{
 "id": "cms:a93f5362-2fe6-4b4d-8260-118be0d618e0",
 "slug": "medicaid-managed-care",
 "source": "data.cms.gov",
 "title": "Medicaid Managed Care",
 "summary": "The Medicaid Managed Care dataset uses CMS' state Transformed Medicaid Statistical Information System (T-MSIS) data for Arizona, Michigan, Nevada, and New Mexico to identify various metrics for managed care plans...",
 "description": "The Medicaid Managed Care dataset uses CMS' state Transformed Medicaid Statistical Information System (T-MSIS) data for Arizona, Michigan, Nevada, and New Mexico to identify various metrics for managed care plans within each state. These metrics are designed to allow users to compare plans in each state across different specialty areas (currently Pediatric Dental, Behavioral Health, and Prenatal OB/GYN). This dataset does not include all available data in T-MSIS but utilized a subset to calculate the individual metrics identified.",
 "aliases": [],
 "keywords": [
  "States & Territories",
  "Counties",
  "Medicaid",
  "Health Care Use & Payments",
  "Health Equity"
 ],
 "themes": [
  "Medicaid"
 ],
 "topics": [
  "medicaid-chip",
  "spending-utilization"
 ],
 "category": "summary-statistics-on-use-and-payments",
 "publisher": "Office of Enterprise Data and Analytics (OEDA)",
 "contact": "CPI_MCO_Dashboard@cms.hhs.gov",
 "landing_url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicaid-managed-care",
 "csv_url": "https://data.cms.gov/sites/default/files/2025-05/74829b2b-661d-4451-82b7-0e7718afc624/Final%20Dashboard%20Data%20March%202025.csv",
 "api_url": "https://data.cms.gov/data-api/v1/dataset/a93f5362-2fe6-4b4d-8260-118be0d618e0/data",
 "api_kind": "cms-data-api",
 "preview_url": "https://data.cms.gov/data-api/v1/dataset/a93f5362-2fe6-4b4d-8260-118be0d618e0/data?size=10",
 "dictionary_url": "https://data.cms.gov/resources/medicaid-managed-care-data-dictionary",
 "dictionary_kind": "page",
 "methodology_urls": [
  "https://data.cms.gov/resources/medicaid-managed-care-methodology"
 ],
 "state_column": "State",
 "row_count": 19559,
 "posted": "2025-05-21",
 "modified": "2025-05-21",
 "period_start": "2023-10-01",
 "period_end": "2024-12-31",
 "latest_period": "2024-10-01 to 2024-12-31",
 "cadence": "quarterly",
 "next_update": null,
 "versions": [
  {
   "label": "2024-10-01",
   "uuid": "a93f5362-2fe6-4b4d-8260-118be0d618e0",
   "posted": "2025-05-21",
   "period_start": "2024-10-01",
   "period_end": "2024-12-31"
  },
  {
   "label": "2023-12-01",
   "uuid": "4e00993e-c755-4009-bd99-cf44f119eae3",
   "posted": "2024-12-13",
   "period_start": "2023-10-01",
   "period_end": "2023-12-31"
  }
 ],
 "columns": [
  {
   "name": "State",
   "label": "State",
   "type": "string",
   "meaning": "This is the state in which the recipient resides. In the case of providers, this is the state that the provider operates from.",
   "source": "cms-dictionary"
  },
  {
   "name": "County",
   "label": "County",
   "type": "string",
   "meaning": "This is the county in which the recipient resides. In the case of providers, this is the county that the provider operates from.",
   "source": "cms-dictionary"
  },
  {
   "name": "MCO Name",
   "label": null,
   "type": "string",
   "meaning": null,
   "source": "cms-api"
  },
  {
   "name": "Service Category",
   "label": null,
   "type": "string",
   "meaning": null,
   "source": "cms-api"
  },
  {
   "name": "Number of Active Patients",
   "label": null,
   "type": "number",
   "meaning": null,
   "source": "cms-api"
  },
  {
   "name": "Number of Eligible MCO Patients",
   "label": null,
   "type": "number",
   "meaning": null,
   "source": "cms-api"
  },
  {
   "name": "Number of Providers",
   "label": null,
   "type": "number",
   "meaning": null,
   "source": "cms-api"
  },
  {
   "name": "Percent Of Eligible Patients Receving Services",
   "label": null,
   "type": "number",
   "meaning": null,
   "source": "cms-api"
  },
  {
   "name": "Number of Services per Active Patient",
   "label": null,
   "type": "number",
   "meaning": null,
   "source": "cms-api"
  },
  {
   "name": "Number of Active Patients per Provider",
   "label": null,
   "type": "string",
   "meaning": null,
   "source": "cms-api"
  },
  {
   "name": "Calendar Year",
   "label": null,
   "type": "string",
   "meaning": null,
   "source": "cms-api"
  },
  {
   "name": "Plan Category",
   "label": null,
   "type": "string",
   "meaning": null,
   "source": "cms-api"
  }
 ],
 "caveats": [],
 "curated": false,
 "license": "https://www.usa.gov/government-works",
 "detail_key": "a93f5362-2fe6-4b4d-8260-118be0d618e0|2025-05-21",
 "checked": "2026-10-25",
 "source_name": "data.cms.gov"
}