Medicaid Managed Care Enrollment and Program Characteristics, 2017
Medicaid and CHIP Managed Care: Tools and Technical Assistance to Support Federal and State Oversight
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Division of Managed Care Policy
- Medicaid enrollment in comprehensive MCOs increased by just 1.9 percent – from 54.5 million in 2016 to 55.6 million in 2017 – representing the third straight year of slowed growth.
- Nationally, over two thirds (69.2 percent) of all Medicaid beneficiaries were enrolled in comprehensive MCOs in 2017, up from 68.0 percent in 2016.
- Use of Behavioral Health Organization (BHO) and Primary Care Case Management (PCCM) programs continued to decline, while use of Dental and MLTSS only programs continued to increase.
- The percentage of Medicaid beneficiaries enrolled in comprehensive managed care plans as a result of the ACA Medicaid expansion increased for the third straight year.
The Medicaid Managed Care Enrollment Report summarizes data on Medicaid managed care as of July 2017. 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.