
+North Carolina,,"1,581,469",0,0.00%,0,0.00%,2018
+North Dakota,,"48,957",0,0.00%,0,0.00%,2018
+Northern Mariana Islands,,n/a,n/a,n/a,n/a,n/a,2018
+Ohio10," Since 2014, Ohio has operated an MLTSS program for dually eligible beneficiaries who chose not to participate in (i.e., opt out of) the MyCare Financial Alignment Demonstration. Ohio began reporting the MyCare Opt-Out as an MLTSS program in 2016.","2,450,031","20,050",0.80%,0,0.00%,2018
+Oklahoma,,"649,023",0,0.00%,0,0.00%,2018
+Oregon,,"847,570",0,0.00%,0,0.00%,2018
+Pennsylvania4,"Florida, Hawaii, Idaho, Illinois, Kansas, and Pennsylvania report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","2,627,563","22,523",0.90%,0,0.00%,2018
+Puerto Rico,,"1,505,610",0,0.00%,0,0.00%,2018
+Rhode Island,,"302,407",0,0.00%,0,0.00%,2018
+South Carolina,,"1,195,703",0,0.00%,0,0.00%,2018
+South Dakota,,"92,184",0,0.00%,0,0.00%,2018
+Tennessee,,"1,386,664","24,289",1.80%,0,0.00%,2018
+Texas,,"3,845,916","115,186",3.00%,0,0.00%,2018
+Utah,,"271,137",0,0.00%,0,0.00%,2018
+Vermont,,"123,310","1,311",1.10%,0,0.00%,2018
+Virgin Islands,,n/a, n/a ,n/a,n/a,n/a,2018
+Virginia,,"875,351","212,460",24.30%,0,0.00%,2018
+Washington,,"1,781,048",0,0.00%,0,0.00%,2018
+West Virginia,,"407,193",0,0.00%,0,0.00%,2018
+Wisconsin,,"811,920","3,395",0.40%,"48,568",6.00%,2018
+Wyoming,,136,0,0.00%,0,0.00%,2018
+TOTALS,,"65,745,133","1,290,699",1.96%,"299,888",0.46%,2019
+Alabama,,"869,791",--,--,--,--,2019
+Alaska,,--,--,--,--,--,2019
+American Samoa,,n/a,n/a,n/a,n/a,n/a,2019
+Arizona,,"1,580,628","63,549",4.0%,--,--,2019
+Arkansas,,"822,839","44,830",5.4%,--,--,2019
+California,,"10,394,575","362,877",3.5%,--,--,2019
+Colorado,,"1,182,928",--,--,--,--,2019
+Connecticut,,--,--,--,--,--,2019
+Delaware,,"208,650","14,916",7.1%,--,--,2019
+District of Columbia,,"249,119",--,--,--,--,2019
+Florida4,"Florida, Idaho, Illinois, and Kansas report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","3,097,487",--,--,"111,856",4%,2019
+Georgia,,"1,466,300",--,--,--,--,2019
+Guam,,n/a,n/a,n/a,n/a,n/a,2019
+Hawaii,,"327,762","7,728",2.4%,--,--,2019
+Idaho4,"Florida, Idaho, Illinois, and Kansas report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","289,155","12,230",4.2%,--,--,2019
+Illinois4,"Florida, Idaho, Illinois, and Kansas report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","2,122,611","32,980",1.6%,"52,450",2.5%,2019
+Indiana,,"1,074,748",--,--,--,--,2019
+Iowa,,"603,246","46,644",7.7%,--,--,2019
+Kansas4,"Florida, Idaho, Illinois, and Kansas report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those six states because it is a count of users, not enrollees.","341,879","29,017",8.5%,--,--,2019
+Kentucky,,"1,224,145",--,--,--,--,2019
+Louisiana,,"1,501,128",--,--,--,--,2019
+Maine,,"242,488",--,--,--,--,2019
+Maryland,,"1,190,559",--,--,--,--,2019
+Massachusetts,,"1,187,701","67,047",5.6%,,0.0%,2019
+Michigan,,"4,650,365","7,620",0.2%,"11,425",0.2%,2019
+Minnesota,,"849,507","34,701",4.1%,,0.0%,2019
+Mississippi,,"436,028",--,--,--,--,2019
+Missouri,,"840,878",--,--,--,--,2019
+Montana,,"207,316",--,--,--,--,2019
+Nebraska,,"247,490",--,--,--,--,2019
+Nevada,,"575,184",--,--,--,--,2019
+New Hampshire,,"173,073",--,--,--,--,2019
+New Jersey,,"1,499,339","50,230",3.4%,--,--,2019
+New Mexico,,"668,435","28,443",4.3%,--,--,2019
+New York,,"4,705,224","16,372",0.3%,"238,684",5.1%,2019
+North Carolina,,"1,621,483",--,--,--,--,2019
+North Dakota,,"45,939",--,--,--,--,2019
+Northern Mariana Islands,,n/a,n/a,n/a,n/a,n/a,2019
+Ohio,,"2,371,585","23,636",1.0%,--,--,2019
+Oklahoma,,"645,075",--,--,--,--,2019
+Oregon,,"869,710",--,--,--,--,2019
+Pennsylvania,,"2,626,598","87,792",3.3%,--,--,2019
+Puerto Rico,,"1,331,694",--,--,--,--,2019
+Rhode Island,,"293,043",--,--,--,--,2019
+South Carolina,,"1,253,433",--,--,--,--,2019
+South Dakota,,"90,253",--,--,--,--,2019
+Tennessee,,"1,437,688","27,470",1.9%,--,--,2019
+Texas,,"3,742,053","157,085",4.2%,--,--,2019
+Utah,,"258,484",--,--,--,--,2019
+Vermont,,"108,731","1,242",1.1%,--,--,2019
+Virgin Islands,,n/a,n/a,n/a,n/a,n/a,2019
+Virginia,,"1,275,928","244,862",19.2%,--,--,2019
+Washington,,"1,742,684",--,--,--,--,2019
+West Virginia,,"387,376",--,--,--,--,2019
+Wisconsin,,"812,661","3,655",0.4%,"49,779",6.1%,2019
+Wyoming,,137,--,--,--,--,2019
+TOTALS,,"67,836,622","1,396,445",2.06%,"319,537",0.47%,2020
+Alabama,,"861,758",--,--,--,--,2020
+Alaska,,--,--,--,--,--,2020
+American Samoa,,n/a,n/a,n/a,n/a,n/a,2020
+Arizona,,"1,711,292","64,421",3.8%,--,--,2020
+Arkansas,,"875,994","43,180",4.9%,--,--,2020
+California,,"10,650,556"," 338,897 ",3.2%,--,--,2020
+Colorado,,"1,266,374",--,--,--,--,2020
+Connecticut,,--,--,--,--,--,2020
+Delaware,,"217,895","15,229",7.0%,--,--,2020
+District of Columbia,,"247,592",--,--,--,--,2020
+Florida4,"Florida, Idaho, Illinois, and Kansas report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those four states because it is a count of users, not enrollees.","3,580,237","91,920",0,"119,623",3%,2020
+Georgia5,"Georgia's Total Medicaid Enrollment in Any Type of Managed Care does not include 1,766,478 NEMT enrollees; a portion of these enrollees are simultaneously enrolled in other managed care programs.","1,647,055",--,--,--,--,2020
+Guam,,n/a,n/a,n/a,n/a,n/a,2020
+Hawaii,,"360,277"," 8,417 ",2.3%,--,--,2020
+Idaho4,"Florida, Idaho, Illinois, and Kansas report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those four states because it is a count of users, not enrollees.","344,075","22,442",6.5%,--,--,2020
+Illinois4,"Florida, Idaho, Illinois, and Kansas report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those four states because it is a count of users, not enrollees.","2,394,304","37,869",1.6%,"56,910",2.4%,2020
+Indiana,,"1,200,444",--,--,--,--,2020
+Iowa,,"603,274","46,819",7.8%,--,--,2020
+Kansas4,"Florida, Idaho, Illinois, and Kansas report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those four states because it is a count of users, not enrollees.","365,808","30,569",8.4%,--,--,2020
+Kentucky,,"1,418,458",--,--,--,--,2020
+Louisiana,,"1,612,144",--,--,--,--,2020
+Maine,,"265,968",--,--,--,--,2020
+Maryland,,"1,256,287",--,--,--,--,2020
+Massachusetts,,"1,239,099","64,935",5.2%,--,--,2020
+Michigan6,"7,619 of Michigan's MLTSS users are receiving capitated HCBS under the state's Specialty Prepaid Inpatient Health Plan, a BHO. The remainder are receiving MLTSS under MI Choice, an MLTSS Only program.","2,415,313",--,--,"19,498",0.8%,2020
+Minnesota,,"941,818","52,894",5.6%,--,--,2020
+Mississippi,,"450,665",--,--,--,--,2020
+Missouri,,"815,724",--,--,--,--,2020
+Montana,,"235,052",--,--,--,--,2020
+Nebraska,,"261,472",--,--,--,--,2020
+Nevada,,"650,160",--,--,--,--,2020
+New Hampshire,,"190,713",--,--,--,--,2020
+New Jersey,,"1,588,936","50,717",3.2%,--,--,2020
+New Mexico,,"718,655","30,313",4.2%,--,--,2020
+New York,,"5,014,525","21,363",0.4%,"248,964",5.0%,2020
+North Carolina,,"1,703,303",--,--,--,--,2020
+North Dakota,,"52,986",--,--,--,--,2020
+Northern Mariana Islands,,n/a,n/a,n/a,n/a,n/a,2020
+Ohio,,"2,575,003","24,508",1.0%,--,--,2020
+Oklahoma,,"701,359",--,--,--,--,2020
+Oregon,,"969,719",--,--,--,--,2020
+Pennsylvania,,"2,842,424","183,605",6.5%,--,--,2020
+Puerto Rico,,"1,283,091",--,--,--,--,2020
+Rhode Island,,"301,740","1,972",0.7%,--,--,2020
+South Carolina,,"1,277,117",--,--,--,--,2020
+South Dakota,,"79,462",--,--,--,--,2020
+Tennessee,,"1,464,590","26,504",1.8%,--,--,2020
+Texas,,"4,074,510","159,555",3.9%,--,--,2020
+Utah,,"324,302",--,--,--,--,2020
+Vermont,,"118,656","1,241",1.0%,--,--,2020
+Virgin Islands,,n/a,n/a,n/a,n/a,n/a,2020
+Virginia,,"1,473,316","257,623",17.5%,--,--,2020
+Washington,,"1,830,122",--,--,--,--,2020
+West Virginia,,"429,336",--,--,--,--,2020
+Wisconsin,,"933,527","4,252",0.5%,"51,075",5.5%,2020
+Wyoming,,135,--,--,--,--,2020
+TOTALS,,"77,211,654","1,557,636",2.0%,"377,475",0.49%,2021
+Alabama,,"951,174",--,--,--,--,2021
+Alaska,,--,--,--,--,--,2021
+American Samoa,,n/a,n/a,n/a,n/a,n/a,2021
+Arizona,,"1,920,290",557,0.0%,"62,938",3.3%,2021
+Arkansas,,"963,945","653,199",67.8%,--,--,2021
+California,,"11,674,619"," 344,970 ",3.0%,--,--,2021
+Colorado,,"1,422,844",--,--,--,--,2021
+Connecticut,,--,--,--,--,--,2021
+Delaware,,"244,822","15,774",6.4%,--,--,2021
+District of Columbia,,"268,245",--,--,--,--,2021
+Florida4,"Florida, Idaho, Illinois, Kansas, and Pennsylvania report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those five states because it is a count of users, not enrollees.","4,099,027",--,--,"121,321",3.0%,2021
+Georgia,,"2,229,243",--,--,--,--,2021
+Guam,,n/a,n/a,n/a,n/a,n/a,2021
+Hawaii,,"420,033","8,408",2.0%,--,--,2021
+Idaho4,"Florida, Idaho, Illinois, Kansas, and Pennsylvania report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those five states because it is a count of users, not enrollees.","391,216","23,603",6.0%,--,--,2021
+"Illinois4,5","Florida, Idaho, Illinois, Kansas, and Pennsylvania report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those five states because it is a count of users, not enrollees. In Illinois, the total number of  MLTSS enrollees 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.","2,680,873","41,131",1.5%,"64,799",2.4%,2021
+Indiana,,"1,474,054",--,--,--,--,2021
+Iowa,,"711,427","38,649",5.4%,--,--,2021
+Kansas4,"Florida, Idaho, Illinois, Kansas, and Pennsylvania report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those five states because it is a count of users, not enrollees.","407,229","30,015",7.4%,--,--,2021
+Kentucky,,"1,582,351",--,--,--,--,2021
+Louisiana,,"1,759,372",--,--,--,--,2021
+Maine,,"326,611",--,--,--,--,2021
+Maryland,,"1,520,599",--,--,--,--,2021
+Massachusetts,,"1,387,657","69,129",5.0%,--,--,2021
+Michigan,,"2,692,435",--,--,"19,895",0.7%,2021
+Minnesota,,"1,150,333","52,375",4.6%,--,--,2021
+Mississippi,,"475,168",--,--,--,--,2021
+Missouri,,"810,775",--,--,--,--,2021
+Montana,,"245,390",--,--,--,--,2021
+Nebraska,,"334,939",--,--,--,--,2021
+Nevada,,"792,428",--,--,--,--,2021
+New Hampshire,,"218,604",--,--,--,--,2021
+New Jersey,,"1,821,033","57,525",3.2%,--,--,2021
+New Mexico,,"781,820","33,267",4.3%,--,--,2021
+New York,,"5,620,459","28,966",0.5%,"243,332",4.3%,2021
+North Carolina,,"2,054,350",--,--,--,--,2021
+North Dakota,,"86,164",--,--,--,--,2021
+Northern Mariana Islands,,n/a,n/a,n/a,n/a,n/a,2021
+Ohio6,"Ohio provides MLTSS through three managed care programs (i.e., MyCare Ohio Opt-Out, MyCare Ohio Opt-In, and PACE). The MLTSS number above (24,200) is the total number of MyCare Ohio Opt-Out beneficiaries using MLTSS on July 1, 2021. Per CMS direction PACE and the MyCare Ohio Opt-In program (a Financial Alignment Initiative demonstration) are excluded from the MLTSS counts in this table.","2,782,891","24,200",0.9%,--,--,2021
+Oklahoma,,"1,049,630",--,--,--,--,2021
+Oregon,,"1,164,999",--,--,--,--,2021
+Pennsylvania4,"Florida, Idaho, Illinois, Kansas, and Pennsylvania report the number of enrollees in their MLTSS programs, some of whom may not be using MLTSS. The totals in this column do not include those five states because it is a count of users, not enrollees.","3,155,790","387,429",12.3%,--,--,2021
+Puerto Rico,,"1,501,860",--,--,--,--,2021
+Rhode Island,,"336,240","2,436",0.7%,--,--,2021
+South Carolina,,"1,446,070",--,--,--,--,2021
+South Dakota,,"83,890",--,--,--,--,2021
+Tennessee,,"1,596,482","24,699",1.5%,--,--,2021
+Texas,,"4,770,549","123,820",2.6%,--,--,2021
+Utah,,"402,216",--,--,--,--,2021
+Vermont,,"131,002","1,195",0.9%,--,--,2021
+Virgin Islands,,n/a,n/a,n/a,n/a,n/a,2021
+Virginia,,"1,692,156","74,707",4.4%,--,--,2021
+Washington,,"2,008,655",--,--,--,--,2021
+West Virginia,,"488,048",--,--,--,--,2021
+Wisconsin,,"1,081,647","3,760",0.3%,"51,310",4.7%,2021
+Wyoming,,--,--,--,--,--,2021
+TOTALS,--,"83,331,189","1,421,310",1.7%,"365,552",0.4%,2022
+Alabama,--,"1,028,114",--,--,--,--,2022
+Alaska,--,-,--,--,--,--,2022
+American Samoa,--,n/a,n/a,n/a,n/a,n/a,2022
+Arizona,--,"2,066,895",505,0.0%,"64,311",3.1%,2022
+Arkansas,--,"1,707,791","34,321",2.0%,--,--,2022
+California,--,"12,841,729","327,126",2.5%,--,--,2022
+Colorado,--,"1,544,749",--,--,--,--,2022
+Connecticut,--,-,--,--,--,--,2022
+Delaware,--,"268,117","14,284",5.3%,--,--,2022
+District of Columbia,--,"288,796",--,--,--,--,2022
+Florida,--,"5,076,398","124,107",2.4%,--,--,2022
+Georgia,--,"2,416,856",--,--,--,--,2022
+Guam,--,n/a,n/a,n/a,n/a,n/a,2022
+Hawaii,--,"450,159","13,750",3.1%,--,--,2022
+Idaho,--,"404,124","9,844",2.4%,--,--,2022
+Illinois,--,"2,796,521","56,043",2.0%,--,--,2022
+Indiana,--,"1,659,715",--,--,--,--,2022
+Iowa,--,"761,121","37,359",4.9%,--,--,2022
+Kansas,--,"443,835","30,371",6.8%,--,--,2022
+Kentucky,--,"1,494,070",--,--,--,--,2022
+Louisiana,--,"1,839,327",--,--,--,--,2022
+Maine,--,"345,429",--,--,--,--,2022
+Maryland,--,"1,496,250",--,--,--,--,2022
+Massachusetts,--,"1,387,657","69,129",5.0%,--,--,2022
+Michigan,--,"3,074,187",--,--,--,--,2022
+Minnesota,--,"1,168,879","51,234",4.4%,--,--,2022
+Mississippi,--,"367,137",--,--,--,--,2022
+Missouri,--,"1,016,503",--,--,--,--,2022
+Montana,--,"243,475",--,--,--,--,2022
+Nebraska,--,"373,534",--,--,--,--,2022
+Nevada,--,"839,650",--,--,--,--,2022
+New Hampshire,--,"236,926",--,--,--,--,2022
+New Jersey,--,"1,950,681","64,055",3.3%,--,--,2022
+New Mexico,--,"814,749","31,529",3.9%,--,--,2022
+New York,--,"5,889,363","40,989",0.7%,"248,579",4.2%,2022
+North Carolina,--,"2,245,044",0,--,--,--,2022
+North Dakota,--,"95,076",--,--,--,--,2022
+Northern Mariana Islands,--,n/a,n/a,n/a,n/a,n/a,2022
+Ohio,--,"2,962,997","147,708",5.0%,--,--,2022
+Oklahoma,--,"824,413",--,--,--,--,2022
+Oregon,--,"1,265,779",0,--,--,--,2022
+Pennsylvania,--,"3,484,439","109,953",3.2%,--,--,2022
+Puerto Rico,--,"1,594,058",--,--,--,--,2022
+Rhode Island,--,"351,133",--,--,--,--,2022
+South Carolina,--,"1,060,312",--,--,--,--,2022
+South Dakota,--,"104,455",--,--,--,--,2022
+Tennessee,--,"1,697,632","24,738",1.5%,--,--,2022
+Texas,--,"5,328,691","149,913",2.8%,--,--,2022
+Utah,--,"449,492",--,--,--,--,2022
+Vermont,--,"134,347",680,0.5%,--,--,2022
+Virgin Islands,--,n/a,n/a,n/a,n/a,n/a,2022
+Virginia,--,"1,794,045","79,962",4.5%,--,--,2022
+Washington,--,"1,894,623",--,--,--,--,2022
+West Virginia,--,"589,322",--,--,--,--,2022
+Wisconsin,--,"1,162,594","3,710",0.3%,"52,662",4.5%,2022
+Wyoming,--,--,--,--,--,--,2022