Managed Care Enrollment Summary

The Medicaid Managed Care Enrollment Report profiles enrollment statistics on Medicaid managed care programs on a plan-specific level. The managed care enrollment statistics include enrollees receiving comprehensive benefits and limited benefits and are point-in-time counts.

1. Total Medicaid Enrollees represents an unduplicated count of all beneficiaries in FFS and any type of managed care, including Medicaid-only and Medicare-Medicaid ("dual") enrollees.
2. Total Medicaid enrollment in Any Type of Managed Care represents an unduplicated count of beneficiaries enrolled in any Medicaid managed care program, including comprehensive MCOs, limited benefit MCOs, and PCCMs.
3. The “Medicaid Enrollment in Comprehensive Managed Care” column represents an unduplicated count of Medicaid beneficiaries enrolled in a managed care plan that provides comprehensive benefits (acute, primary care, specialty, and any other), or PACE program. It excludes beneficiaries who are enrolled in a Financial Alignment Demonstration Medicare-Medicaid Plan as their only form of managed care.
4. The “Medicaid Enrollment in Comprehensive MCOs Under ACA Section VIII Expansion” column is a subset of the total reported in column C and includes individuals who are enrolled in comprehensive MCOs and are low-income adults, with or without dependent children, eligible for Medicaid under ACA Section VIII.
5. n/a" indicates that a state or territory was either not able to report data or does not operate a managed care program.

《医疗补助管理护理计划登记报告》详细描绘了针对医疗补助管理护理计划的登记统计数据，具体到每个计划层面。该管理护理登记统计数据涵盖了享有全面福利和有限福利的登记者，以及某一时间点的登记人数统计。
1. 总医疗补助登记人数表示了在按服务项目支付（FFS）和任何类型的医疗补助管理护理中，包括仅限于医疗补助和医疗保险双重登记受益人的去重统计数。
2. 在任何类型医疗补助管理护理中的总医疗补助登记人数表示了在医疗补助管理护理计划中登记的受益人去重统计数，包括全面管理型医疗保健组织（MCO）、有限福利MCO和PCCMs。
3. “综合管理护理中的医疗补助登记”一栏表示了在提供全面福利（包括急性、初级、专科及任何其他）或PACE计划的管理护理计划中登记的医疗补助受益人的去重统计数。该统计不包括仅通过财务对齐示范医疗保险-医疗补助计划进行登记的受益人，因为这是他们唯一的护理管理形式。
4. “根据ACA第八章扩展注册在综合MCO中的医疗补助登记”一栏是C列中报告的总数的子集，包括在综合MCO中登记且为低收入成年人（无论是否有抚养子女）的个体，他们根据ACA第八章有资格获得医疗补助。
5. “n/a”表示某州或地区无法报告数据或未运营管理护理计划。