Managed Care Features By Enrollment Population
2024 Managed Care Features by Enrollment Population The Managed Care Features by Enrollment Population table (Table 7 in the Enrollment Report) lists the total number of managed care programs in the country by type...
Freshness
- Last posted
- Period covered
- Update frequency
Dates as CMS lists them in its catalog.
Columns 21
| Column | What it means | Type |
|---|---|---|
Featuresfeatures | text | |
Notesnotes | text | |
Comprehensive MCO with or without MLTSScomprehensive_mco_with_or_without_mltss | text | |
Comprehensive MCO with or without MLTSS 2comprehensive_mco_with_or_without_mltss_2 | text | |
PCCMpccm | text | |
PCCM 2pccm_2 | text | |
PCCM Entitypccm_entity | text | |
PCCM Entity 2pccm_entity_2 | text | |
MLTSSmltss | text | |
MLTSS 2mltss_2 | text | |
BHO (PIHP and/or PAHP)bho_pihp_andor_pahp | text | |
BHO (PIHP and/or PAHP) 2bho_pihp_andor_pahp_2 | text | |
Dentaldental | text | |
Dental 2dental_2 | text | |
Transportationtransportation | text | |
Transportation 2transportation_2 | text | |
Other PHPother_php | text | |
Other PHP 2other_php_2 | text | |
PACEpace | text | |
PACE 2pace_2 | text | |
Yearyear | text |
No column matches that filter.
At a glance
- Catalog
- data.medicaid.gov
- Publisher
- Centers for Medicare & Medicaid Services (CMS), data.medicaid.gov
- Rows
- 94
- Columns
- 21
- State column
- None found
- Topics
- Medicaid and CHIP
- Contact
- Medicaid.gov@cms.hhs.gov
API
Free, no key needed. This request returns the first 10 rows as JSON:
https://data.medicaid.gov/api/1/datastore/query/927f4847-2c0a-50c1-8f50-9103de7d048b/0?limit=10
CMS's description
2024 Managed Care Features by Enrollment Population The Managed Care Features by Enrollment Population table (Table 7 in the Enrollment Report) lists the total number of managed care programs in the country by type (comprehensive managed care, PCCM, dental, etc.) and lists the number of managed care programs by type that mandatorily or voluntarily enroll each population type which includes duals, children with special health care needs, and American Indians/Alaska Natives (AI/AN) population. 1. In some cases, the sum of mandatory and voluntary enrollment populations for any given program type is greater than the total number of programs of that type. That is because a state may treat individuals within a specific group differently. For example, a state can mandate enrollment for aged adults, while allowing blind and disabled adults to enroll voluntarily. 2. Certain federal statutory authorities do not allow enrollment of individuals who are AI/AN or children receiving Foster Care and Adoption Assistance (FC/AA). Where states use these authorities to operate Medicaid managed care, AI/AN individuals or children receiving FC/AA are considered "exempt." 2023 Managed Care Features by Enrollment Population The Managed Care Features by Enrollment Population table (Table 7 in the Enrollment Report) lists the total number of managed care programs in the country by type (e.g., Comprehensive MCO, PCCM, Dental) and lists the number of managed care programs by type that mandatorily or voluntarily enroll each population type which includes duals, children with special health care needs, and American Indians/Alaska Natives (AI/AN) population. 1. In some cases, the sum of mandatory and voluntary enrollment populations for any given program type is greater than the total number of programs of that type. That is because a state may treat individuals within a specific group differently. For example, a state can mandate enrollment for aged adults, while allowing blind and disabled adults to enroll voluntarily. 2. Certain federal statutory authorities do not allow enrollment of individuals who are AI/AN or children receiving Foster Care and Adoption Assistance (FC/AA). Where states use these authorities to operate Medicaid managed care, AI/AN individuals or children receiving FC/AA are considered "exempt."
The summary at the top is the first sentence of this description. Record id mcd:927f4847-2c0a-50c1-8f50-9103de7d048b. This record as JSON.