2027 open enrollment. 3.15M must pick a new plan.

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Medicaid Data World

SourceThe dataYears
Who is enrolled
By plan, monthlyManaged-care enrollment by plan in 45 states, with the parent behind each plan and its market share.2000 to 2026
By state, monthlyMedicaid and CHIP enrollment and applications, every state.2013 to 2026
Managed care, the national reportsPlan-level enrollment by state; utilization by MCO and county for Arizona, Michigan, Nevada and New Mexico.2016 to 2024
California in depthMedi-Cal managed care enrollment since 2007, the county-plan-model roster, the contracts, the waiver authorities.2007 to 2026
How plans perform
Plan qualityHEDIS rates by managed-care plan as each state reports them, keyed to the plan.2021 to 2024
Appeals and grievancesAppeals, fair hearings, grievances and prior authorization by managed-care plan, from every state's annual report to CMS.2023 to 2024
What the state pays
Fee schedulesProfessional rates by procedure in 11 states (CA, CT, DC, DE, MA, MD, NJ, NY, PA, VA, WV).2022 to 2026
Hospital ratesConnecticut's inpatient rates and DRG weights.2023 to 2026
Capitation ratesWhat each state pays its managed care plans per member per month, by rate cell, with each state's rate cycle and the document behind every rate.2018 to 2027
State directed paymentsEvery directed payment CMS approved in 32 states, by program and rating period, with the federal share and the approval letter behind each amount. The amounts are approved ceilings, not payments.2021 to 2027
DrugsState drug utilization since 1991; the drug rebate program product file.1991 to 2026
The reference
MACPACThe MACStats data book, as data.2011 to 2026
What is not here
A state that publishes only a dashboard with export off is not loaded. Capitation rates are held where the state publishes them.
Never public: claims below the summary files.

Built from 3 CMS release streams. Every table, its columns and its dates