# CMS Medicaid Managed Care (utilization by MCO × county)

`medicare_silver.fact_medicaid_managed_care` · Medicare Advantage, Part D, Medicaid · status live · 19,559 rows

CMS Medicaid Managed Care utilization — per state, county, managed-care organization, and service category: active patients, eligible MCO patients, providers, % of eligible receiving services, services per active patient. The Medicaid MCO access/utilization lens (note: Medicaid managed-care utilization, not medical rates — those remain unavailable).

**Grain.** One row per (calendar_year, state, county, MCO, service category).

| column | type | meaning |
|---|---|---|
| calendar_year | int |  |
| state | string |  |
| county | string |  |
| mco_name | string |  |
| service_category | string |  |
| plan_category | string |  |
| n_active_patients | double |  |
| n_eligible_patients | double |  |
| n_providers | double |  |
| pct_eligible_receiving | double |  |
| services_per_active_patient | double |  |
| active_patients_per_provider | double |  |
| observed_period | date |  |
| asserted_at | date |  |
| effective_period_start | date |  |
| effective_period_end | date |  |
| cms_vintage_sequence | int |  |
| parse_revision | int |  |
| parser_artifact_hash | string |  |
| source_url | string |  |
| sha256_content_hash | string |  |
| source_id | string |  |
| is_current | boolean |  |
| bronze_object_key | string |  |
| s3_version_id | string |  |
| vintage_tag | string |  |
| drug_source_version_id | string |  |

Tools that read it: get_medicaid_mco_enrollment

Query it: `query_substrate` with `SELECT ... FROM medicare_silver.fact_medicaid_managed_care WHERE ... LIMIT 100`; read `describe_data_source("medicare_silver.fact_medicaid_managed_care")` first.