Managed Care Information for Medicaid and CHIP Beneficiaries by Year

This data set presents annual 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). There are three metrics presented: (1) the number of beneficiaries ever enrolled in each managed care plan type over the year (duplicated count); (2) the number of beneficiaries enrolled in each managed care plan type as of an individual’s last month of enrollment (duplicated count); and (3) average monthly enrollment in each managed care plan type.

These metrics are based on data in the T-MSIS Analytic Files (TAF). Some cells have a value of “DS”. Some states have serious data quality issues, making the data unusable for calculating these measures. To assess data quality, analysts used measures featured in the DQ Atlas. Data for a state and year 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.

本数据集展示了按管理式医疗参与情况（包括全面管理式医疗、初级保健病例管理、MLTSS，以及PACE、行为健康组织、非医疗预付健康计划、仅医疗预付健康计划和其他）划分的每年医疗保险和儿童健康保险受益人的年度注册人数。数据集包含三个指标：（1）每年在每种管理式医疗计划类型中曾经注册的受益人数（重复计数）；（2）截至个人最后一个月注册时在每种管理式医疗计划类型中注册的受益人数（重复计数）；以及（3）每种管理式医疗计划类型的平均月注册人数。这些指标基于T-MSIS分析文件（TAF）中的数据。部分单元格显示值为“DS”。某些州的数据质量存在严重问题，导致数据无法用于计算这些指标。为了评估数据质量，分析人员使用了DQ Atlas中的指标。如果一个州和一年的数据基于DQ Atlas关于CMC注册、PCCM项目注册和BHO计划注册的主题阈值被认为是不可用或高度关注，则认为该数据不可用。请参考DQ Atlas（http://medicaid.gov/dq-atlas）以获取更多有关数据质量评估方法的信息。部分单元格显示值为“DS”，这表示由于包含少于11名受益人的原因，数据因保密而被抑制。