{
 "id": "mcd:ef16c490-861a-4b1f-9e6d-f321abdcaab1",
 "slug": "managed-care-programs-by-state",
 "source": "data.medicaid.gov",
 "title": "Managed Care Programs By State",
 "summary": "The Managed Care Program Features lists characteristics of each state’s Medicaid managed care programs, including federal operating authority, population enrolled, and benefits covered.",
 "description": "The Managed Care Program Features lists characteristics of each state’s Medicaid managed care programs, including federal operating authority, population enrolled, and benefits covered.",
 "aliases": [],
 "keywords": [
  "Medicaid"
 ],
 "themes": [],
 "topics": [
  "medicaid-chip"
 ],
 "category": "Other Medicaid data",
 "publisher": "Centers for Medicare & Medicaid Services (CMS), data.medicaid.gov",
 "contact": "Medicaid.gov@cms.hhs.gov",
 "landing_url": "https://data.medicaid.gov/dataset/ef16c490-861a-4b1f-9e6d-f321abdcaab1",
 "csv_url": "https://download.medicaid.gov/data/managed-care-program-by-state-2024.csv",
 "api_url": "https://data.medicaid.gov/api/1/datastore/query/ef16c490-861a-4b1f-9e6d-f321abdcaab1/0",
 "api_kind": "dkan-datastore",
 "preview_url": null,
 "dictionary_url": null,
 "dictionary_kind": null,
 "methodology_urls": [],
 "state_column": "state",
 "row_count": 183,
 "posted": "2026-02-11",
 "modified": "2026-02-11",
 "period_start": null,
 "period_end": null,
 "latest_period": null,
 "cadence": null,
 "next_update": null,
 "versions": [
  {
   "label": "2024",
   "id": "ef16c490-861a-4b1f-9e6d-f321abdcaab1",
   "posted": "2026-02-11",
   "landing_url": "https://data.medicaid.gov/dataset/ef16c490-861a-4b1f-9e6d-f321abdcaab1",
   "csv_url": "https://download.medicaid.gov/data/managed-care-program-by-state-2024.csv"
  },
  {
   "label": "2023",
   "id": "a760aac0-5148-43e9-900a-bb128e667218",
   "posted": "2026-02-12",
   "landing_url": "https://data.medicaid.gov/dataset/a760aac0-5148-43e9-900a-bb128e667218",
   "csv_url": "https://download.medicaid.gov/data/managed-care-program-by-state-2023.csv"
  },
  {
   "label": "2022",
   "id": "ac74549c-a621-4f6b-a42d-1a05bc0eb5a3",
   "posted": "2024-10-16",
   "landing_url": "https://data.medicaid.gov/dataset/ac74549c-a621-4f6b-a42d-1a05bc0eb5a3",
   "csv_url": "https://data.medicaid.gov/sites/default/files/uploaded_resources/2022-Managed-care-prgrm-features-by-state.csv"
  },
  {
   "label": "2021",
   "id": "7459d190-e592-42e0-9b66-6f4e7e05eb9b",
   "posted": "2023-07-21",
   "landing_url": "https://data.medicaid.gov/dataset/7459d190-e592-42e0-9b66-6f4e7e05eb9b",
   "csv_url": "https://download.medicaid.gov/data/2021-Table9_07212023_2.csv"
  },
  {
   "label": "2020",
   "id": "8483cef4-972a-4c39-8290-c9d19bead88d",
   "posted": "2025-10-17",
   "landing_url": "https://data.medicaid.gov/dataset/8483cef4-972a-4c39-8290-c9d19bead88d",
   "csv_url": "https://download.medicaid.gov/data/2020-Table9_06132022_2_100825-10172025.csv"
  },
  {
   "label": "2019",
   "id": "72135da5-f8b4-475b-b602-91621f4205d9",
   "posted": "2022-06-13",
   "landing_url": "https://data.medicaid.gov/dataset/72135da5-f8b4-475b-b602-91621f4205d9",
   "csv_url": "https://download.medicaid.gov/data/2019_Table9_10_updated.csv"
  },
  {
   "label": "2018",
   "id": "b7cf4576-a930-59b4-86c8-c8685aaa5c2c",
   "posted": "2025-10-17",
   "landing_url": "https://data.medicaid.gov/dataset/b7cf4576-a930-59b4-86c8-c8685aaa5c2c",
   "csv_url": "https://download.medicaid.gov/data/2018-manged-care-programs-by-state_310172025.csv"
  },
  {
   "label": "2017",
   "id": "8f39b637-9bb1-5894-9062-2c4f2ad70fba",
   "posted": "2025-10-17",
   "landing_url": "https://data.medicaid.gov/dataset/8f39b637-9bb1-5894-9062-2c4f2ad70fba",
   "csv_url": "https://download.medicaid.gov/data/2017-managed-care-programs-by-state.hc9x-7kex101725.csv"
  },
  {
   "label": "Managed Care Programs by State",
   "id": "0e112ea8-8e8e-5dee-a7e2-7ed551c3baa4",
   "posted": "2025-10-17",
   "landing_url": "https://data.medicaid.gov/dataset/0e112ea8-8e8e-5dee-a7e2-7ed551c3baa4",
   "csv_url": "https://download.medicaid.gov/data/managed-care-programs-by-state.p9c7-tuup-updated-100825-101725.csv"
  }
 ],
 "columns": [
  {
   "name": "features",
   "label": "Features",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "program_type",
   "label": "Program type",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "statewide_or_regionspecific",
   "label": "Statewide or region-specific?",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "federal_operating_authority",
   "label": "Federal operating authority",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "program_start_date",
   "label": "Program start date",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "waiver_expiration_date_if_applicable",
   "label": "Waiver expiration date (if applicable)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "if_the_program_ended_in_2024_indicate_the_end_date",
   "label": "If the program ended in 2024, indicate the end date",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "populations_enrolled_lowincome_adults_not_covered_under_aca_0778",
   "label": "Populations enrolled: Low-income adults not covered under ACA Section VIII (excludes pregnant women and people with disabilities)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "populations_enrolled_lowincome_adults_covered_under_aca_sec_03d9",
   "label": "Populations enrolled: Low-income adults covered under ACA Section VIII (excludes pregnant women and people with disabilities)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "populations_enrolled_aged_blind_or_disabled_children_or_adults",
   "label": "Populations enrolled: Aged, Blind or Disabled Children or Adults",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "populations_enrolled_nondisabled_children_excludes_children_1dda",
   "label": "Populations enrolled: Non-Disabled Children (excludes children in foster care or receiving adoption assistance)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "populations_enrolled_individuals_receiving_limited_benefits_facc",
   "label": "Populations enrolled: Individuals receiving Limited Benefits (excludes partial duals)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "populations_enrolled_full_duals",
   "label": "Populations enrolled: Full Duals",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "populations_enrolled_children_with_special_health_care_needs",
   "label": "Populations enrolled: Children with Special Health Care Needs",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "populations_enrolled_native_americanalaskan_natives",
   "label": "Populations enrolled: Native American/Alaskan Natives",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "populations_enrolled_foster_care_and_adoption_assistance_ch_b424",
   "label": "Populations enrolled: Foster Care and Adoption Assistance Children",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "populations_enrolled_enrollment_choice_period",
   "label": "Populations enrolled: Enrollment choice period",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "populations_enrolled_enrollment_broker_name_if_applicable",
   "label": "Populations enrolled: Enrollment broker name (if applicable)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "populations_enrolled_notes_on_enrollment_choice_period",
   "label": "Populations enrolled: Notes on enrollment choice period",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_inpatient_hospital_physical_health",
   "label": "Benefits covered: Inpatient hospital physical health",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_inpatient_hospital_behavioral_health_mh_an_4041",
   "label": "Benefits covered: Inpatient hospital behavioral health (MH and/or SUD)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_outpatient_hospital_physical_health",
   "label": "Benefits covered: Outpatient hospital physical health",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_outpatient_hospital_behavioral_health_mh_a_ceee",
   "label": "Benefits covered: Outpatient hospital behavioral health (MH and/or SUD)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_partial_hospitalization",
   "label": "Benefits covered: Partial hospitalization",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_physician",
   "label": "Benefits covered: Physician",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_nurse_practitioner",
   "label": "Benefits covered: Nurse practitioner",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_rural_health_clinics_and_fqhcs",
   "label": "Benefits covered: Rural health clinics and FQHCs",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_clinic_services",
   "label": "Benefits covered: Clinic services",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_lab_and_xray",
   "label": "Benefits covered: Lab and x-ray",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_prescription_drugs",
   "label": "Benefits covered: Prescription drugs",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_prosthetic_devices",
   "label": "Benefits covered: Prosthetic devices",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_epsdt",
   "label": "Benefits covered: EPSDT",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_case_management",
   "label": "Benefits covered: Case management",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_ssa_section_1945authorized_health_home",
   "label": "Benefits covered: SSA Section 1945-authorized Health Home",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_home_health_services_services_in_home",
   "label": "Benefits covered: Home health services (services in home)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_family_planning",
   "label": "Benefits covered: Family planning",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_dental_services_medicalsurgical",
   "label": "Benefits covered: Dental services (medical/surgical)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_dental_preventative_or_corrective",
   "label": "Benefits covered: Dental (preventative or corrective)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_personal_care_state_plan_option",
   "label": "Benefits covered: Personal care (state plan option)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_hcbs_waiver_services",
   "label": "Benefits covered: HCBS waiver services",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_private_duty_nursing",
   "label": "Benefits covered: Private duty nursing",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_icfidd",
   "label": "Benefits covered: ICF-IDD",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_nursing_facility_services",
   "label": "Benefits covered: Nursing facility services",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_hospice_care",
   "label": "Benefits covered: Hospice care",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_nonemergency_medical_transportation",
   "label": "Benefits covered: Non-Emergency Medical Transportation",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_institution_for_mental_disease_inpatient_t_448a",
   "label": "Benefits covered: Institution for Mental Disease inpatient treatment for people ages 21-64 defined by 42 CFR 438.6(e) as an 'in lieu of' benefit",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "benefits_covered_other_eg_nurse_midwife_services_freestandi_bfd7",
   "label": "Benefits covered: Other (e.g., nurse midwife services, freestanding birth centers, podiatry)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "quality_assurance_and_improvement_hedis_data_required",
   "label": "Quality assurance and improvement: HEDIS data required?",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "quality_assurance_and_improvement_cahps_data_required",
   "label": "Quality assurance and improvement: CAHPS data required?",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "quality_assurance_and_improvement_accreditation_required",
   "label": "Quality assurance and improvement: Accreditation required?",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "quality_assurance_and_improvement_accrediting_organization",
   "label": "Quality assurance and improvement: Accrediting organization",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "quality_assurance_and_improvement_eqro_contractor_name_if_a_f2dc",
   "label": "Quality assurance and improvement: EQRO contractor name (if applicable)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "performance_incentives_payment_bonusesdifferentials_to_rewa_eece",
   "label": "Performance incentives: Payment bonuses/differentials to reward plans",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "performance_incentives_preferential_autoenrollment_to_rewar_ab96",
   "label": "Performance incentives: Preferential auto-enrollment to reward plans",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "performance_incentives_public_reports_comparing_plan_perfor_42d0",
   "label": "Performance incentives: Public reports comparing plan performance on key metrics",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "performance_incentives_withholds_tied_to_performance_metrics",
   "label": "Performance incentives: Withholds tied to performance metrics",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "performance_incentives_mcosphps_required_or_encouraged_to_p_bf59",
   "label": "Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "participating_plans_in_program",
   "label": "Participating plans in Program",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "program_notes",
   "label": "Program Notes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "state",
   "label": "State",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  }
 ],
 "caveats": [],
 "curated": false,
 "license": "https://www.usa.gov/publicdomain/label/1.0/",
 "detail_key": "ef16c490-861a-4b1f-9e6d-f321abdcaab1|2026-02-11T19:48:14+00:00|https://download.medicaid.gov/data/managed-care-program-by-state-2024.csv",
 "checked": "2026-10-25",
 "family_size": 9,
 "latest_title": "2024 Managed Care Programs By State",
 "source_name": "data.medicaid.gov"
}