Data Doughnut
Data catalog › Care access, shortages & rural health

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
Programs by state Sample of 25 rows out of about 1,505 · 143 columns
row_md5dataset_iddataset_titledataset_modifiedyearstatestate_fipscounty_fipsloaded_atsrc_stateprogram_nameprogram_typestatewide_or_region_specificfederal_operating_authorityprogram_start_datewaiver_expiration_date_if_applicableif_the_program_ended_in_2017_indicate_the_end_datepopulations_enrolled_low_income_adults_not_covered_under_acapopulations_enrolled_low_income_adults_covered_under_aca_secpopulations_enrolled_aged_blind_or_disabled_children_or_adulpopulations_enrolled_non_disabled_children_excludes_childrenpopulations_enrolled_individuals_receiving_limited_benefits_populations_enrolled_full_dualspopulations_enrolled_partial_dualspopulations_enrolled_children_with_special_health_care_needspopulations_enrolled_native_american_alaskan_nativespopulations_enrolled_foster_care_and_adoption_assistance_chipopulations_enrolled_enrollment_choice_periodpopulations_enrolled_enrollment_broker_name_if_applicablepopulations_enrolled_notes_on_enrollment_choice_periodbenefits_covered_inpatient_hospital_physical_healthbenefits_covered_inpatient_hospital_behavioral_health_mh_andbenefits_covered_outpatient_hospital_physical_healthbenefits_covered_outpatient_hospital_behavioral_health_mh_anbenefits_covered_partial_hospitalizationbenefits_covered_physicianbenefits_covered_nurse_practitionerbenefits_covered_rural_health_clinics_and_fqhcsbenefits_covered_clinic_servicesbenefits_covered_lab_and_x_raybenefits_covered_prescription_drugs_and_prosthetic_devicesbenefits_covered_epsdtbenefits_covered_case_managementbenefits_covered_ssa_section_1945_authorized_health_homebenefits_covered_health_home_care_services_in_homebenefits_covered_family_planningbenefits_covered_dental_services_medical_surgicalbenefits_covered_dental_preventative_or_correctivebenefits_covered_personal_care_state_plan_optionbenefits_covered_hcbs_waiver_servicesbenefits_covered_private_duty_nursingbenefits_covered_icf_iddbenefits_covered_nursing_facility_servicesbenefits_covered_hospice_carebenefits_covered_non_emergency_medical_transportationbenefits_covered_institution_for_mental_disease_inpatient_trbenefits_covered_other_e_g_nurse_midwife_services_freestandiquality_assurance_and_improvement_hedis_data_requiredquality_assurance_and_improvement_cahps_data_requiredquality_assurance_and_improvement_accreditation_requiredquality_assurance_and_improvement_accrediting_organizationquality_assurance_and_improvement_eqro_contractor_name_if_apperformance_incentives_payment_bonuses_differentials_to_rewaperformance_incentives_preferential_auto_enrollment_to_rewarperformance_incentives_public_reports_comparing_plan_performperformance_incentives_withholds_tied_to_performance_metricsperformance_incentives_mcos_phps_required_or_encouraged_to_pparticipating_plans_plans_in_programnotes_program_notessrc_yearfeaturesif_the_program_ended_in_2018_indicate_the_end_datebenefits_covered_prescription_drugsbenefits_covered_prosthetic_devicesif_the_program_ended_in_2019_indicate_the_end_dateif_the_program_ended_in_2020_indicate_the_end_datebenefits_covered_home_health_services_services_in_homepopulations_enrolled_american_indian_alaska_nativeif_the_program_ended_in_2021_indicate_the_end_dateif_the_program_ended_in_2023_indicate_the_end_dateparticipating_plans_in_programprogram_notesif_the_program_ended_in_2024_indicate_the_end_dateif_the_program_ended_in_2014_indicate_the_end_datepopulations_enrolledlow_income_adults_not_eligible_under_aca_section_viiiaged_blind_or_disabled_children_or_adultsnon_disabled_children_excluding_children_in_foster_care_or_rindividuals_receiving_limited_benefitslow_income_adults_eligible_under_aca_section_viiifull_dualspartial_dualschildren_with_special_health_care_needsnative_american_alaskan_nativesfoster_care_and_adoption_assistance_childrenenrollment_choice_periodenrollment_broker_name_if_applicablenotes_on_enrollment_choice_periodbenefits_coveredinpatient_hospital_physical_healthinpatient_hospital_behavioral_health_mh_and_or_sudoutpatient_hospital_physical_healthoutpatient_hospital_behavioral_health_mh_and_or_sudpartial_hospitalizationphysiciannurse_practitionerrural_health_clinics_and_fqhcsclinic_serviceslab_and_x_rayprescription_drugs_and_prosthetic_devicesepsdtcase_managementhealth_home_ssa_1945family_planningdental_services_medical_surgicaldental_preventative_or_correctivehome_health_agency_servicespersonal_care_state_plan_optionhcbs_waiver_servicesprivate_duty_nursingicf_iddnursing_facility_serviceshospice_carenon_emergency_medical_transportationother_e_g_nurse_midwife_services_freestanding_birth_centers_quality_assurance_and_improvementhedis_data_requiredcahps_data_requiredaccreditation_requiredaccrediting_organizationeqro_contractor_name_if_applicableperformance_incentivespayment_bonuses_differentials_to_reward_planspreferential_auto_enrollment_to_reward_planspublic_reports_comparing_mco_performance_on_key_metricswithholds_tied_to_performance_metricsmcos_phps_required_encouraged_to_pay_providers_for_value_quaprovider_value_based_purchasingstate_pays_provider_based_entities_such_as_acos_or_pcmhs_dirparticipating_plans_and_regions_servedplans_in_programnoteslocation
0014d2a2b32f8f25f1f0074595ca0631a760aac0-5148-43e9-900a-bb128e6672182023 Managed Care Programs By State2026-02-12T19:57:15+00:002023NC37No data2026-10-09 19:19:52NCNo dataBehavioral Health Organization (BHO) only (PIHP and/or PAHP)Statewide1915(b), 1915(b)/1915(i), 1945 Health Homes4/1/20236/30/2029No dataMandatoryMandatoryMandatoryMandatory-MandatoryNo dataMandatoryVoluntaryMandatoryPre-Assigned - Medicaid enrollees are pre-assigned---X-XX-----No dataXXXNo data----XXX---X-YesYesNo, accreditation not required-HSAG----XNo dataNo dataNo dataMedicaid Direct Prepaid Inpatient Health PlanNo data--No dataNo dataXNo dataNo data-Alliance Behavioral Healthcare, Eastpointe Human Services, Partners Behavioral Health Management, Sandhills Center for MH DD SA, Trillium Health Resources, Vaya Health-No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
0024399e4e18d0042c1671d0cf4dd5120e112ea8-8e8e-5dee-a7e2-7ed551c3baa4Managed Care Programs by State2025-10-17T20:42:00+00:002016IN18No data2026-10-09 19:19:52IndianaHealthy Indiana Plan (2.0)Comprehensive MCOStatewide1115(a) (Medicaid demonstration waivers)2/1/20151/31/2018No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data2016No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataMandatoryNo dataNo dataNo dataNo dataNo dataNo dataMandatoryNo dataNo dataNo dataNo dataNo dataNo dataXXXXNo dataXXXXXXXXXXXXNo dataXNo dataXNo dataXXXNo dataNo dataYesYesYesNCQABurns and AssociatesNo dataXNo dataNo dataXXNo dataNo dataNo dataMDWise; Managed Health Services; AnthemNo dataIndiana (39.919991, -86.2818)
005b31883f2364c713aca4f6aa311504a760aac0-5148-43e9-900a-bb128e6672182023 Managed Care Programs By State2026-02-12T19:57:15+00:002023WI55No data2026-10-09 19:19:52WINo dataMLTSS only (PIHP and/or PAHP)Region-Specific1915(b)/1915(c)2/1/200012/31/2024No data--Mandatory--MandatoryNo data-MandatoryExemptOther-Open enrollment---XX-----No data-X-No data---XXXXX-X-Community mental health services, disposable medical supplies, DME and medical supplies, Medicare deductible and coinsurance amounts, occupational therapy, physical therapy, respiratory care for ventilator dependent persons, speech and language pathologyNoNoNo, accreditation not required-MetaStar, Inc.X--X-No dataNo dataNo dataFamily CareNo data--No dataNo dataXNo dataNo data-Community Care, Inc.; Lakeland Care, Inc.; My Choice Wisconsin; Inclusa, Inc.-No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
0067f2a298dfc0dc3727e732650261e10e112ea8-8e8e-5dee-a7e2-7ed551c3baa4Managed Care Programs by State2025-10-17T20:42:00+00:002016NY36No data2026-10-09 19:19:52New YorkPACEProgram of All-inclusive Care for the Elderly (PACE)StatewidePACE1/1/20013/31/2021No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data2016No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataVoluntaryNo dataNo dataNo dataNo dataNo dataVoluntaryNo dataNo dataXXXXNo dataXXXXXXNo dataXXNo dataXXNo dataXXXNo dataXNo dataXPodiatry, Physical Therapy, Occupational TherapyNo dataNoNoNoNo dataIsland Peer Review OrganizationNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataArchCare Senior Life; Catholic Health - Life; Centerlight (CCM); Complete Senior Care; Eddy Senior Care; Fallon Health Weinberg; Independent Living for Seniors; PACE CNY; Total Senior CareNo dataNew York (42.921241, -75.59655)
006e4a116aa34bc07b710eaf3202f3fe0e112ea8-8e8e-5dee-a7e2-7ed551c3baa4Managed Care Programs by State2025-10-17T20:42:00+00:002014AZ04No data2026-10-09 19:19:52ArizonaArizona Health Care Cost Containment SystemComprehensive MCO + MLTSSStatewide1115(a) (Medicaid demonstration waivers)7/13/19829/30/2016No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data2014No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data.No data..VariesVariesVariesVoluntaryVariesVariesVariesVariesVoluntaryMandatoryOther.If an individual does not choose their plan prior to eligibility being determined, they are auto-enrolled in a health plan and given 30 days to choose a different plan. Native Americans/Alaskan Natives who do not choose are assigned to a FFS plan and can choose to enroll in an MCO at any time..XXXX.XXX.XXXX.XXXXXXXXXXX..YesYesNoPlease note that HEDIS and CAHPS are run by the EQRO not the MCO'sHealth Services Advisory Group (HSAG).XXXXX...Mercy Maricopa Integrated Care; Care 1st; Health Choice Arizona; Health Net Access; Maricopa Health Plan; Mercy Care Plan; Phoenix Health Plan; UnitedHealthcare Plan; University Family Care; Comprehensive Medical and Dental Program; Division of Developmental Disabilities MLTSS; Bridgeway Health Solutions MLTSS; United Healthcare MLTSS; Mercy Care MLTSS.Arizona (34.293239, -111.664616)
00a57ffe04a3c890f9227cee9631c69272135da5-f8b4-475b-b602-91621f4205d92019 Managed Care Programs By State2022-06-13T15:45:14+00:002019GA13No data2026-10-09 19:19:52GANo dataNon-Emergency Medical TransportationStatewide1902(a)(70) NEMT10/07/1997No dataNo dataVoluntary Voluntary Voluntary Voluntary Voluntary Voluntary ExemptMandatoryNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataXNo dataNo dataNoNoNoNo dataNo dataNo dataNo dataNo dataNo dataNo dataSoutheast Trans; ModivCareNo dataNo dataNon-Emergency Medical Transportation (NEMT)No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
00f33af6438be11acc2ad9895626fc5f0e112ea8-8e8e-5dee-a7e2-7ed551c3baa4Managed Care Programs by State2025-10-17T20:42:00+00:002016ID16No data2026-10-09 19:19:52IdahoHealthy ConnectionsPrimary Care Case Management (PCCM)Statewide1932(a)10/1/2006No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data2016No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataVoluntaryMandatoryVoluntaryNo dataVoluntaryVoluntaryNo dataVoluntaryMandatoryVoluntaryVoluntaryVoluntaryNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataXNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataPrimary Care Case ManagementNo dataNoNoNo, but accreditation considered in plan selection criteriaNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataMultiple primary care providersNo dataIdaho (44.389073, -114.659366)
0108c59aec33acf883b80fe88c7c94d67459d190-e592-42e0-9b66-6f4e7e05eb9b2021 Managed Care Programs By State2023-07-21T16:59:15+00:002021FL12No data2026-10-09 19:19:52FLNo dataProgram of All-inclusive Care for the Elderly (PACE)StatewidePACE1/1/2003No dataNo data Voluntary Voluntary No data No dataExemptN/AAutomated Health SystemsContinuous while slots are available.XXXXXXXXXXNo dataNo dataXNo dataNo dataXXXNo dataXNo dataNo dataXXXNo dataAll other FL Medicaid covered services and other services as determined by the multidisciplinary team.NoNoNoNo dataNo dataNo dataNo dataNo dataNo dataNo dataFlorida Pace Center; Hope Select Care; Morselife Home Care; Inc.; Suncoast Neighborly Care; Inc.; NE PACE PartnersAt the time of the enrollment; an individual must be able to live in a community setting without jeopardizing his or her health or safety. While enrolled in a PACE program; the participant must receive all Medicare and Medicaid benefits solely through the PACE organization.No dataProgram of All- Inclusive Care for the ElderlyNo dataXXNo dataNo dataXVoluntaryNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
015e725f6a4d1cf6917556cc2bf4639d8483cef4-972a-4c39-8290-c9d19bead88d2020 Managed Care Programs By State2025-10-17T12:22:00+00:002020UT49No data2026-10-09 19:19:52UTNo dataComprehensive MCODavis, Salt Lake, Utah, Washington, and Weber counties1115(a) (Medicaid demonstration waivers)1/1/20206/30/2022No dataMandatory No data MandatoryExemptOtherNo data15-45 days. Enrollment choice date will vary depending on when the Enrollment file transaction takes place. In addition, the Enrollee will be able to change to another plan within the first 90 days of enrollment in the plan and during an annual open enrollment period.XXXXXXXXXXNo dataXXNo dataNo dataXNo dataNo dataNo dataNo dataXNo dataNo dataXNo dataXVision, podiatry, dialysis, DME, inpatient medical detox, nurse midwife services, free standing birth centers, ambulatory surgical center.YesYesNoNo dataHealth Services Advisory GroupNo dataNo dataNo dataNo dataNo dataHealthy U Integrated; Molina Integrated; Health Choice Integrated; SelectHealth IntegratedMedicaid integration pilot program set up for Medicaid Expansion Adults in Salt Lake, Utah, Davis, Weber and Washington counties. Enrollment is mandatory for eligible individuals. Enrollees will be provided with both physical and behavioral health services. They will not enroll in a separate Prepaid Mental Health Plan. Individuals may only enroll in one MCO program. For example, if an individual is enrolled under the Utah Medicaid Integrated Care, they may not also be enrolled in Choice of Health Care Delivery program, and vice-versa.No dataUtah Medicaid Integrated CareNo dataXXNo dataNo dataXNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
01863991dd4a97743591e8ac61de3785a760aac0-5148-43e9-900a-bb128e6672182023 Managed Care Programs By State2026-02-12T19:57:15+00:002023WV54No data2026-10-09 19:19:52WVNo dataComprehensive MCOStatewide1915(b)1/1/19969/30/2025No dataMandatoryMandatoryMandatoryMandatory--No dataMandatoryMandatory-60 days - Enrollment open for sixty daysMaximus-XXXXXXXXXXNo dataXX-No dataXXXX-X--X---YesYesYes, accreditation requiredNational Committee for Quality Assurance (NCQA)Qlarant--X-XNo dataNo dataNo dataMountain Health TrustNo dataXXNo dataNo dataXNo dataNo data-Wellpoint West Virginia, The Health Plan of WV, Aetna Better Health of WV-No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
01961b134536f6ec87936f5172247e7aa760aac0-5148-43e9-900a-bb128e6672182023 Managed Care Programs By State2026-02-12T19:57:15+00:002023NC37No data2026-10-09 19:19:52NCNo dataComprehensive MCO + MLTSSStatewide1115(a) (Medicaid demonstration waivers)7/1/202110/31/2024No dataMandatoryMandatoryMandatoryMandatory--No data-VoluntaryExemptPre-Assigned - Medicaid enrollees are pre-assignedMaximus-XXXXXXXXXXNo dataXX-No dataX--X-X-XXXX-YesYesYes, accreditation requiredNational Committee for Quality Assurance (NCQA)Health Services Advisory Group (HSAG)--XXXNo dataNo dataNo dataStandard PlanNo dataXXNo dataNo dataXNo dataNo data-UnitedHealthcare, Carolina Complete Health, Wellcare, AmeriHealth Caritas, Healthy Blue of North Carolina-No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
01c01df2b9c3e76c033beabb6862cd6872135da5-f8b4-475b-b602-91621f4205d92019 Managed Care Programs By State2022-06-13T15:45:14+00:002019CA06No data2026-10-09 19:19:52CANo dataBehavioral Health Organization (BHO) only (PIHP and/or PAHP)San Francisco1915(a)12/01/1992No dataNo data Voluntary Voluntary Voluntary VoluntaryVoluntaryNo dataNo dataNo dataNo dataXNo dataXXXXNo dataXNo dataNo dataNo dataXNo dataNo dataXNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataYesNoNoNo dataNo dataNo dataNo dataNo dataNo dataNo dataFamily Mosaic Project/San FranciscoNo dataNo dataFamily Mosaic Program/San FranciscoNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
01ce376a06ed827f75dc35579380f355ac74549c-a621-4f6b-a42d-1a05bc0eb5a32022 Managed Care Programs By State2024-10-16T20:22:18+00:002022MA25No data2026-10-09 19:19:52MANo dataComprehensive MCOStatewide1115(a) (Medicaid demonstration waivers)07/07/199809/30/2022No dataMandatoryMandatoryMandatoryMandatoryNo dataNo dataNo dataMandatoryMandatoryVoluntaryOtherMaximus until 12/2/2021, Automated Health Systems (12/3/2021 - present)14 days with a 90-day plan selection period for new enrollees. Annual 90-day plan selection period for existing enrollees.XXXXXXXXXXNo dataXXNo dataNo dataXXNo dataNo dataNo dataXNo dataNo dataXXXAcupuncture, audiology, breast pump, chiropractic, diabetes self-management, training, dialysis, DME, early intervention, emergency services, fluoride varnish, hearing aids, infertility diagnosis, dentures, medical nutrition therapy, orthotics, podiatry, radiology and diagnostic tests, tobacco cessation, vision care, speech therapy, occupational therapy, physical therapy, NF (provided at a nursing facility, chronic or rehabilitation hospital or any combination thereof) up to 100 days per contract year per enrollee, and home health (nursing and therapies). LTSS are covered through FFS (Note: this list is not fully inclusive).YesYesYesNCQAInnovative Resource Group, LLC D/B/A KeproXNo dataXXXTufts Health Together; BMC HealthNet PlanPrivate duty nursing is covered under capitation for SKSC population only.No dataManaged Care Organization (MCO)No dataXXNo dataNo dataXNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
01e20acc9b38c07b2ae20449bf6aec55a760aac0-5148-43e9-900a-bb128e6672182023 Managed Care Programs By State2026-02-12T19:57:15+00:002023WA53No data2026-10-09 19:19:52WANo dataPrimary Care Case Management Entity (PCCM Entity)Region-Specific1932(a)7/1/1995-No data-VoluntaryVoluntary---No dataVoluntaryVoluntaryVoluntaryOther-Enrollment open continuouslyX-XXXXXXXXNo dataXX-No dataXX---X-XX---NoNoNo, accreditation not required-------No dataNo dataNo dataPCCMNo dataXXNo dataNo dataXNo dataNo data-Multiple Primary Care ProvidersIndian Health Services administers this program through three service units: Colville Service Unit, Wellpinit Service Unit and Yakama Service Unit. Two FQHCs participate in this program: Seattle Indian Health Board and NATIVE Project of Spokane. Seven Tribes participate in this program: Confederated Tribes of the Colville Indian Reservation (through the Lake Roosevelt Community Health Centers for the half of the reservation that is outside of the Indian Health Service Colville Service Unit Service Area), lower Elwha Clallam Tribe, Lummi Nation, Nooksack Tribe, Puyallup Tribe, Quinault Indian Nation, and Shoalwater Bay Tribe.No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
01e34d2b401f6d65b8d550e5b95754c98f39b637-9bb1-5894-9062-2c4f2ad70fba2017 Managed Care Programs by State2025-10-17T20:44:00+00:002017LA22No data2026-10-09 19:19:52LouisianaDental ProgramDental only (PAHP)Statewide1915(b)07/01/2014 12:00:00 AM06/30/2021 12:00:00 AMNo dataMandatoryMandatoryMandatoryMandatoryNo dataMandatoryNo dataMandatoryMandatoryMandatoryNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataXXXNo dataXNo dataNo dataNo dataNo dataXXNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo datatrueYesNoNo dataNo dataNo dataNo dataNo dataXNo dataMCNANo data2017No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
01fdb6bb26de6bb23cf0c40f20fcc5b87459d190-e592-42e0-9b66-6f4e7e05eb9b2021 Managed Care Programs By State2023-07-21T16:59:15+00:002021PA42No data2026-10-09 19:19:52PANo dataComprehensive MCOStatewide1915(b)2/1/199712/31/2022No dataMandatory Mandatory Mandatory Mandatory Mandatory Mandatory No dataMandatory No dataMandatory15 daysMaximusNo dataXNo dataXNo dataNo dataXXXXXNo dataXXNo dataNo dataXXXXNo dataXNo dataXXXNo dataNurse midwife services; freestanding birth centers; podiatry; chiropractic services; optometrists; renal dialysis centers; ambulatory surgical centers; medical supplies & equipment; and home health (visiting nurses)YesYesYesNCQAIsland Peer Review OrganizationXNo dataXXXAetna Better Health; Gateway Health; Health Partners Plan; United Healthcare Community Plan; Inc; UPMC for You; Geisinger Health Plan; AmeriHealth Caritas/AmeriHealth Caritas Northeast; Keystone FirstNo dataNo dataPhysical Health HealthChoicesNo dataXXNo dataNo dataXMandatoryNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
028f6a8591ea66b0f236f70280433b9db7cf4576-a930-59b4-86c8-c8685aaa5c2c2018 Managed Care Programs By State2025-10-17T14:00:00+00:002018MI26No data2026-10-09 19:19:52MINo dataComprehensive MCOStatewide1915(b)07/01/199712/31/2019No dataMandatory Mandatory Mandatory Mandatory Voluntary Voluntary Voluntary VoluntaryMandatoryOtherMichigan EnrollsNew enrollees have up to 90 days to switch Medicaid Health Plans, otherwise there is a rolling open enrollment based on the last digit of the individual's case number.XNo dataXXNo dataXXXXXNo dataXXNo dataXXXNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataAmbulance and other emergency medical transportation, certified midwife services, chiropractic services, DME and supplies, emergency services, end stage renal disease services, health education, hearing and speech services, hearing aids (under 21 years old), medically necessary weight reduction services, parenting and birthing classes, podiatry services, prosthetics and orthotics, tobacco cessation treatment, speech, language, physical and occupational therapies, transplant services, transportation for medically necessary covered services, treatment for STDs, vision servicesYesYesYesNCQA, URACHealth Services Advisory GroupXXXNo dataXAetna Better Health of Michigan; Blue Cross Complete of Michigan; Harbor Health Plan; HAP Midwest Health Plan; McLaren Health Plan; Meridian Health Plan of Michigan; Molina Healthcare of Michigan; Priority Health Choice; Total Health Care; UnitedHealthcare Community Plan; Upper Peninsula Health PlanIn order to provide greater access and to support coordination of care for behavioral health services, the Michigan Department of Health and Human Services (MDHHS) has removed the 20-visit maximum limitation for outpatient behavioral health services (psychotherapy services). The restriction is lifted for both Fee-for-Service and Medicaid Health Plan beneficiaries effective for dates of service on or after October 1, 2017.No dataManaged Care Plan DivisionNo dataXXNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
02cb8d1d0fd49c8638abec44d4f5db7f7459d190-e592-42e0-9b66-6f4e7e05eb9b2021 Managed Care Programs By State2023-07-21T16:59:15+00:002021GA13No data2026-10-09 19:19:52GANo dataComprehensive MCOStatewide1932(a)3/3/2014No dataNo data No data No dataMandatory30 daysMaximusNo dataXXXXNo dataXXXXXNo dataXXNo dataNo dataNo dataXXXNo dataNo dataXXNo dataNo dataNo dataPodiatry; Nurse MidwifeYesYesYesNCQA; JCAHOHealth Services Advisory Group (HSAG)XNo dataNo dataNo dataNo dataAmerigroup Community CareGeorgia Families 360 enrolls children; youth; and young adults in foster care; children and youth receiving adoption assistance; and select youth involved in the juvenile justice system.No dataGeorgia Families 360No dataXXNo dataNo dataNo dataExemptNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
02d8970d6de77209d4210c09e32787ac72135da5-f8b4-475b-b602-91621f4205d92019 Managed Care Programs By State2022-06-13T15:45:14+00:002019CA06No data2026-10-09 19:19:52CANo dataComprehensive MCO + MLTSSAlameda, Contra Costa, Fresno, Kern, Kings, Los Angeles, Madera, Riverside, San Bernardino, San Francisco, San Joaquin, Santa Clara, Stanislaus, Tulare1115(a) (Medicaid demonstration waivers)01/01/199612/31/2020No data Mandatory Mandatory Mandatory Varies Voluntary Voluntary VoluntaryVoluntaryOtherHealth Care Operations (Maximus)Approximately 45 daysXNo dataXXNo dataXXXXXNo dataXXNo dataXXNo dataNo dataNo dataNo dataXXXXXNo dataNo dataYesYesNoNo dataHealth Services Advisory GroupNo dataXXNo dataNo dataHealth Net/Kern; Health Net/Los Angeles; Health Net/San Joaquin; Health Net/Stanislaus; Health Net/Tulare; CalViva Health/Fresno; CalViva Health/Kings; CalViva Health/Madera; Anthem Blue Cross Partnership Plan/Fresno; Anthem Blue Cross Partnership Plan/Kings; Anthem Blue Cross Partnership Plan/Madera; Anthem Blue Cross Partnership Plan/Alameda; Anthem Blue Cross Partnership Plan/Contra Costa; Anthem Blue Cross Partnership Plan/San Francisco; Anthem Blue Cross Partnership Plan/Santa Clara; Anthem Blue Cross Partnership Plan/Tulare; Kern Family Health Care; L.A. Care Health Plan/Los Angeles; Contra Costa Health Plan; Alameda Alliance for Health; Inland Empire Health Plan/Riverside; Inland Empire Health Plan/San Bernardino; Molina Healthcare of CA Partner Plan/Riverside; Molina Healthcare of CA Partner Plan/San Bernardino; San Francisco Health Plan; Health Plan of San Joaquin/San Joaquin; Health Plan of San Joaquin/Stanislaus; Santa Clara Family Health PlanFull duals are mandatory for managed care enrollment in CCI Counties (Los Angeles, Riverside, San Bernardino, and Santa Clara) and voluntary for all other counties (Alameda, Contra Costa, Fresno, Kern, Kings, Madera, San Francisco, San Joaquin, Stanislaus and Tulare). In non-COHS plan model types ICF-DD and nursing facility benefits are only covered for a limited period of time (month of admission plus 1 month) and then the member is disenrolled to FFS. The Health Homes Program (HHP) is available in select GMC and Two-Plan counties and available through the Managed Care Plan contracts. No dataTwo-Plan ModelNo dataXXNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
031cd9e72acf4fd4cbe77fdfe6de51c572135da5-f8b4-475b-b602-91621f4205d92019 Managed Care Programs By State2022-06-13T15:45:14+00:002019WA53No data2026-10-09 19:19:52WANo dataOther Prepaid Health Plan (PHP) (limited benefits)Statewide1945 Health Homes07/01/2013No dataNo dataVoluntary Voluntary Voluntary Voluntary Voluntary VoluntaryExemptPre-assignedNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataXNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNoNoNoNo dataNo dataNo dataNo dataNo dataNo dataNo dataMultiple SitesWashington delivers the optional Health Home Medicaid/Medical Benefit both in the Fee-For-service system and through MCO's. For individuals in Apple Health Comprehensive MCO's, the MCO's are at risk for a health home services plus a broad array of benefits including inpatient, outpatient, physician services, pharmacy, etc. For individuals in PCCM's, the MCO's administer health homes services separate from the PCCM program.No dataApple Health/Healthy Options Health Home ProgramNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
03221f3d3fb97f6c7b05ebb974109174b7cf4576-a930-59b4-86c8-c8685aaa5c2c2018 Managed Care Programs By State2025-10-17T14:00:00+00:002018PA42No data2026-10-09 19:19:52PANo dataNon-Emergency Medical TransportationPhiladelphia1902(a)(70) NEMT11/01/2005No dataNo dataVoluntary Voluntary Voluntary Voluntary Voluntary Voluntary Voluntary Voluntary ExemptNo dataNo dataLogistiCareNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataXNo dataNo dataNoNoNoNo dataNo dataNo dataNo dataNo dataNo dataNo dataLogistiCareNo dataNo dataMATP (Medical Assistance Transportation Program)No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
034d7d9cd257f5ad2aa40d4368448e3fa760aac0-5148-43e9-900a-bb128e6672182023 Managed Care Programs By State2026-02-12T19:57:15+00:002023CA06No data2026-10-09 19:19:52CANo dataDental only (PAHP)Region-Specific1915(b)4/1/199812/31/2026No dataVoluntaryVoluntaryVoluntaryVoluntaryVoluntaryVoluntaryNo dataVoluntaryVoluntaryVoluntary60 days - Enrollment open for sixty daysHealth Care Operations (Maximus)--------X-XNo dataXX-No data-XX------X--YesYesNo, but accreditation considered in plan selection criteriaNational Committee for Quality Assurance (NCQA), URACLiberty and Health Net: Attest Health Care Advisors--XXXNo dataNo dataNo dataDental Managed Care/Los AngelesNo data--No dataNo data-No dataNo data-Access Dental Plan/Los Angeles, Health Net of California/Los Angeles, Liberty Dental Plan of CA/Los AngelesDMC plans offer the NEMT benefit.No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
03a3bc9be0bfe8d70c872bdf235155908f39b637-9bb1-5894-9062-2c4f2ad70fba2017 Managed Care Programs by State2025-10-17T20:44:00+00:002017TN47No data2026-10-09 19:19:52TennesseeProgram of All-Inclusive Care for the ElderlyProgram of All-inclusive Care for the Elderly (PACE)Hamilton CountyPACE04/07/1999 12:00:00 AMNo dataNo dataNo dataNo dataVoluntaryNo dataNo dataVoluntaryNo dataNo dataExemptNo dataN/ANo dataNo dataXXXXXXXNo dataXXXNo dataXNo dataXNo dataXXXXXNo dataXXXNo dataPodiatry, nutrition counseling, recreational therapy and social activities, spiritual care, transportation and escort to and from the PACE center, audiology and hearing aids, optometry and eyeglasses, and medical equipment and supplies.falseNoNoNo dataNo dataNo dataNo dataNo dataNo dataNo dataAlexian Brothers Community ServicesA segment of Tennessee's PACE population qualifies for coverage solely by virtue of the TennCare II Demonstration (Tennessee's 1115 Medicaid demonstration waiver) and not via Tennessee's Medicaid State Plan. TennCare II has a demonstration-only population referred to as the "PACE Carryover Group", which consists of individuals who were enrolled in a PACE program as of June 30, 2012, but who upon redetermination no longer qualify for enrollment due solely to the state's modification of its nursing facility level of care criteria. Individuals who enroll in TennCare but opt not to participate in PACE are mandatorily enrolled in an MCO.2017No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
03c0582d504d0ffca247d12b7f8f205d7459d190-e592-42e0-9b66-6f4e7e05eb9b2021 Managed Care Programs By State2023-07-21T16:59:15+00:002021PR72No data2026-10-09 19:19:52PRNo dataComprehensive MCOStatewide1932(a);1937 Alt Benefit Plan2/1/1994No dataNo dataMandatory Mandatory Mandatory Mandatory No dataMandatory No dataMandatoryPre-assignedNo dataNo dataXXXXXXNo dataXXXNo dataXNo dataNo dataNo dataXXXNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataYesYesNoNo dataNo dataNo dataNo dataNo dataXXGovernment Health Plan First Medical; Government Health Plan MMM Multi Health; Government Health Plan de Salud Menonita; Government Health Plan Triple SNo dataNo dataComprehensive MCONo dataXXNo dataNo dataNo dataMandatoryNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data
03e684182eaaa07520ea6fdc6c6ed08c0e112ea8-8e8e-5dee-a7e2-7ed551c3baa4Managed Care Programs by State2025-10-17T20:42:00+00:002016DC11No data2026-10-09 19:19:52District of ColumbiaMedicaid Managed Care ProgramComprehensive MCOStatewide1932(a),1945 Health Homes4/1/1994No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo data2016No dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataNo dataFull duals are eligible for enrollment if there is a Medicaid-enrolled dependent child in the household.No dataNo dataNo dataNo dataNo dataMandatoryNo dataNo dataVoluntaryNo dataNo dataNo dataMandatoryNo dataVoluntaryNo dataNo dataXXXXXXXXXXXXXXXXXNo dataXNo dataNo dataNo dataNo dataXXFreestanding birth centersNo dataYesYesYesNCQADelmarvaNo dataXNo dataXXNo dataNo dataNo dataNo dataTrusted Health Plan; Medstar Family Choice; AmeriHealth District of ColumbiaNo dataDistrict of Columbia (38.904785, -77.016275)

Need the whole thing? Spreadsheet links, downloads, and AI access come with Level 3.

See pricing

Source data published by CMS Medicaid. Data Doughnut shows it as published; US states + DC. · Support · Terms · Privacy Policy · What is Data Doughnut?