AndreaBozzo/ceres-open-data-index huggingface dataset:
Express Lane Eligibility for Medicaid and CHIP Coverage

States may rely on eligibility information from "Express Lane" agency programs to streamline and simplify enrollment and renewal in Medicaid and CHIP. Express Lane agencies may include Supplemental Nutrition Assistance Program (SNAP), School Lunch programs, Temporary Assistance for Needy Families, Head Start, and the Women, infant, and children's program (WIC) , among others. States can also use state income tax data to determine Medicaid and CHIP eligibility for children.
Medicaid Financial Management Data – National Totals

This dataset reports summary state-by-state total expenditures by program for the Medicaid Program, Medicaid Administration and CHIP programs.  These state expenditures are tracked through the automated Medicaid Budget and Expenditure System/State Children's Health Insurance Program Budget and Expenditure System (MBES/CBES).

For more information, visit https://medicaid.gov/medicaid/finance/state-expenditure-reporting/expenditure-reports/index.html.
2014 Child and Adult Health Care Quality Measures

Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2014 reporting.  Dataset contains both child and adult measures. Source: Mathematica analysis of FFY 2014 Child and Adult CARTS reports as of May 8, 2015, as published in the 2015 Secretary's Reports on the Quality of Care in Medicaid/CHIP.
Medicaid and CHIP Eligibility Levels

The following table provides eligibility levels in each state for key coverage groups that use Modified Adjusted Gross Income (MAGI), as of April 1, 2018. The data represent the principal, but not all, MAGI coverage groups in Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program (BHP). All income standards are expressed as a percentage of the federal poverty level (FPL). The MAGI-based rules generally include adjusting an individual’s income by an amount equivalent to a 5% FPL disregard. Other eligibility criteria also apply, such as citizenship, immigration status, and state residency.

For more information, see: 
https://www.medicaid.gov/medicaid/program-information/medicaid-and-chip-eligibility-levels/index.html
Medicaid Financial Management Data

This dataset reports summary state-by-state total expenditures by program for the Medicaid Program, Medicaid Administration and CHIP programs. These state expenditures are tracked through the automated Medicaid Budget and Expenditure System/State Children's Health Insurance Program Budget and Expenditure System (MBES/CBES).

For more information, visit https://medicaid.gov/medicaid/finance/state-expenditure-reporting/expenditure-reports/index.html.
NAM CAHPS 2014 Public Use

In fall 2014, the Center for Medicaid and CHIP Services (CMCS) conducted a Nationwide Adult Medicaid (NAM) Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey of Medicaid enrollees to attain national and state-by-state measures of access, barriers to care, and experiences with care across delivery systems and major population subgroups. The survey interviewed a representative sample of adults ages 18 and older enrolled in Medicaid during October through December 2013.
Additional information, including a data dictionary and analysis guidance and downloadable SAS files are available on the <a href="https://www.medicaid.gov/medicaid/quality-of-care/quality-of-care-performance-measurement/nationwide-adult-medicaid-consumer-assessment-of-healthcare-providers-and-systems">NAM CAHPS</a> webpage. Please note that all analyses must account for the survey’s sample design and use weights and strata. Sample code is available in on the <a href="https://www.medicaid.gov/medicaid/quality-of-care/quality-of-care-performance-measurement/nationwide-adult-medicaid-consumer-assessment-of-healthcare-providers-and-systems">NAM CAHPS</a> webpage.
Managed Care Features by Quality-related Requirements

2024 Managed Care Features by Quality-related Requirements

The Managed Care Features by Quality Requirements and Performance Incentives table (Table 8 in the Enrollment Report) lists the total number of managed care programs by type (comprehensive managed care, PCCM, dental, etc.) and lists the number of managed care programs by type providing a variety of features, including quality and data collection, performance incentives, and provider value-based purchasing status.

2023 Managed Care Features by Quality-related Requirements

The Managed Care Features by Quality Requirements and Performance Incentives table (Table 8 in the Enrollment Report) lists the total number of managed care programs by type (comprehensive managed care, PCCM, dental, etc.) and lists the number of managed care programs by type providing a variety of features, including quality and data collection, performance incentives, and provider value-based purchasing status.
2019 Child and Adult Health Care Quality Measures Quality

Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2019 reporting.

Source: Mathematica analysis of MACPro and Form CMS-416 reports for the FFY 2019 reporting cycle. Dataset revised October 2020. For more information, see the Children's Health Care Quality Measures and Adult Health Care Quality Measures webpages.
Medicaid CMS-64 New Adult Group Expenditures

This dataset reports summary level expenditure data associated with the new adult group established under the Affordable Care Act. These state expenditures are reported through the federal Medicaid Budget and Expenditure System (MBES).

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 expenditure information
for the states that have not expanded their Medicaid program is noted as “N/A.”
3. States that have reported “0” either have no expenditures for that reporting category or have not yet reported expenditures for that category.
4. MCHIP expenditures are not included in the All Medical Assistance Expenditures.
Managed Care Features By Enrollment Population

2024 Managed Care Features by Enrollment Population

The Managed Care Features by Enrollment Population table (Table 7 in the Enrollment Report) lists the total number of managed care programs in the country by type (comprehensive managed care, PCCM, dental, etc.) and lists the number of managed care programs by type that mandatorily or voluntarily enroll each population type which includes duals, children with special health care needs, and American Indians/Alaska Natives (AI/AN) population.

1.	In some cases, the sum of mandatory and voluntary enrollment populations for any given program type is greater than the total number of programs of that type. That is because a state may treat individuals within a specific group differently. For example, a state can mandate enrollment for aged adults, while allowing blind and disabled adults to enroll voluntarily.
2.	Certain federal statutory authorities do not allow enrollment of individuals who are AI/AN or children receiving Foster Care and Adoption Assistance (FC/AA). Where states use these authorities to operate Medicaid managed care, AI/AN individuals or children receiving FC/AA are considered "exempt."

2023 Managed Care Features by Enrollment Population

The Managed Care Features by Enrollment Population table (Table 7 in the Enrollment Report) lists the total number of managed care programs in the country by type (e.g., Comprehensive MCO, PCCM, Dental) and lists the number of managed care programs by type that mandatorily or voluntarily enroll each population type which includes duals, children with special health care needs, and American Indians/Alaska Natives (AI/AN) population.

1.	In some cases, the sum of mandatory and voluntary enrollment populations for any given program type is greater than the total number of programs of that type. That is because a state may treat individuals within a specific group differently. For example, a state can mandate enrollment for aged adults, while allowing blind and disabled adults to enroll voluntarily.
2.	Certain federal statutory authorities do not allow enrollment of individuals who are AI/AN or children receiving Foster Care and Adoption Assistance (FC/AA). Where states use these authorities to operate Medicaid managed care, AI/AN individuals or children receiving FC/AA are considered "exempt."
Managed Long Term Services and Supports (MLTSS) Enrollees

2024 Managed Long-Term Services and Supports (MLTSS) Enrollment

The Managed Long-Term Services and Supports (MLTSS) Enrollment table (Table 6 in the Enrollment Report) displays the Medicaid LTSS users in comprehensive managed care and MLTSS-only program enrollees nationally, and by state both numerically and as a percentage of each state’s total Medicaid managed care population.

1.	The “Comprehensive Managed Care Including LTSS” column does not include PACE programs.
Notes: "--" indicates the state or territory does not operate a specific program type. “0” indicates that a state operated a program of this type in 2024, but had no enrollment to report as of July 1, 2024, or reported 0 LTSS enrollees within their Comprehensive Managed Care program. 

Enrollment and user counts include both Medicaid-only and dually eligible individuals. For both types of enrollees, Medicaid covers LTSS. For dually eligible individuals, Medicaid may also cover Medicare cost-sharing for acute, primary care, and specialty services covered by Medicare and other non-LTSS services that are not covered by Medicare.

2023 Managed Long-Term Services and Supports (MLTSS) Enrollment

The Managed Long-Term Services and Supports (MLTSS) Enrollment table (Table 6 in the Enrollment Report) displays the Medicaid LTSS users in comprehensive managed care and MLTSS-only program enrollees nationally, and by state both numerically and as a percentage of each state’s total Medicaid managed care population.

1.	The “Comprehensive Managed Care Including LTSS” column does not include PACE programs.

Notes: "--" indicates the state or territory does not operate a specific program type. “0” indicates that a state operated a program of this type in 2023, but had no enrollment to report as of July 1, 2023, or reported 0 LTSS enrollees within their Comprehensive Managed Care program.

Enrollment and user counts include both Medicaid-only and dually eligible individuals. For both types of enrollees, Medicaid covers LTSS. For dually eligible individuals, Medicaid may also cover Medicare cost-sharing for acute, primary care, and specialty services covered by Medicare and other non-LTSS services that are not covered by Medicare.
2018 Child and Adult Health Care Quality Measures

Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2018 reporting.

Source: Mathematica analysis of MACPro and Form CMS-416 reports for the FFY 2018 reporting cycle. For more information, see the Children's Health Care Quality Measures and Adult Health Care Quality Measures webpages.
2017 Child and Adult Health Care Quality Measures

Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2017 reporting.  Source: Mathematica analysis of MACPro and Form CMS-416 reports for the FFY 2017 reporting cycle. For more information, see the <a href="https://www.medicaid.gov/medicaid/quality-of-care/performance-measurement/child-core-set/index.html">Children's Health Care Quality Measures</a> and <a href="https://www.medicaid.gov/medicaid/quality-of-care/performance-measurement/adult-core-set/index.html">Adult Health Care Quality Measures</a> webpages.
Managed Care Enrollment by Program and Plan

2024 Enrollment Data by Program and Plan

The Enrollment Data by Program and Plan table (Table 5 in the Enrollment Report) lists each managed care program’s name and type by state. The data provides details such as the plan name, parent organization, geographic region, Medicaid-only enrollment, dual enrollment, and total enrollment by program.

Note: “0” may not truly represent 0 if a state opted to suppress data for enrollee confidentiality reasons. For example, if a plan had dual enrollment of less than 10, the state may have opted to report 0 instead. "--" indicates the state or territory did not provide information for a given program and plan.

2023 Enrollment Data by Program and Plan

The Enrollment Data by Program and Plan table (Table 5 in the Enrollment Report) lists each managed care program’s name and type by state. The data provides details such as plan name, parent organization, geographic region, Medicaid-only enrollment, dual enrollment, and total enrollment by program.

Note: “0” may not truly represent 0 if a state opted to suppress data for enrollee confidentiality reasons. For example, if a plan had dual enrollment of less than 10, the state may have opted to report 0 instead. "--" indicates the state or territory did not provide information for a given program and plan.
Medicaid Enrollment - New Adult Group

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.”
State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data

All states (including the District of Columbia) are required to provide data to The Centers for Medicare &amp; Medicaid Services (CMS) on a range of Medicaid and Children’s Health Insurance Program (CHIP) indicators related to key application, eligibility, enrollment and call center processes. These data reflect enrollment activity for all populations receiving comprehensive Medicaid and CHIP benefits in all states, as well as state program performance.<br />
States submit this data via the Performance Indicator dataset. Further information about this dataset is available at:  <a href="https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance/index.html">https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/performance-indicator-technical-assistance/index.html</a>.
Drug Products in the Medicaid Drug Rebate Program

Active drugs that have been reported by participating drug manufacturers under the Medicaid Drug Rebate Program. All drugs are identified by National Drug Code (NDC), unit type, units per package size, product name, Food and Drug Administration (FDA) approval date, the date the drug entered the market, plus indicators to show whether the drug is an innovator or non-innovator drug; whether it is available by prescription or over-the-counter (OTC); the FDA therapeutic equivalency code; and the Drug Efficacy Study Implementation (DESI) rating and termination date. Each quarter posted represents a snapshot of data in the system at that time and is not updated by subsequent changes.
State Drug Utilization Data 2020

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2019

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2018

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2017

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2016

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2015

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2014

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2013

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2012

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2011

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2010

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2009

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2008

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2007

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2006

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2005

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html
State Drug Utilization Data 2004

Drug utilization data are reported by states for covered outpatient drugs that are paid for by state Medicaid agencies since the start of the Medicaid Drug Rebate Program. The data includes state, drug name, National Drug Code, number of prescriptions and dollars reimbursed. Data descriptions are available on Medicaid.gov: https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data/state-drug-utilization-data-faq/index.html