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 — quality
Sample of 25 rows out of about 81
· 20 columns
| row_md5 | dataset_id | dataset_title | dataset_modified | year | state | state_fips | county_fips | loaded_at | features | comprehensive_mco_with_or_without_mltss | pccm | pccm_entity | mltss | bho_pihp_and_or_pahp | dental | transportation | other_php | pace | src_year |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 02832cb7e1b823af0a90e8d57cff1ca1 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2019 | No data | No data | No data | 2026-10-09 19:19:52 | Quality Assurance and Data Collection: EQRO contractor used | 72 | 2 | 3 | 3 | 9 | 7 | 1 | 2 | 2 | 2019 |
| 062512afd6bc14741f28b9ad97e28ac5 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2019 | No data | No data | No data | 2026-10-09 19:19:52 | Quality Assurance and Data Collection: CAHPS data required | 66 | 4 | 2 | 2 | 5 | 10 | 0 | 2 | 1 | 2019 |
| 0bfee46a5909ee978670aaa279c82c22 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2022 | No data | No data | No data | 2026-10-09 19:19:52 | Quality and Data Collection: CAHPS data required | 71 | 2 | 3 | 1 | 5 | 10 | 0 | 0 | 1 | 2022 |
| 0cbd6c83b985ea275448263a45ab959e | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2017 | No data | No data | No data | 2026-10-09 19:19:52 | Quality Assurance and Data Collection: CAHPS data required | 67 | 4 | 2 | 1 | 4 | 7 | 1 | 2 | 1 | 2017 |
| 0f2da0502d15fcaa599f44cfdc2b73e3 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2016 | No data | No data | No data | 2026-10-09 19:19:52 | Quality Assurance and Data Collection: CAHPS data required | 66 | 5 | 2 | 1 | 5 | 7 | 1 | 2 | 1 | 2016 |
| 13ac324900db1c6e6b2cf7a63335d7c5 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2017 | No data | No data | No data | 2026-10-09 19:19:52 | Performance incentives: Payment bonuses/differentials to reward MCOs | 33 | 3 | 1 | 3 | 4 | 3 | 2 | 1 | 2 | 2017 |
| 19539e8efb0de801f6ced721e9fae778 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2019 | No data | No data | No data | 2026-10-09 19:19:52 | Performance incentives: Public reports comparing MCO performance on key metrics | 49 | 1 | 3 | 1 | 4 | 6 | 2 | 0 | 1 | 2019 |
| 1a3813adfc04981c9e41e171470256d4 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2022 | No data | No data | No data | 2026-10-09 19:19:52 | Performance Incentives: Withholds tied to performance metrics | 43 | 1 | 3 | 2 | 4 | 7 | 1 | 0 | 0 | 2022 |
| 22068a5e8e54c971890975b0843deefe | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2020 | No data | No data | No data | 2026-10-09 19:19:52 | Performance incentives: Withholds tied to performance metrics | 43 | 0 | 3 | 2 | 3 | 5 | 1 | 0 | 0 | 2020 |
| 251a514504cef1c48e9612b7a840c8fb | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2021 | No data | No data | No data | 2026-10-09 19:19:52 | Performance incentives: Withholds tied to performance metrics | 43 | 0 | 3 | 2 | 3 | 5 | 1 | 0 | 0 | 2021 |
| 288d4266cd00bf3a21d66fd47387e7c4 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2018 | No data | No data | No data | 2026-10-09 19:19:52 | Performance incentives: Public reports comparing MCO performance on key metrics | 42 | 2 | 2 | 1 | 4 | 5 | 1 | 0 | 0 | 2018 |
| 2ce6f0e1802d563db139fe1cae07f8af | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2024 | No data | No data | No data | 2026-10-09 19:19:52 | Quality and Data Collection: Accreditation required | 21 | 0 | 0 | 1 | 5 | 3 | 0 | 0 | 0 | 2024 |
| 2d96de930de2b9bf5536243327b5999f | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2021 | No data | No data | No data | 2026-10-09 19:19:52 | Performance incentives: Preferential auto-enrollment to reward MCOs | 22 | 0 | 0 | 2 | 0 | 1 | 0 | 0 | 0 | 2021 |
| 2edbd642b4fd990578259238819051b9 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2017 | No data | No data | No data | 2026-10-09 19:19:52 | Quality Assurance and Data Collection: Accreditation required | 39 | 1 | 0 | 2 | 9 | 1 | 0 | 1 | 1 | 2017 |
| 32311943084fa5e3beb745e6b3119cea | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2020 | No data | No data | No data | 2026-10-09 19:19:52 | Performance incentives: Preferential auto-enrollment to reward MCOs | 22 | 0 | 0 | 2 | 0 | 1 | 0 | 0 | 0 | 2020 |
| 3462d6faa5c3e53af6e9bef478b95a63 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2023 | No data | No data | No data | 2026-10-09 19:19:52 | Performance Incentives: Withholds tied to performance metrics | 41 | 0 | 2 | 2 | 2 | 6 | 1 | 0 | 0 | 2023 |
| 34a492ab6f11ab596b5bc7ce3a671c5e | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2018 | No data | No data | No data | 2026-10-09 19:19:52 | Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods | 45 | 0 | 2 | 1 | 3 | 5 | 0 | 0 | 0 | 2018 |
| 34be3b22ad19c95d5f58e9138f266adf | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2018 | No data | No data | No data | 2026-10-09 19:19:52 | Performance incentives: Preferential auto-enrollment to reward MCOs | 20 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 2018 |
| 361f5e8d980d9b109333d9477bdb9454 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2021 | No data | No data | No data | 2026-10-09 19:19:52 | Performance incentives: Payment bonuses/differentials to reward MCOs | 33 | 2 | 3 | 3 | 3 | 1 | 3 | 0 | 1 | 2021 |
| 3c287a082a768bb274b56a871abe9ccb | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2019 | No data | No data | No data | 2026-10-09 19:19:52 | Performance incentives: Payment bonuses/differentials to reward MCOs | 31 | 1 | 2 | 3 | 3 | 1 | 1 | 0 | 1 | 2019 |
| 3f8ec1d983ed325f88f2b21a5a0ca78a | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2022 | No data | No data | No data | 2026-10-09 19:19:52 | Quality and Data Collection: HEDIS data required | 73 | 4 | 4 | 1 | 8 | 8 | 0 | 1 | 1 | 2022 |
| 43248bb260c886b3d9ef7e72bc2add50 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2022 | No data | No data | No data | 2026-10-09 19:19:52 | Performance Incentives:Preferential auto-enrollment to reward MCOs | 31 | 0 | 0 | 2 | 1 | 1 | 0 | 0 | 0 | 2022 |
| 437c1fd22d9b3ebc5561504044417a14 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2016 | No data | No data | No data | 2026-10-09 19:19:52 | Quality Assurance and Data Collection: HEDIS data required | 70 | 4 | 2 | 1 | 12 | 5 | 0 | 3 | 3 | 2016 |
| 46db9c8d2c6f612f4d2380ea629bb48d | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2023 | No data | No data | No data | 2026-10-09 19:19:52 | Performance Incentives: Payment bonuses/differentials to reward MCOs | 42 | 2 | 3 | 3 | 3 | 2 | 0 | 0 | 2 | 2023 |
| 49ab50d116e20d09b8108ba0222e7b25 | a6d2c261-210d-587c-8fa4-892444b7de42 | Managed Care Features by Quality-related Requirements | 2026-02-12T12:56:00+00:00 | 2024 | No data | No data | No data | 2026-10-09 19:19:52 | Performance Incentives: Payment bonuses/differentials to reward MCOs | 45 | 2 | 4 | 3 | 3 | 2 | 0 | 0 | 2 | 2024 |
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