31 datasets found
  1. Medicaid and CHIP enrollees who received a well-child visit

    • catalog.data.gov
    • data.virginia.gov
    • +1more
    Updated Feb 3, 2025
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    Centers for Medicare & Medicaid Services (2025). Medicaid and CHIP enrollees who received a well-child visit [Dataset]. https://catalog.data.gov/dataset/medicaid-and-chip-enrollees-who-received-a-well-child-visit
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    Dataset updated
    Feb 3, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees who received a well-child visit paid for by Medicaid or CHIP, overall and by five subpopulation topics: age group, race and ethnicity, urban or rural residence, program type, and primary language. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid and CHIP enrollees in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands, except where otherwise noted. Enrollees in Guam, American Samoa, and the Northern Mariana Islands are not included. Results include enrollees with comprehensive Medicaid or CHIP benefits for all 12 months of the year and who were younger than age 19 at the end of the calendar year. Results shown for the race and ethnicity subpopulation topic exclude enrollees in the U.S. Virgin Islands. Results shown for the primary language subpopulation topic exclude select states with data quality issues with the primary language variable in TAF. Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on the brief: "Medicaid and CHIP enrollees who received a well-child visit in 2020." Enrollees are identified as receiving a well-child visit in the year according to the Line 6 criteria in the Form CMS-416 reporting instructions. Enrollees are assigned to an age group subpopulation using age as of December 31st of the calendar year. Enrollees are assigned to a race and ethnicity subpopulation using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG) (Race and ethnicity of the national Medicaid and CHIP population in 2020). Enrollees are assigned to an urban or rural subpopulation based on the 2010 Rural-Urban Commuting Area (RUCA) code associated with their home or mailing address ZIP code in TAF (Rural Medicaid and CHIP enrollees in 2020). Enrollees are assigned to a program type subpopulation based on the CHIP code and eligibility group code that applies to the majority of their enrolled-months during the year (Medicaid-Only Enrollment; M-CHIP and S-CHIP Enrollment). Enrollees are assigned to a primary language subpopulation based on their reported ISO language code in TAF (English/missing, Spanish, and all other language codes) (Primary Language). Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.

  2. Medicaid and CHIP enrollees who received mental health or SUD services

    • catalog.data.gov
    • data.virginia.gov
    • +1more
    Updated Feb 22, 2025
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    Centers for Medicare & Medicaid Services (2025). Medicaid and CHIP enrollees who received mental health or SUD services [Dataset]. https://catalog.data.gov/dataset/medicaid-and-chip-enrollees-who-received-mental-health-or-sud-services
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    Dataset updated
    Feb 22, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees who received mental health (MH) or substance use disorder (SUD) services, overall and by six subpopulation topics: age group, sex or gender identity, race and ethnicity, urban or rural residence, eligibility category, and primary language. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid and CHIP enrollees in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands, ages 12 to 64 at the end of the calendar year, who were not dually eligible for Medicare and were continuously enrolled with comprehensive benefits for 12 months, with no more than one gap in enrollment exceeding 45 days. Enrollees who received services for both an MH condition and SUD in the year are counted toward both condition categories. Enrollees in Guam, American Samoa, the Northern Mariana Islands, and select states with TAF data quality issues are not included. Results shown for the race and ethnicity subpopulation topic exclude enrollees in the U.S. Virgin Islands. Results shown for the primary language subpopulation topic exclude select states with data quality issues with the primary language variable in TAF. Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on the brief: "Medicaid and CHIP enrollees who received mental health or SUD services in 2020." Enrollees are assigned to an age group subpopulation using age as of December 31st of the calendar year. Enrollees are assigned to a sex or gender identity subpopulation using their latest reported sex in the calendar year. Enrollees are assigned to a race and ethnicity subpopulation using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG) (Race and ethnicity of the national Medicaid and CHIP population in 2020). Enrollees are assigned to an urban or rural subpopulation based on the 2010 Rural-Urban Commuting Area (RUCA) code associated with their home or mailing address ZIP code in TAF (Rural Medicaid and CHIP enrollees in 2020). Enrollees are assigned to an eligibility category subpopulation using their latest reported eligibility group code, CHIP code, and age in the calendar year. Enrollees are assigned to a primary language subpopulation based on their reported ISO language code in TAF (English/missing, Spanish, and all other language codes) (Primary Language). Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.

  3. Where do People Have Medicaid/Means-Tested Healthcare?

    • data.amerigeoss.org
    esri rest, html
    Updated Apr 11, 2019
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    ESRI (2019). Where do People Have Medicaid/Means-Tested Healthcare? [Dataset]. https://data.amerigeoss.org/dataset/where-do-people-have-medicaid-means-tested-healthcare
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    html, esri restAvailable download formats
    Dataset updated
    Apr 11, 2019
    Dataset provided by
    Esrihttp://esri.com/
    Description

    This map shows where people have Medicaid or means-tested healthcare coverage in the US (ages under 65). This is shown by State, County, and Census Tract, and uses the most current ACS 5-year estimates.


    The map shows the percentage of the population with Medicaid or means-tested coverage, and also shows the total count of population with Medicaid or means-tested coverage. Because of medicare starting at age 65, this map represents the population under 65.

    This map shows a pattern using both centroids and boundaries. This helps clarify where specific areas reach.

    The data shown is current-year American Community Survey (ACS) data from the US Census. The data is updated each year when the ACS releases its new 5-year estimates. To see the original layers used in this map, visit this group.

    To learn more about when the ACS releases data updates, click here.

  4. Medicaid Enrollment - New Adult Group

    • catalog.data.gov
    • data.virginia.gov
    • +2more
    Updated Feb 3, 2025
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    Centers for Medicare & Medicaid Services (2025). Medicaid Enrollment - New Adult Group [Dataset]. https://catalog.data.gov/dataset/medicaid-enrollment-new-adult-group-cb7e1
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    Dataset updated
    Feb 3, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    Total Medicaid Enrollees - VIII Group Break Out Report Reported on the CMS-64 The enrollment information is a state-reported count of unduplicated individuals enrolled in the state’s Medicaid program at any time during each month in the quarterly reporting period. The enrollment data identifies the total number of Medicaid enrollees and, for states that have expanded Medicaid, provides specific counts for the number of individuals enrolled in the new adult eligibility group, also referred to as the “VIII Group”. The VIII Group is only applicable for states that have expanded their Medicaid programs by adopting the VIII Group. This data includes state-by-state data for this population as well as a count of individuals whom the state has determined are newly eligible for Medicaid. All 50 states, the District of Columbia and the US territories are represented in these data. Notes: 1. “VIII GROUP” is also known as the “New Adult Group.” 2. The VIII Group is only applicable for states that have expanded their Medicaid programs by adopting the VIII Group. VIII Group enrollment information for the states that have not expanded their Medicaid program is noted as “N/A.”

  5. d

    Managed Care Enrollment by Program and Population (All)

    • catalog.data.gov
    Updated Feb 3, 2025
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    Centers for Medicare & Medicaid Services (2025). Managed Care Enrollment by Program and Population (All) [Dataset]. https://catalog.data.gov/dataset/managed-care-enrollment-by-program-and-population-all-de096
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    Dataset updated
    Feb 3, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    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. Because Medicaid beneficiaries may be enrolled concurrently in more than one type of managed care program (e.g., a Comprehensive MCO and a BHO), users should not sum enrollment across all program types, since the total would count individuals more than once and, in some states, exceed the actual number of Medicaid enrollees. Comprehensive MCOs cover acute, primary, and specialty medical care services; they may also cover behavioral health, long-term services and supports, and other benefits in some states. Limited benefit managed care programs, including PCCM, MLTSS only, BHO, Dental, Transportation, and Other cover a narrower set of services. The “Total Medicaid Enrollees” column represents an unduplicated count of all beneficiaries in FFS and any type of managed care, including Medicaid-only and dually eligible individuals receiving full Medicaid benefits or Medicaid cost sharing. "--" indicates states that do not operate programs of a given type. 0 signifies that a state operated a program of this type in 2014, but it ended before July 1, 2014, or began after that date.

  6. Medicaid coverage among persons under age 65, by selected characteristics:...

    • datasets.ai
    • healthdata.gov
    • +4more
    23, 40, 55, 8
    Updated Aug 27, 2024
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    U.S. Department of Health & Human Services (2024). Medicaid coverage among persons under age 65, by selected characteristics: United States [Dataset]. https://datasets.ai/datasets/medicaid-coverage-among-persons-under-age-65-by-selected-characteristics-united-states-7ad9d
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    55, 8, 23, 40Available download formats
    Dataset updated
    Aug 27, 2024
    Dataset provided by
    United States Department of Health and Human Serviceshttp://www.hhs.gov/
    Authors
    U.S. Department of Health & Human Services
    Area covered
    United States
    Description

    Data on Medicaid coverage among persons under age 65 by selected population characteristics. Please refer to the PDF or Excel version of this table in the HUS 2019 Data Finder (https://www.cdc.gov/nchs/hus/contents2019.htm) for critical information about measures, definitions, and changes over time.

    SOURCE: NCHS, National Health Interview Survey, health insurance supplements (1984, 1989, 1994-1996). Starting with 1997, data are from the family core and the sample adult questionnaires. Data for level of difficulty are from the 2010 Quality of Life, 2011-2017 Functioning and Disability, and 2018 Sample Adult questionnaires. For more information on the National Health Interview Survey, see the corresponding Appendix entry at https://www.cdc.gov/nchs/data/hus/hus19-appendix-508.pdf.

  7. Medicaid enrollees who qualify for benefits based on disability

    • catalog.data.gov
    • data.virginia.gov
    • +1more
    Updated Feb 3, 2025
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    Centers for Medicare & Medicaid Services (2025). Medicaid enrollees who qualify for benefits based on disability [Dataset]. https://catalog.data.gov/dataset/medicaid-enrollees-who-qualify-for-benefits-based-on-disability
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    Dataset updated
    Feb 3, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    This data set includes annual counts and percentages of Medicaid enrollees who are eligible for benefits based on disability, overall; by reason for qualification of disability benefits; and by four subpopulation topics: age group, dual eligibility status, race and ethnicity, and managed care participation. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid enrollees in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands who were enrolled for at least one day in the calendar year, except where otherwise noted. Enrollees in Guam, American Samoa, and the Northern Mariana Islands are not included. The Children’s Health Insurance Program (CHIP) does not confer eligibility based on disability, so Medicaid expansion CHIP (M-CHIP) and separate CHIP (S-CHIP) enrollees are not included. Results shown for the race and ethnicity subpopulation topic exclude enrollees in the U.S. Virgin Islands. Results shown for the dual eligibility, race and ethnicity, and managed care participation subpopulation topics are restricted to working-age adults (ages 19 to 64) with comprehensive Medicaid benefits. Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on the brief: "Medicaid enrollees who qualify for benefits based on disability in 2020." Enrollees are assigned to a disability category based on their latest reported eligibility group code and age in the calendar year. Enrollees are assigned to an age group subpopulation using age as of December 31st of the calendar year. Enrollees are assigned to a dual eligibility status subpopulation based on the dual eligibility code that applies to the majority of their enrolled-months during the year (Dual Eligibility Code). Enrollees are assigned to a race and ethnicity subpopulation using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG) (Race and ethnicity of the national Medicaid and CHIP population in 2020). Enrollees are assigned to a managed care participation subpopulation based on the managed care plan type code that applies to the majority of their enrolled-months during the year (Enrollment in CMC Plans). Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.

  8. Centers for Medicare & Medicaid Services - Nursing Homes

    • hub.arcgis.com
    • explore-vcbb.hub.arcgis.com
    Updated Mar 18, 2021
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    Esri U.S. Federal Datasets (2021). Centers for Medicare & Medicaid Services - Nursing Homes [Dataset]. https://hub.arcgis.com/maps/fedmaps::centers-for-medicare-medicaid-services-nursing-homes
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    Dataset updated
    Mar 18, 2021
    Dataset provided by
    Esrihttp://esri.com/
    Authors
    Esri U.S. Federal Datasets
    Area covered
    Description

    Centers for Medicare & Medicaid Services - Nursing HomesThis feature layer, utilizing data from the Centers for Medicare & Medicaid Services (CMS), displays the locations of nursing homes in the U.S. Nursing homes provide a type of residential care. They are a place of residence for people who require constant nursing care and have significant deficiencies with activities of daily living. Per CMS, "Nursing homes, which include Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs), are required to be in compliance with Federal requirements to receive payment under the Medicare or Medicaid programs. The Secretary of the United States Department of Health & Human Services has delegated to the CMS and the State Medicaid Agency the authority to impose enforcement remedies against a nursing home that does not meet Federal requirements." This layer includes currently active nursing homes, including number of certified beds, address, and other information.Bridgepoint Sub-Acute and Rehab Capitol HillData downloaded: August 1, 2024Data source: Provider InformationData modification: This dataset includes only those facilities with addresses that were appropriately geocoded.For more information: Nursing homes including rehab servicesFor feedback, please contact: ArcGIScomNationalMaps@esri.comCenters for Medicare & Medicaid ServicesPer USA.gov, "The Centers for Medicare and Medicaid Services (CMS) provides health coverage to more than 100 million people through Medicare, Medicaid, the Children’s Health Insurance Program, and the Health Insurance Marketplace. The CMS seeks to strengthen and modernize the Nation’s health care system, to provide access to high quality care and improved health at lower costs."

  9. d

    Geocoded Medicaid office locations in the United States

    • search-demo.dataone.org
    • dataverse.harvard.edu
    • +1more
    Updated Mar 6, 2024
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    Shafer, Paul; Palmer, Maxwell; Cho, Ahyoung; Lynch, Mara; Louis, Pierce; Skinner, Alexandra (2024). Geocoded Medicaid office locations in the United States [Dataset]. http://doi.org/10.7910/DVN/AVRHMI
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    Dataset updated
    Mar 6, 2024
    Dataset provided by
    Harvard Dataverse
    Authors
    Shafer, Paul; Palmer, Maxwell; Cho, Ahyoung; Lynch, Mara; Louis, Pierce; Skinner, Alexandra
    Time period covered
    Aug 1, 2023 - Dec 19, 2023
    Area covered
    United States
    Description

    Big “p” policy changes at the state and federal level are certainly important to health equity, such as eligibility for and generosity of Medicaid benefits. Medicaid expansion has significantly expanded the number of people who are eligible for Medicaid and the creation of the health insurance exchanges (Marketplace) under the Affordable Care Act created a very visible avenue through which people can learn that they are eligible. Although many applications are now submitted online, physical access to state, county, and tribal government Medicaid offices still plays a critical role in understanding eligibility, getting help in applying, and navigating required documentation for both initial enrollment and redetermination of eligibility. However, as more government functions have moved online, in-person office locations and/or staff may have been cut to reduce costs, and gentrification has shifted where minoritized, marginalized, and/or low-income populations live, it is unclear if this key local connection point between residents and Medicaid has been maintained. Our objective was to identify and geocode all Medicaid offices in the United States for pairing with other spatial data (e.g., demographics, Medicaid participation, health care use, health outcomes) to investigate policy-relevant research questions. Three coders identified Medicaid office addresses in all 50 states and the District of Columbia by searching state government websites (e.g., Department of Health and Human Services or analogous state agency) during late 2021 and early 2022 for the appropriate Medicaid agency and its office locations, which were then reviewed for accuracy by a fourth coder. Our corpus of Medicaid office addresses was then geocoded using the Census Geocoder from the US Census Bureau (https://geocoding.geo.census.gov/geocoder/) with unresolved addresses investigated and/or manually geocoded using Google Maps. The corpus was updated in August through December 2023 following the end of the COVID-19 public health emergency by a fifth coder as several states closed and/or combined offices during the pandemic. After deduplication (e.g., where multiple counties share a single office) and removal of mailing addresses (e.g., PO Boxes), our dataset includes 3,027 Medicaid office locations. 1 (December 19, 2023) – original version 2 (January 25, 2024) – added related publication (Data in Brief), corrected two records that were missing negative signs in longitude 3 (February 6, 2024) – corrected latitude and longitude for one office (1340 State Route 9, Lake George, NY 12845) 4 (March 4, 2024) – added one office for Vermont after contacting relevant state agency (280 State Road, Waterbury, VT 05671)

  10. Primary language spoken by the Medicaid and CHIP population

    • catalog.data.gov
    • data.virginia.gov
    • +1more
    Updated Feb 3, 2025
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    Centers for Medicare & Medicaid Services (2025). Primary language spoken by the Medicaid and CHIP population [Dataset]. https://catalog.data.gov/dataset/primary-language-spoken-by-the-medicaid-and-chip-population
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    Dataset updated
    Feb 3, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees by primary language spoken (English, Spanish, and all other languages). Results are shown overall; by state; and by five subpopulation topics: race and ethnicity, age group, scope of Medicaid and CHIP benefits, urban or rural residence, and eligibility category. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid and CHIP enrollees in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands who were enrolled for at least one day in the calendar year, except where otherwise noted. Enrollees in Guam, American Samoa, the Northern Mariana Islands, and select states with data quality issues with the primary language variable in TAF are not included. Results shown for the race and ethnicity subpopulation topic exclude enrollees in the U.S. Virgin Islands. Results shown overall (where subpopulation topic is "Total enrollees") exclude enrollees younger than age 5 and enrollees in the U.S. Virgin Islands. Results for states with TAF data quality issues in the year have a value of "Unusable data." Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on the brief: "Primary language spoken by the Medicaid and CHIP population in 2020." Enrollees are assigned to a primary language category based on their reported ISO language code in TAF (English/missing, Spanish, and all other language codes) (Primary Language). Enrollees are assigned to a race and ethnicity subpopulation using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG) (Race and ethnicity of the national Medicaid and CHIP population in 2020). Enrollees are assigned to an age group subpopulation using age as of December 31st of the calendar year. Enrollees are assigned to the comprehensive benefits or limited benefits subpopulation according to the criteria in the "Identifying Beneficiaries with Full-Scope, Comprehensive, and Limited Benefits in the TAF" DQ Atlas brief. Enrollees are assigned to an urban or rural subpopulation based on the 2010 Rural-Urban Commuting Area (RUCA) code associated with their home or mailing address ZIP code in TAF (Rural Medicaid and CHIP enrollees in 2020). Enrollees are assigned to an eligibility category subpopulation using their latest reported eligibility group code, CHIP code, and age in the calendar year. Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.

  11. Rural Medicaid and CHIP enrollees

    • data.virginia.gov
    • catalog.data.gov
    csv
    Updated Jan 18, 2025
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    Centers for Medicare & Medicaid Services (2025). Rural Medicaid and CHIP enrollees [Dataset]. https://data.virginia.gov/dataset/rural-medicaid-and-chip-enrollees
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    csvAvailable download formats
    Dataset updated
    Jan 18, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees by urban or rural residence. Results are shown overall; by state; and by four subpopulation topics: scope of Medicaid and CHIP benefits, race and ethnicity, disability-related eligibility category, and managed care participation. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid and CHIP enrollees in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands who were enrolled for at least one day in the calendar year, except where otherwise noted. Enrollees in Guam, American Samoa, and the Northern Mariana Islands are not included. Results shown overall (where subpopulation topic is "Total enrollees") and for the race and ethnicity subpopulation topic exclude enrollees in the U.S. Virgin Islands. Results shown for the race and ethnicity, disability category, and managed care participation subpopulation topics only include Medicaid and CHIP enrollees with comprehensive benefits. Results shown for the disability category subpopulation topic only include working-age adults (ages 19 to 64). Results for states with TAF data quality issues in the year have a value of "Unusable data." Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on the brief: "Rural Medicaid and CHIP enrollees in 2020." Enrollees are assigned to an urban or rural category based on the 2010 Rural-Urban Commuting Area (RUCA) code associated with their home or mailing address ZIP code in TAF. Enrollees are assigned to the comprehensive benefits or limited benefits subpopulation according to the criteria in the "Identifying Beneficiaries with Full-Scope, Comprehensive, and Limited Benefits in the TAF" DQ Atlas brief. Enrollees are assigned to a race and ethnicity subpopulation using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG) (Race and ethnicity of the national Medicaid and CHIP population in 2020). Enrollees are assigned to a disability category subpopulation using their latest reported eligibility group code and age in the year (Medicaid enrollees who qualify for benefits based on disability in 2020). Enrollees are assigned to a managed care participation subpopulation based on the managed care plan type code that applies to the majority of their enrolled-months during the year (Enrollment in CMC Plans). Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.

  12. D

    DQS Medicaid coverage among persons under age 65, by selected...

    • data.cdc.gov
    • healthdata.gov
    • +1more
    application/rdfxml +5
    Updated Mar 17, 2025
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    NCHS/Division of Analysis and Epidemiology (2025). DQS Medicaid coverage among persons under age 65, by selected characteristics: United States [Dataset]. https://data.cdc.gov/NCHS/DQS-Medicaid-coverage-among-persons-under-age-65-b/hdja-ybdg
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    xml, csv, application/rssxml, json, tsv, application/rdfxmlAvailable download formats
    Dataset updated
    Mar 17, 2025
    Dataset authored and provided by
    NCHS/Division of Analysis and Epidemiology
    License

    https://www.usa.gov/government-workshttps://www.usa.gov/government-works

    Area covered
    United States
    Description

    Data on Medicaid coverage among people under age 65, in the United States, by selected population characteristics. Data from Health, United States. SOURCE: National Center for Health Statistics, National Health Interview Survey. Search, visualize, and download these and other estimates from over 120 health topics with the NCHS Data Query System (DQS), available from: https://www.cdc.gov/nchs/dataquery/index.htm.

  13. Race and ethnicity of the national Medicaid and CHIP population

    • catalog.data.gov
    • data.virginia.gov
    Updated Feb 3, 2025
    + more versions
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    Centers for Medicare & Medicaid Services (2025). Race and ethnicity of the national Medicaid and CHIP population [Dataset]. https://catalog.data.gov/dataset/race-and-ethnicity-of-the-national-medicaid-and-chip-population
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    Dataset updated
    Feb 3, 2025
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees by race and ethnicity overall and by three subpopulation topics: scope of Medicaid and CHIP benefits, age group, and eligibility category. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid and CHIP enrollees in all 50 states, the District of Columbia, and Puerto Rico who were enrolled for at least one day in the calendar year. Enrollees in Guam, American Samoa, the Northern Mariana Islands, and the U.S. Virgin Islands are not included. Results shown for the age group and eligibility category subpopulation topics only include enrollees with comprehensive Medicaid and CHIP benefits in the year. Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on information shown in the brief: "Race and ethnicity of the national Medicaid and CHIP population in 2020." Enrollees are assigned to six race and ethnicity categories using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG). Enrollees are assigned to a child (ages 0-18) or adult (ages 19 and older) subpopulation using age as of December 31st of the calendar year. Enrollees are assigned to the comprehensive benefits or limited benefits subpopulation according to the criteria in the "Identifying Beneficiaries with Full-Scope, Comprehensive, and Limited Benefits in the TAF" DQ Atlas brief. Enrollees are assigned to an eligibility category subpopulation using their latest reported eligibility group code, CHIP code, and age in the calendar year. Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.

  14. Section 1915(c) waiver program participants

    • healthdata.gov
    • data.virginia.gov
    • +1more
    application/rdfxml +5
    Updated Jan 18, 2025
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    data.medicaid.gov (2025). Section 1915(c) waiver program participants [Dataset]. https://healthdata.gov/dataset/Section-1915-c-waiver-program-participants/35fs-iknb
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    csv, xml, tsv, application/rdfxml, application/rssxml, jsonAvailable download formats
    Dataset updated
    Jan 18, 2025
    Dataset provided by
    data.medicaid.gov
    Description

    This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees who received a well-child visit paid for by Medicaid or CHIP, overall and by five subpopulation topics: age group, race and ethnicity, urban or rural residence, program type, and primary language. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid and CHIP enrollees in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands, except where otherwise noted. Enrollees in Guam, American Samoa, and the Northern Mariana Islands are not included. Results include enrollees with comprehensive Medicaid or CHIP benefits for all 12 months of the year and who were younger than age 19 at the end of the calendar year. Results shown for the race and ethnicity subpopulation topic exclude enrollees in the U.S. Virgin Islands. Results shown for the primary language subpopulation topic exclude select states with data quality issues with the primary language variable in TAF. Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on the brief: "Medicaid and CHIP enrollees who received a well-child visit in 2020." Enrollees are identified as receiving a well-child visit in the year according to the Line 6 criteria in the Form CMS-416 reporting instructions. Enrollees are assigned to an age group subpopulation using age as of December 31st of the calendar year. Enrollees are assigned to a race and ethnicity subpopulation using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG) (Race and ethnicity of the national Medicaid and CHIP population in 2020). Enrollees are assigned to an urban or rural subpopulation based on the 2010 Rural-Urban Commuting Area (RUCA) code associated with their home or mailing address ZIP code in TAF (Rural Medicaid and CHIP enrollees in 2020). Enrollees are assigned to a program type subpopulation based on the CHIP code and eligibility group code that applies to the majority of their enrolled-months during the year (Medicaid-Only Enrollment; M-CHIP and S-CHIP Enrollment). Enrollees are assigned to a primary language subpopulation based on their reported ISO language code in TAF (English/missing, Spanish, and all other language codes) (Primary Language). Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.

  15. d

    Dataplex: All CMS Data Feeds | Access 1519 Reports & 26B+ Rows of Healthcare...

    • datarade.ai
    .csv
    Updated Nov 23, 2023
    + more versions
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    Dataplex (2023). Dataplex: All CMS Data Feeds | Access 1519 Reports & 26B+ Rows of Healthcare Data Reporting | Perfect for Historical Analysis & Easy Ingestion [Dataset]. https://datarade.ai/data-categories/electronic-health-record-ehr-data/datasets
    Explore at:
    .csvAvailable download formats
    Dataset updated
    Nov 23, 2023
    Dataset authored and provided by
    Dataplex
    Area covered
    United States of America
    Description

    The All CMS Data Feeds dataset is an expansive resource offering access to 118 unique report feeds, providing in-depth insights into various aspects of the U.S. healthcare system. With over 25.8 billion rows of data meticulously collected since 2007, this dataset is invaluable for healthcare professionals, analysts, researchers, and businesses seeking to understand and analyze healthcare trends, performance metrics, and demographic shifts over time. The dataset is updated monthly, ensuring that users always have access to the most current and relevant data available.

    Dataset Overview:

    118 Report Feeds: - The dataset includes a wide array of report feeds, each providing unique insights into different dimensions of healthcare. These topics range from Medicare and Medicaid service metrics, patient demographics, provider information, financial data, and much more. The breadth of information ensures that users can find relevant data for nearly any healthcare-related analysis. - As CMS releases new report feeds, they are automatically added to this dataset, keeping it current and expanding its utility for users.

    25.8 Billion Rows of Data:

    • With over 25.8 billion rows of data, this dataset provides a comprehensive view of the U.S. healthcare system. This extensive volume of data allows for granular analysis, enabling users to uncover insights that might be missed in smaller datasets. The data is also meticulously cleaned and aligned, ensuring accuracy and ease of use.

    Historical Data Since 2007: - The dataset spans from 2007 to the present, offering a rich historical perspective that is essential for tracking long-term trends and changes in healthcare delivery, policy impacts, and patient outcomes. This historical data is particularly valuable for conducting longitudinal studies and evaluating the effects of various healthcare interventions over time.

    Monthly Updates:

    • To ensure that users have access to the most current information, the dataset is updated monthly. These updates include new reports as well as revisions to existing data, making the dataset a continuously evolving resource that stays relevant and accurate.

    Data Sourced from CMS:

    • The data in this dataset is sourced directly from the Centers for Medicare & Medicaid Services (CMS). After collection, the data is meticulously cleaned and its attributes are aligned, ensuring consistency, accuracy, and ease of use for any application. Furthermore, any new updates or releases from CMS are automatically integrated into the dataset, keeping it comprehensive and current.

    Use Cases:

    Market Analysis:

    • The dataset is ideal for market analysts who need to understand the dynamics of the healthcare industry. The extensive historical data allows for detailed segmentation and analysis, helping users identify trends, market shifts, and growth opportunities. The comprehensive nature of the data enables users to perform in-depth analyses of specific market segments, making it a valuable tool for strategic decision-making.

    Healthcare Research:

    • Researchers will find the All CMS Data Feeds dataset to be a robust foundation for academic and commercial research. The historical data, combined with the breadth of coverage across various healthcare metrics, supports rigorous, in-depth analysis. Researchers can explore the effects of healthcare policies, study patient outcomes, analyze provider performance, and more, all within a single, comprehensive dataset.

    Performance Tracking:

    • Healthcare providers and organizations can use the dataset to track performance metrics over time. By comparing data across different periods, organizations can identify areas for improvement, monitor the effectiveness of initiatives, and ensure compliance with regulatory standards. The dataset provides the detailed, reliable data needed to track and analyze key performance indicators.

    Compliance and Regulatory Reporting:

    • The dataset is also an essential tool for compliance officers and those involved in regulatory reporting. With detailed data on provider performance, patient outcomes, and healthcare utilization, the dataset helps organizations meet regulatory requirements, prepare for audits, and ensure adherence to best practices. The accuracy and comprehensiveness of the data make it a trusted resource for regulatory compliance.

    Data Quality and Reliability:

    The All CMS Data Feeds dataset is designed with a strong emphasis on data quality and reliability. Each row of data is meticulously cleaned and aligned, ensuring that it is both accurate and consistent. This attention to detail makes the dataset a trusted resource for high-stakes applications, where data quality is critical.

    Integration and Usability:

    Ease of Integration:

    • The dataset is provided in a CSV format, which is widely compatible with most data analysis tools and platforms. This ensures that users can easily integrate the data into their existing wo...
  16. g

    Rural Medicaid and CHIP enrollees | gimi9.com

    • gimi9.com
    Updated Jan 18, 2025
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    (2025). Rural Medicaid and CHIP enrollees | gimi9.com [Dataset]. https://gimi9.com/dataset/data-gov_rural-medicaid-and-chip-enrollees
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    Dataset updated
    Jan 18, 2025
    License

    U.S. Government Workshttps://www.usa.gov/government-works
    License information was derived automatically

    Description

    This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees by urban or rural residence. Results are shown overall; by state; and by four subpopulation topics: scope of Medicaid and CHIP benefits, race and ethnicity, disability-related eligibility category, and managed care participation. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid and CHIP enrollees in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands who were enrolled for at least one day in the calendar year, except where otherwise noted. Enrollees in Guam, American Samoa, and the Northern Mariana Islands are not included. Results shown overall (where subpopulation topic is "Total enrollees") and for the race and ethnicity subpopulation topic exclude enrollees in the U.S. Virgin Islands. Results shown for the race and ethnicity, disability category, and managed care participation subpopulation topics only include Medicaid and CHIP enrollees with comprehensive benefits. Results shown for the disability category subpopulation topic only include working-age adults (ages 19 to 64). Results for states with TAF data quality issues in the year have a value of "Unusable data." Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on the brief: "Rural Medicaid and CHIP enrollees in 2020." Enrollees are assigned to an urban or rural category based on the 2010 Rural-Urban Commuting Area (RUCA) code associated with their home or mailing address ZIP code in TAF. Enrollees are assigned to the comprehensive benefits or limited benefits subpopulation according to the criteria in the "Identifying Beneficiaries with Full-Scope, Comprehensive, and Limited Benefits in the TAF" DQ Atlas brief. Enrollees are assigned to a race and ethnicity subpopulation using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG) (Race and ethnicity of the national Medicaid and CHIP population in 2020). Enrollees are assigned to a disability category subpopulation using their latest reported eligibility group code and age in the year (Medicaid enrollees who qualify for benefits based on disability in 2020). Enrollees are assigned to a managed care participation subpopulation based on the managed care plan type code that applies to the majority of their enrolled-months during the year (Enrollment in CMC Plans). Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.

  17. COVID-19 Reported Patient Impact and Hospital Capacity by Facility

    • healthdata.gov
    • data.ct.gov
    • +2more
    Updated May 3, 2024
    + more versions
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    U.S. Department of Health & Human Services (2024). COVID-19 Reported Patient Impact and Hospital Capacity by Facility [Dataset]. https://healthdata.gov/Hospital/COVID-19-Reported-Patient-Impact-and-Hospital-Capa/anag-cw7u
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    tsv, application/rssxml, csv, xml, application/rdfxml, application/geo+json, kmz, kmlAvailable download formats
    Dataset updated
    May 3, 2024
    Dataset provided by
    United States Department of Health and Human Serviceshttp://www.hhs.gov/
    Authors
    U.S. Department of Health & Human Services
    License

    https://www.usa.gov/government-workshttps://www.usa.gov/government-works

    Description

    After May 3, 2024, this dataset and webpage will no longer be updated because hospitals are no longer required to report data on COVID-19 hospital admissions, and hospital capacity and occupancy data, to HHS through CDC’s National Healthcare Safety Network. Data voluntarily reported to NHSN after May 1, 2024, will be available starting May 10, 2024, at COVID Data Tracker Hospitalizations.

    The following dataset provides facility-level data for hospital utilization aggregated on a weekly basis (Sunday to Saturday). These are derived from reports with facility-level granularity across two main sources: (1) HHS TeleTracking, and (2) reporting provided directly to HHS Protect by state/territorial health departments on behalf of their healthcare facilities.

    The hospital population includes all hospitals registered with Centers for Medicare & Medicaid Services (CMS) as of June 1, 2020. It includes non-CMS hospitals that have reported since July 15, 2020. It does not include psychiatric, rehabilitation, Indian Health Service (IHS) facilities, U.S. Department of Veterans Affairs (VA) facilities, Defense Health Agency (DHA) facilities, and religious non-medical facilities.

    For a given entry, the term “collection_week” signifies the start of the period that is aggregated. For example, a “collection_week” of 2020-11-15 means the average/sum/coverage of the elements captured from that given facility starting and including Sunday, November 15, 2020, and ending and including reports for Saturday, November 21, 2020.

    Reported elements include an append of either “_coverage”, “_sum”, or “_avg”.

    • A “_coverage” append denotes how many times the facility reported that element during that collection week.
    • A “_sum” append denotes the sum of the reports provided for that facility for that element during that collection week.
    • A “_avg” append is the average of the reports provided for that facility for that element during that collection week.

    The file will be updated weekly. No statistical analysis is applied to impute non-response. For averages, calculations are based on the number of values collected for a given hospital in that collection week. Suppression is applied to the file for sums and averages less than four (4). In these cases, the field will be replaced with “-999,999”.

    A story page was created to display both corrected and raw datasets and can be accessed at this link: https://healthdata.gov/stories/s/nhgk-5gpv

    This data is preliminary and subject to change as more data become available. Data is available starting on July 31, 2020.

    Sometimes, reports for a given facility will be provided to both HHS TeleTracking and HHS Protect. When this occurs, to ensure that there are not duplicate reports, deduplication is applied according to prioritization rules within HHS Protect.

    For influenza fields listed in the file, the current HHS guidance marks these fields as optional. As a result, coverage of these elements are varied.

    For recent updates to the dataset, scroll to the bottom of the dataset description.

    On May 3, 2021, the following fields have been added to this data set.

    • hhs_ids
    • previous_day_admission_adult_covid_confirmed_7_day_coverage
    • previous_day_admission_pediatric_covid_confirmed_7_day_coverage
    • previous_day_admission_adult_covid_suspected_7_day_coverage
    • previous_day_admission_pediatric_covid_suspected_7_day_coverage
    • previous_week_personnel_covid_vaccinated_doses_administered_7_day_sum
    • total_personnel_covid_vaccinated_doses_none_7_day_sum
    • total_personnel_covid_vaccinated_doses_one_7_day_sum
    • total_personnel_covid_vaccinated_doses_all_7_day_sum
    • previous_week_patients_covid_vaccinated_doses_one_7_day_sum
    • previous_week_patients_covid_vaccinated_doses_all_7_day_sum

    On May 8, 2021, this data set has been converted to a corrected data set. The corrections applied to this data set are to smooth out data anomalies caused by keyed in data errors. To help determine which records have had corrections made to it. An additional Boolean field called is_corrected has been added.

    On May 13, 2021 Changed vaccination fields from sum to max or min fields. This reflects the maximum or minimum number reported for that metric in a given week.

    On June 7, 2021 Changed vaccination fields from max or min fields to Wednesday reported only. This reflects that the number reported for that metric is only reported on Wednesdays in a given week.

    On September 20, 2021, the following has been updated: The use of analytic dataset as a source.

    On January 19, 2022, the following fields have been added to this dataset:

    • inpatient_beds_used_covid_7_day_avg
    • inpatient_beds_used_covid_7_day_sum
    • inpatient_beds_used_covid_7_day_coverage

    On April 28, 2022, the following pediatric fields have been added to this dataset:

    • all_pediatric_inpatient_bed_occupied_7_day_avg
    • all_pediatric_inpatient_bed_occupied_7_day_coverage
    • all_pediatric_inpatient_bed_occupied_7_day_sum
    • all_pediatric_inpatient_beds_7_day_avg
    • all_pediatric_inpatient_beds_7_day_coverage
    • all_pediatric_inpatient_beds_7_day_sum
    • previous_day_admission_pediatric_covid_confirmed_0_4_7_day_sum
    • previous_day_admission_pediatric_covid_confirmed_12_17_7_day_sum
    • previous_day_admission_pediatric_covid_confirmed_5_11_7_day_sum
    • previous_day_admission_pediatric_covid_confirmed_unknown_7_day_sum
    • staffed_icu_pediatric_patients_confirmed_covid_7_day_avg
    • staffed_icu_pediatric_patients_confirmed_covid_7_day_coverage
    • staffed_icu_pediatric_patients_confirmed_covid_7_day_sum
    • staffed_pediatric_icu_bed_occupancy_7_day_avg
    • staffed_pediatric_icu_bed_occupancy_7_day_coverage
    • staffed_pediatric_icu_bed_occupancy_7_day_sum
    • total_staffed_pediatric_icu_beds_7_day_avg
    • total_staffed_pediatric_icu_beds_7_day_coverage
    • total_staffed_pediatric_icu_beds_7_day_sum

    On October 24, 2022, the data includes more analytical calculations in efforts to provide a cleaner dataset. For a raw version of this dataset, please follow this link: https://healthdata.gov/Hospital/COVID-19-Reported-Patient-Impact-and-Hospital-Capa/uqq2-txqb

    Due to changes in reporting requirements, after June 19, 2023, a collection week is defined as starting on a Sunday and ending on the next Saturday.

  18. Number of pregnant and postpartum Medicaid and CHIP beneficiaries, 2017-2021...

    • catalog.data.gov
    • healthdata.gov
    • +2more
    Updated Jan 19, 2024
    + more versions
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    Centers for Medicare & Medicaid Services (2024). Number of pregnant and postpartum Medicaid and CHIP beneficiaries, 2017-2021 [Dataset]. https://catalog.data.gov/dataset/number-of-pregnant-and-postpartum-medicaid-and-chip-beneficiaries-2017-2020
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    Dataset updated
    Jan 19, 2024
    Dataset provided by
    Centers for Medicare & Medicaid Services
    Description

    This table presents the number of pregnant and postpartum Medicaid and CHIP beneficiaries, 2017-2021. It includes (1) the number and percentage of beneficiaries ever pregnant in the year; (2) the number and percentage of live births in the year; (3) the number and percentage of miscarriages, stillbirths, or terminations in the year; and (4) the number and percentage of births with an unknown delivery outcome in the year. These metrics are based on data in the T-MSIS Analytic Files (TAF). Some states have serious data quality issues, making the data unusable for identifying this population. Data for a state are considered unusable based on DQ Atlas thresholds for the following topics: Total Medicaid and CHIP Enrollment, Claims Volume - IP, Claims Volume - OT, Claims Volume - IP, Diagnosis Code - IP, Diagnosis Code - OT, Procedure Codes - OT Professional. Cells with a value of “DQ” indicate that data were suppressed due to unusable data. Data from Maryland, Tennessee, and Utah are omitted from the tables due to data quality concerns. Maryland was excluded in 2017 due to unusable diagnosis codes in the IP file and the OT file. Tennessee was excluded due to unusable diagnosis codes in the IP file in 2017 - 2019. Utah was excluded due to unusable procedure codes on OT professional claims in 2017 - 2020. In addition, states with a high data quality concern on one or more measures are noted in the table in the "Data Quality" column. 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.

  19. Managed Care Enrollment by Program and Population (Duals)

    • datasets.ai
    8
    Updated Sep 22, 2024
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    U.S. Department of Health & Human Services (2024). Managed Care Enrollment by Program and Population (Duals) [Dataset]. https://datasets.ai/datasets/managed-care-enrollment-by-program-and-population-duals-2fed4
    Explore at:
    8Available download formats
    Dataset updated
    Sep 22, 2024
    Dataset provided by
    United States Department of Health and Human Serviceshttp://www.hhs.gov/
    Authors
    U.S. Department of Health & Human Services
    Description

    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. Because Medicaid beneficiaries may be enrolled concurrently in more than one type of managed care program (e.g., a Comprehensive MCO and a BHO), users should not sum enrollment across all program types, since the total would count individuals more than once and, in some states, exceed the actual number of Medicaid enrollees.
    2. Comprehensive MCOs cover acute, primary, and specialty medical care services; they may also cover behavioral health, long-term services and supports, and other benefits in some states. Limited benefit managed care programs, including MLTSS only, BHO, Dental, Transportation, and Other cover a narrower set of services.
    3. The indicated territory was not able to supply data for this report. The Northern Mariana Islands reported that they have no Medicaid managed care enrollment, but they did not report total Medicaid enrollees.

    "--" indicates states that do not operates programs of a given type. 0 signifies that a state operated a program of this type in 2014, but it ended before July 1, 2014, or began after that date.

  20. Beneficiaries receiving a behavioral health service by behavioral health...

    • datasets.ai
    • healthdata.gov
    • +2more
    8
    + more versions
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    U.S. Department of Health & Human Services, Beneficiaries receiving a behavioral health service by behavioral health condition, 2017-2021 [Dataset]. https://datasets.ai/datasets/beneficiaries-receiving-a-behavioral-health-service-by-behavioral-health-condition-2017-20
    Explore at:
    8Available download formats
    Dataset provided by
    United States Department of Health and Human Serviceshttp://www.hhs.gov/
    Authors
    U.S. Department of Health & Human Services
    Description

    This table presents beneficiaries who received at least one behavioral health service, by behavioral health condition, 2017-2021.

    Some states have serious data quality issues, making the data unusable for identifying this population. To assess data quality, analysts used measures featured in the DQ Atlas. Data for a state are considered unusable based on DQ Atlas thresholds for the following topics: Total Medicaid and CHIP Enrollment, Claims Volume - IP, Claims Volume - OT, Claims Volume - IP, Diagnosis Code - IP, Diagnosis Code - OT, Procedure Codes - OT Professional, Gender, Age, Zip code, Race and ethnicity, Eligibility group code, Enrollment in CMC Plans.

    Data from Maryland, Tennessee, and Utah are omitted for the tables due to data quality concerns. Maryland was excluded in 2017 due to unusable diagnosis codes in the IP file and the OT file. Tennessee was excluded due to unusable diagnosis codes in the IP file in 2017 - 2019. Utah was excluded due to unusable procedure codes on OT professional claims in 2017 - 2020. In addition, states with a high data quality concern on one or more measures are noted in the table in the "Data Quality" column. 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.

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Centers for Medicare & Medicaid Services (2025). Medicaid and CHIP enrollees who received a well-child visit [Dataset]. https://catalog.data.gov/dataset/medicaid-and-chip-enrollees-who-received-a-well-child-visit
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Medicaid and CHIP enrollees who received a well-child visit

Explore at:
Dataset updated
Feb 3, 2025
Dataset provided by
Centers for Medicare & Medicaid Services
Description

This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees who received a well-child visit paid for by Medicaid or CHIP, overall and by five subpopulation topics: age group, race and ethnicity, urban or rural residence, program type, and primary language. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid and CHIP enrollees in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands, except where otherwise noted. Enrollees in Guam, American Samoa, and the Northern Mariana Islands are not included. Results include enrollees with comprehensive Medicaid or CHIP benefits for all 12 months of the year and who were younger than age 19 at the end of the calendar year. Results shown for the race and ethnicity subpopulation topic exclude enrollees in the U.S. Virgin Islands. Results shown for the primary language subpopulation topic exclude select states with data quality issues with the primary language variable in TAF. Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on the brief: "Medicaid and CHIP enrollees who received a well-child visit in 2020." Enrollees are identified as receiving a well-child visit in the year according to the Line 6 criteria in the Form CMS-416 reporting instructions. Enrollees are assigned to an age group subpopulation using age as of December 31st of the calendar year. Enrollees are assigned to a race and ethnicity subpopulation using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG) (Race and ethnicity of the national Medicaid and CHIP population in 2020). Enrollees are assigned to an urban or rural subpopulation based on the 2010 Rural-Urban Commuting Area (RUCA) code associated with their home or mailing address ZIP code in TAF (Rural Medicaid and CHIP enrollees in 2020). Enrollees are assigned to a program type subpopulation based on the CHIP code and eligibility group code that applies to the majority of their enrolled-months during the year (Medicaid-Only Enrollment; M-CHIP and S-CHIP Enrollment). Enrollees are assigned to a primary language subpopulation based on their reported ISO language code in TAF (English/missing, Spanish, and all other language codes) (Primary Language). Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.

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