CMS Medicaid
Medicaid managed care
Which managed care programs and plans each state uses, which counties they serve, enrollment by plan and population, and features like long-term care.
Published by CMS Medicaid
Finest detail county
Tables 12
Program features — who is covered
Sample of 25 rows out of about 94
· 30 columns
| row_md5 | dataset_id | dataset_title | dataset_modified | year | state | state_fips | county_fips | loaded_at | features | notes | comprehensive_mco_with_or_without_mltss | comprehensive_mco_with_or_without_mltss_2 | pccm | pccm_2 | pccm_entity | pccm_entity_2 | mltss | mltss_2 | bho_pihp_and_or_pahp | bho_pihp_and_or_pahp_2 | dental | dental_2 | transportation | transportation_2 | other_php | other_php_2 | pace | pace_2 | src_year |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0200f368fe24f22e9cdd70f2726a94d9 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2023 | No data | No data | No data | 2026-10-09 19:19:52 | Full Dually Eligible Individuals | -- | 28 | 25 | 0 | 1 | 2 | 1 | 3 | 1 | 7 | 2 | 8 | 2 | 12 | 2 | 0 | 1 | 0 | 28 | 2023 |
| 02225ce0e2a99aeb749635c925f5b851 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2020 | No data | No data | No data | 2026-10-09 19:19:52 | Low-income Adults | No data | 43 | 3 | 7 | 1 | 5 | 0 | 1 | 0 | 6 | 0 | 8 | 1 | 10 | 3 | 0 | 1 | 0 | 0 | 2020 |
| 0a47e67da2a9e57a4006dee5ad90866d | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2023 | No data | No data | No data | 2026-10-09 19:19:52 | Low-income adults not otherwise eligible and covered prior to 2014 under a waiver or other authority | -- | 42 | 5 | 3 | 2 | 4 | 1 | 1 | 0 | 6 | 0 | 9 | 2 | 8 | 1 | 0 | 0 | 0 | 2 | 2023 |
| 0d4335bc3c8bf102087019d39ed06f5b | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2016 | No data | No data | No data | 2026-10-09 19:19:52 | Native American/Alaskan Natives | No data | 18 | 47 | 5 | 10 | 0 | 2 | 1 | 3 | 9 | 5 | 5 | 3 | 7 | 5 | 0 | 5 | 0 | 21 | 2016 |
| 1224e37335df4e14f374b3dd9af665ec | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2021 | No data | No data | No data | 2026-10-09 19:19:52 | Non-Disabled Children (excluding children in foster care or receiving adoption assistance) | No data | 41 | 3 | 9 | 1 | 4 | 0 | 1 | 0 | 7 | 1 | 10 | 1 | 13 | 3 | 0 | 0 | 0 | 0 | 2021 |
| 13ee29a4e78a30e9ac4be3c6ab9d7142 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2023 | No data | No data | No data | 2026-10-09 19:19:52 | Individuals receiving Limited Benefits | -- | 16 | 1 | 2 | 2 | 2 | 0 | 0 | 0 | 3 | 0 | 3 | 2 | 4 | 2 | 0 | 1 | 0 | 1 | 2023 |
| 18b6c01be5e3d107ea857e7b9de2a124 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2021 | No data | No data | No data | 2026-10-09 19:19:52 | Exempt populations (AI/AN=American Indian/Alaska Native, FC/AA=Foster Care and Adoption Assistance Children)2 | Certain federal statutory authorities do not allow enrollment of American Indians/Alaska Natives or Foster Care Children. Where states use these authorities to operate Medicaid managed care, American Indians/Alaska Natives or Foster Care Children are considered "exempt." | NA/AN11 | FC/AA21 | NA/AN1 | FC/AA1 | NA/AN1 | FC/AA0 | NA/AN1 | FC/AA4 | NA/AN2 | FC/AA0 | NA/AN1 | FC/AA3 | NA/AN5 | FC/AA0 | NA/AN2 | FC/AA2 | NA/AN8 | FC/AA20 | 2021 |
| 19d24a6eed291e538d5438da73f3eb91 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2017 | No data | No data | No data | 2026-10-09 19:19:52 | Individuals receiving Limited Benefits | No data | 12 | 1 | 3 | 0 | 0 | 1 | 0 | 0 | 3 | 0 | 2 | 1 | 6 | 3 | 1 | 2 | 0 | 0 | 2017 |
| 1cf7d0392c4ed65afac99217060e532b | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2016 | No data | No data | No data | 2026-10-09 19:19:52 | Foster Care and Adoption Assistance Children | No data | 25 | 23 | 2 | 7 | 0 | 2 | 1 | 0 | 9 | 4 | 4 | 2 | 12 | 0 | 1 | 4 | 0 | 1 | 2016 |
| 20949407ea095511c6359caf7a558369 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2024 | No data | No data | No data | 2026-10-09 19:19:52 | Children with Special Health Care Needs | -- | 33 | 12 | 1 | 1 | 3 | 4 | 1 | 0 | 6 | 4 | 5 | 3 | 9 | 3 | 0 | 1 | 0 | 0 | 2024 |
| 21824baf66555ed7d7bcacf0d847053c | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2021 | No data | No data | No data | 2026-10-09 19:19:52 | Children with Special Health Care Needs | No data | 31 | 12 | 2 | 3 | 4 | 1 | 1 | 0 | 5 | 5 | 7 | 2 | 12 | 5 | 0 | 2 | 0 | 0 | 2021 |
| 23cd912d6066d40db963de71dc466601 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2020 | No data | No data | No data | 2026-10-09 19:19:52 | Exempt populations (NA/AN=Native American/Alaskan Native, FC/AA=Foster Care and Adoption Assistance Children)2 | Certain federal statutory authorities do not allow enrollment of American Indians/Alaska Natives or Foster Care Children. Where states use these authorities to operate Medicaid managed care, American Indians/Alaska Natives or Foster Care Children are considered "exempt." | NA/AN11 | FC/AA21 | NA/AN1 | FC/AA1 | NA/AN1 | FC/AA0 | NA/AN1 | FC/AA4 | NA/AN2 | FC/AA0 | NA/AN1 | FC/AA3 | NA/AN5 | FC/AA0 | NA/AN2 | FC/AA2 | NA/AN8 | FC/AA20 | 2020 |
| 27f8a2921f73780b29af7819429653c5 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2022 | No data | No data | No data | 2026-10-09 19:19:52 | Children with Special Health Care Needs | -- | 34 | 12 | 1 | 1 | 4 | 3 | 1 | 0 | 6 | 4 | 7 | 2 | 10 | 3 | 0 | 1 | 0 | 0 | 2022 |
| 2d16c86a69f9ba58480f9762087a3bea | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2018 | No data | No data | No data | 2026-10-09 19:19:52 | Non-Disabled Children (excluding children in foster care or receiving adoption assistance) | No data | 43 | 4 | 10 | 1 | 4 | 0 | 1 | 0 | 9 | 0 | 9 | 2 | 13 | 3 | 1 | 2 | 0 | 0 | 2018 |
| 2d2487b8f842b02c82290e42e2452001 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2020 | No data | No data | No data | 2026-10-09 19:19:52 | Low-income adults not otherwise eligible and covered prior to 2014 under a waiver or other authority | No data | 40 | 4 | 5 | 1 | 3 | 0 | 0 | 0 | 6 | 0 | 7 | 1 | 9 | 1 | 0 | 1 | 0 | 0 | 2020 |
| 2d2f234a03922e8a8f751739328bd07b | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2018 | No data | No data | No data | 2026-10-09 19:19:52 | Foster Care and Adoption Assistance Children | No data | 32 | 20 | 2 | 6 | 2 | 3 | 1 | 0 | 8 | 4 | 7 | 2 | 14 | 0 | 0 | 4 | 0 | 1 | 2018 |
| 2dbb9edca9cfea02e4fbb14de7aa58a4 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2019 | No data | No data | No data | 2026-10-09 19:19:52 | Foster Care and Adoption Assistance Children | No data | 31 | 20 | 2 | 6 | 2 | 3 | 1 | 0 | 7 | 4 | 7 | 2 | 14 | 2 | 0 | 2 | 0 | 1 | 2019 |
| 2f496ae9d0ee4616e15d509f533ac30d | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2017 | No data | No data | No data | 2026-10-09 19:19:52 | Low-income Adults | No data | 39 | 5 | 6 | 2 | 1 | 1 | 1 | 0 | 9 | 0 | 5 | 1 | 11 | 3 | 0 | 2 | 0 | 0 | 2017 |
| 2fec5abe1c579f1c945377d0e96f83be | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2022 | No data | No data | No data | 2026-10-09 19:19:52 | American Indians/Alaskan Natives (AI/AN) | -- | 24 | 46 | 4 | 5 | 3 | 5 | 1 | 2 | 4 | 6 | 5 | 7 | 10 | 2 | 0 | 1 | 0 | 22 | 2022 |
| 35a52a2e7b1ce380a79c40d977967a65 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2016 | No data | No data | No data | 2026-10-09 19:19:52 | Non-Disabled Children (excluding children in foster care or receiving adoption assistance) | No data | 41 | 3 | 12 | 2 | 1 | 1 | 1 | 0 | 10 | 0 | 7 | 1 | 13 | 1 | 1 | 2 | 0 | 0 | 2016 |
| 3680c21af9562f94e4d6ab6818a91937 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2017 | No data | No data | No data | 2026-10-09 19:19:52 | Non-Disabled Children (excluding children in foster care or receiving adoption assistance) | No data | 41 | 3 | 10 | 2 | 1 | 1 | 1 | 0 | 9 | 0 | 8 | 1 | 12 | 3 | 1 | 2 | 0 | 0 | 2017 |
| 399a6ea9fb27135c553e5e53688137c2 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2022 | No data | No data | No data | 2026-10-09 19:19:52 | Exempt populations —AI/AN or FC/AA | Certain federal statutory authorities do not allow enrollment of AI/AN or foster care children. Where states use these authorities to operate Medicaid managed care, AI/AN or foster care children are considered "exempt." | AI/AN10 | FC/AA22 | AI/AN1 | FC/AA1 | AI/AN0 | FC/AA0 | AI/AN1 | FC/AA3 | AI/AN2 | FC/AA0 | AI/AN1 | FC/AA3 | AI/AN5 | FC/AA1 | AI/AN3 | FC/AA2 | AI/AN9 | FC/AA21 | 2022 |
| 456d9c7a7cb9dfe3ba4475a5ccbc3afa | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2022 | No data | No data | No data | 2026-10-09 19:19:52 | Low-income Adults | -- | 43 | 4 | 5 | 2 | 5 | 0 | 1 | 0 | 7 | 0 | 8 | 1 | 9 | 2 | 0 | 0 | 0 | 0 | 2022 |
| 460aa4c36815b679d9fc7a8a1ddff5f4 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2018 | No data | No data | No data | 2026-10-09 19:19:52 | Native American/Alaskan Natives | No data | 23 | 43 | 4 | 7 | 2 | 2 | 2 | 2 | 5 | 7 | 6 | 7 | 7 | 5 | 0 | 5 | 0 | 23 | 2018 |
| 49ec52798da6f951f2d39f6c385ca3b1 | 927f4847-2c0a-50c1-8f50-9103de7d048b | Managed Care Features By Enrollment Population | 2026-02-12T12:55:00+00:00 | 2019 | No data | No data | No data | 2026-10-09 19:19:52 | Children with Special Health Care Needs | No data | 34 | 13 | 4 | 2 | 3 | 1 | 1 | 0 | 7 | 5 | 8 | 2 | 14 | 3 | 1 | 2 | 0 | 0 | 2019 |
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