Medicaid Managed Care Enrollment and Program Characteristics, 2020
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Associated Project
Medicaid and CHIP Managed Care: Tools and Technical Assistance to Support Federal and State Oversight
Prepared for:
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Division of Managed Care Policy
Key Findings
- Medicaid enrollment in comprehensive managed care organizations (MCOs) increased by 6.1 percent – from 55.2 million in 2019 to 58.5 million in 2020.
- Several states suggested that the increases in enrollment at least partly resulted from the temporary enrollment provisions put in place in response to the COVID-19 Public Health Emergency (PHE).
- Enrollment of dually eligible individuals in comprehensive MCOs increased by 3.5 percent from 2019 to 2020.
- The percentage of Medicaid beneficiaries enrolled in comprehensive managed care plans as a result of the ACA Medicaid expansion increased for the fifth straight year.
The Medicaid Managed Care Enrollment Report summarizes data on Medicaid managed care as of July 2020. The report includes a summary of trends in managed care enrollment and program participation. It also includes national-level summary tables, such as total enrollment, enrollment of dual eligibles, enrollment in comprehensive managed care organizations, and enrollment by program and plan. Finally, the report includes state-level tables on features of the state’s managed care programs.
The data and information presented in this report were collected directly from all states, the District of Columbia, and US territories.
Data Sets
Managed Care Enrollment Summary
Managed Care Enrollment by Program and Population (All)
Managed Care Enrollment by Program and Population (Duals)
Managed Care Enrollment by Program and Plan
Share of Medicaid Enrollees in Managed Care
Managed Long Term Services and Supports (MLTSS) Enrollees
Managed Care Features By Enrollment Population
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