Managed Care Programs By State
U.S. Department of Health & Human Services
@usgov.hhs_gov_managed_care_programs_by_state
U.S. Department of Health & Human Services
@usgov.hhs_gov_managed_care_programs_by_state
Provides program names, program features, population enrolled, benefits covered, quality assurance and improvement, performance incentives, provider value-based purchasing, participating plans, regions served and program notes.
Organization: U.S. Department of Health & Human Services
Last updated: 2025-11-05T12:40:34.534969
Tags: medicaid
CREATE TABLE table_1 (
"state" VARCHAR,
"program_name" VARCHAR,
"program_type" VARCHAR,
"statewide_or_region_specific" VARCHAR -- Statewide Or Region-specific?,
"federal_operating_authority" VARCHAR,
"program_start_date" TIMESTAMP,
"waiver_expiration_date_if_applicable" VARCHAR -- Waiver Expiration Date (if Applicable),
"if_the_program_ended_in_2014_indicate_the_end_date" VARCHAR -- If The Program Ended In 2014, Indicate The End Date,
"populations_enrolled" VARCHAR,
"low_income_adults_not_eligible_under_aca_section_viii" VARCHAR,
"aged_blind_or_disabled_children_or_adults" VARCHAR -- Aged, Blind Or Disabled Children Or Adults,
"non_disabled_children_excluding_children_in_foster_car_15bd2b28" VARCHAR -- Non-Disabled Children (excluding Children In Foster Care Or Receiving Adoption Assistance),
"individuals_receiving_limited_benefits" VARCHAR,
"low_income_adults_eligible_under_aca_section_viii" VARCHAR,
"full_duals" VARCHAR,
"partial_duals" VARCHAR,
"children_with_special_health_care_needs" VARCHAR,
"native_american_alaskan_natives" VARCHAR,
"foster_care_and_adoption_assistance_children" VARCHAR,
"enrollment_choice_period" VARCHAR,
"enrollment_broker_name_if_applicable" VARCHAR -- Enrollment Broker Name (if Applicable),
"notes_on_enrollment_choice_period" VARCHAR,
"benefits_covered" VARCHAR,
"inpatient_hospital_physical_health" VARCHAR,
"inpatient_hospital_behavioral_health_mh_and_or_sud" VARCHAR -- Inpatient Hospital Behavioral Health (MH And/or SUD),
"outpatient_hospital_physical_health" VARCHAR,
"outpatient_hospital_behavioral_health_mh_and_or_sud" VARCHAR -- Outpatient Hospital Behavioral Health (MH And/or SUD),
"partial_hospitalization" VARCHAR,
"physician" VARCHAR,
"nurse_practitioner" VARCHAR,
"rural_health_clinics_and_fqhcs" VARCHAR,
"clinic_services" VARCHAR,
"lab_and_x_ray" VARCHAR,
"prescription_drugs_and_prosthetic_devices" VARCHAR,
"epsdt" VARCHAR,
"case_management" VARCHAR,
"health_home_ssa_1945" VARCHAR -- Health Home (SSA 1945),
"family_planning" VARCHAR,
"dental_services_medical_surgical" VARCHAR -- Dental Services (medical/surgical),
"dental_preventative_or_corrective" VARCHAR -- Dental (preventative Or Corrective),
"home_health_agency_services" VARCHAR,
"personal_care_state_plan_option" VARCHAR -- Personal Care (state Plan Option),
"hcbs_waiver_services" VARCHAR,
"private_duty_nursing" VARCHAR,
"icf_idd" VARCHAR,
"nursing_facility_services" VARCHAR,
"hospice_care" VARCHAR,
"non_emergency_medical_transportation" VARCHAR,
"other_e_g_nurse_midwife_services_freestanding_birth_ce_3ff71834" VARCHAR -- Other (e.g., Nurse Midwife Services, Freestanding Birth Centers, Podiatry, Etc.),
"quality_assurance_and_improvement" VARCHAR,
"hedis_data_required" VARCHAR -- HEDIS Data Required?,
"cahps_data_required" VARCHAR -- CAHPS Data Required?,
"accreditation_required" VARCHAR -- Accreditation Required?,
"accrediting_organization" VARCHAR,
"eqro_contractor_name_if_applicable" VARCHAR -- EQRO Contractor Name (if Applicable),
"performance_incentives" VARCHAR -- Performance Incentives?,
"payment_bonuses_differentials_to_reward_plans" VARCHAR,
"preferential_auto_enrollment_to_reward_plans" VARCHAR,
"public_reports_comparing_mco_performance_on_key_metrics" VARCHAR,
"withholds_tied_to_performance_metrics" VARCHAR,
"mcos_phps_required_encouraged_to_pay_providers_for_val_5fb59e4d" VARCHAR -- MCOs/PHPs Required/encouraged To Pay Providers For Value/quality Outcomes Using Shared-risk Or Shared-savings Methods,
"provider_value_based_purchasing" VARCHAR,
"state_pays_provider_based_entities_such_as_acos_or_pcm_b5a9abb0" VARCHAR -- State Pays Provider-based Entities (such As ACOs Or PCMHs) Directly For Value/quality Outcomes Using Shared-risk Or Shared-savings Methods,
"participating_plans_and_regions_served" VARCHAR,
"plans_in_program" VARCHAR,
"notes" VARCHAR,
"program_notes" VARCHAR,
"year" DOUBLE,
"location" VARCHAR
);Anyone who has the link will be able to view this.