Centers for Medicare and Medicaid Services

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Author
Medicaid.gov
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. 1. Total Medicaid Enrollees represents an unduplicated count of all beneficiaries in FFS and any type of managed care, including Medicaid-only and Medicare-Medicaid ("dual") enrollees. 2. Total Medicaid enrollment in Any Type of Managed Care represents an unduplicated count of beneficiaries enrolled in any Medicaid managed care program, including comprehensive MCOs, limited benefit MCOs, and PCCMs. 3. Medicaid Enrollment in Comprehensive Managed Care represents an unduplicated count of Medicaid beneficiaries enrolled in a managed care plan that provides comprehensive benefits (acute, primary care, specialty, and any other), as well as PACE programs. It excludes beneficiaries who are enrolled in a Financial Alignment Initiative Medicare-Medicaid Plan as their only form of managed care. 4. Medicaid Newly Eligible Adults Enrolled in Comprehensive MCOs represents individuals who are enrolled in comprehensive MCOs and are low-income adults, with or without dependent children, newly eligible for Medicaid under ACA Section VIII, and not covered under a waiver or other authority prior to 2014.
Category
Enrollment
Rating
Current value: 0 out of 5
License
Public Domain U.S. Government
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Field Names:

State
state
Notes
notes
Total Medicaid Enrollees
total_medicaid_enrollees
Total Medicaid Enrollment in Any Type of Managed Care
total_medicaid_enrollment_in_any_type_of_managed_care
Medicaid Enrollment in Comprehensive Managed Care
medicaid_enrollment_in_comprehensive_managed_care
Medicaid Newly Eligible Adults Enrolled in Comprehensive MCOs
medicaid_newly_eligible_adults_enrolled_in_comprehensive_mcos
Year
year

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