Managed Care Information for Medicaid and CHIP Beneficiaries by Month
This data set includes monthly enrollment counts of Medicaid and CHIP beneficiaries by managed care participation (comprehensive managed care, primary care case management, MLTSS, including PACE, behavioral health organizations, nonmedical prepaid health plans, medical-only prepaid health plans, and other).
These metrics are based on data in the T-MSIS Analytic Files (TAF). Some states have serious data quality issues for one or more months, making the data unusable for calculating these measures. To assess data quality, analysts adapted measures featured in the DQ Atlas. Data for a state and month are considered unusable or of high concern based on DQ Atlas thresholds for the topics Enrollment in CMC, Enrollment in PCCM Programs, and Enrollment in BHO Plans. Please refer to the DQ Atlas at http://medicaid.gov/dq-atlas for more information about data quality assessment methods.
Some cells have a value of “DS”. This indicates that data were suppressed for confidentiality reasons because the group included fewer than 11 beneficiaries.
Complete Metadata
| @type | dcat:Dataset |
|---|---|
| accessLevel | public |
| accrualPeriodicity | R/P10Y |
| bureauCode |
[
"009:00"
]
|
| contactPoint |
{
"fn": "Medicaid.gov",
"@type": "vcard:Contact",
"hasEmail": "mailto:Medicaid.gov@cms.hhs.gov"
}
|
| description | This data set includes monthly enrollment counts of Medicaid and CHIP beneficiaries by managed care participation (comprehensive managed care, primary care case management, MLTSS, including PACE, behavioral health organizations, nonmedical prepaid health plans, medical-only prepaid health plans, and other). These metrics are based on data in the T-MSIS Analytic Files (TAF). Some states have serious data quality issues for one or more months, making the data unusable for calculating these measures. To assess data quality, analysts adapted measures featured in the DQ Atlas. Data for a state and month are considered unusable or of high concern based on DQ Atlas thresholds for the topics Enrollment in CMC, Enrollment in PCCM Programs, and Enrollment in BHO Plans. Please refer to the DQ Atlas at http://medicaid.gov/dq-atlas for more information about data quality assessment methods. Some cells have a value of “DS”. This indicates that data were suppressed for confidentiality reasons because the group included fewer than 11 beneficiaries. |
| distribution |
[
{
"@type": "dcat:Distribution",
"title": "Managed Care Information for Medicaid and CHIP Beneficiaries by Month",
"mediaType": "text/csv",
"description": "This data set includes monthly enrollment counts of Medicaid and CHIP beneficiaries by managed care participation (comprehensive managed care, primary care case management, MLTSS, including PACE, behavioral health organizations, nonmedical prepaid health plans, medical-only prepaid health plans, and other).
These metrics are based on data in the T-MSIS Analytic Files (TAF). Some states have serious data quality issues for one or more months, making the data unusable for calculating these measures. To assess data quality, analysts adapted measures featured in the DQ Atlas. Data for a state and month are considered unusable or of high concern based on DQ Atlas thresholds for the topics Enrollment in CMC, Enrollment in PCCM Programs, and Enrollment in BHO Plans. Please refer to the DQ Atlas at http://medicaid.gov/dq-atlas for more information about data quality assessment methods.
Some cells have a value of “DS”. This indicates that data were suppressed for confidentiality reasons because the group included fewer than 11 beneficiaries.",
"downloadURL": "https://download.medicaid.gov/data/ManagedCare-montly-102025.csv"
}
]
|
| identifier | 89baf100-259b-4763-b9e2-337972f988c4 |
| issued | 2023-03-28 |
| keyword |
[
"chip",
"dq atlas",
"managed care",
"medicaid",
"t-msis analytic files"
]
|
| landingPage | https://healthdata.gov/d/aq28-bxdq |
| license | http://www.usa.gov/publicdomain/label/1.0/ |
| modified | 2025-10-20 |
| programCode |
[
"009:000"
]
|
| publisher |
{
"name": "Centers for Medicare & Medicaid Services",
"@type": "org:Organization"
}
|
| theme |
[
"Enrollment"
]
|
| title | Managed Care Information for Medicaid and CHIP Beneficiaries by Month |
