Medicaid Managed Care
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...
Freshness
- Last posted
- Period covered
- Oct 1, 2024 to Dec 31, 2024
- Update frequency
- Quarterly
Dates as CMS lists them in its catalog.
Columns 12
| Column | What it means | Type |
|---|---|---|
StateState | This is the state in which the recipient resides. In the case of providers, this is the state that the provider operates from. | string |
CountyCounty | This is the county in which the recipient resides. In the case of providers, this is the county that the provider operates from. | string |
MCO NameMCO Name | string | |
Service CategoryService Category | string | |
Number of Active PatientsNumber of Active Patients | number | |
Number of Eligible MCO PatientsNumber of Eligible MCO Patients | number | |
Number of ProvidersNumber of Providers | number | |
Percent Of Eligible Patients Receving ServicesPercent Of Eligible Patients Receving Services | number | |
Number of Services per Active PatientNumber of Services per Active Patient | number | |
Number of Active Patients per ProviderNumber of Active Patients per Provider | string | |
Calendar YearCalendar Year | string | |
Plan CategoryPlan Category | string |
No column matches that filter.
At a glance
- Catalog
- data.cms.gov
- Publisher
- Office of Enterprise Data and Analytics (OEDA)
- Rows
- 19,559
- Columns
- 12
- State column
State
API
Free, no key needed. This request returns the first 10 rows as JSON:
https://data.cms.gov/data-api/v1/dataset/a93f5362-2fe6-4b4d-8260-118be0d618e0/data?size=10
To keep only one state, filter on the State column.
Versions 2
The newest version is the one linked above. Older releases stay on the official site.
- 2024-10-01posted May 21, 2025
- 2023-12-01posted Dec 13, 2024
CMS's 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.
Methodology and other documents from CMS:
The summary at the top is the first sentence of this description. Record id cms:a93f5362-2fe6-4b4d-8260-118be0d618e0. This record as JSON.