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Federal
Behavioral Health Services Provided to the Medicaid and CHIP Population
U.S. Department of Health & Human Services —
This data set includes monthly counts and rates (per 1,000 beneficiaries) of behavioral health services, including emergency department services, inpatient services,... -
Federal
PI dataset
U.S. Department of Health & Human Services —
All states (including the District of Columbia) are required to provide data to The Centers for Medicare & Medicaid Services (CMS) on a range of indicators... -
Federal
Prematurity and severe maternal morbidity among Medicaid- and CHIP-covered live births
U.S. Department of Health & Human Services —
This data set includes annual counts and rates of Medicaid- and Children’s Health Insurance Program (CHIP)-covered live-birth deliveries that were preterm or with a... -
Federal
Medicaid Fraud Control Units (MFCUs)
U.S. Department of Health & Human Services —
Medicaid Fraud Control Units (MFCU or Unit) investigate and prosecute Medicaid fraud as well as patient abuse and neglect in health care facilities. OIG certifies,... -
Federal
Medicaid Fraud Control Units (MFCU) Annual Spending and Performance Statistics
U.S. Department of Health & Human Services —
To inform HHS, States, Congress, and the public about the results and accomplishments of the State Medicaid Fraud Control Units. -
Federal
Health Insurance Marketplace: Summary Enrollment Data for the Initial Annual Open Enrollment Period
U.S. Department of Health & Human Services —
This file includes data for states that are implementing their own Marketplaces, also known as State-Based Marketplaces or SBMs, and states with Marketplaces that are... -
Federal
Medicaid and CHIP CAA Reporting Metrics
U.S. Department of Health & Human Services —
State-reported data on Medicaid and CHIP eligibility renewals conducted during the reporting period and call center operations Sources: (1) March and April 2023 state... -
Federal
Telehealth Services Provided to the Medicaid and CHIP Population
U.S. Department of Health & Human Services —
This data set includes monthly counts and rates (per 1,000 beneficiaries) of services provided via telehealth, including live audio video, remote patient monitoring,... -
Federal
Blog | Access To CMS Medicare Beneficiary Data Enables DocGraph and CareSet Systems to Bring Insight to Healthcare Delivery Approaches
U.S. Department of Health & Human Services —
This blog post was posted on May 6, 2016. -
Federal
Medicaid and CHIP enrollees who received mental health or SUD services
U.S. Department of Health & Human Services —
This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees who received mental health (MH) or substance... -
Federal
Pregnancy Outcomes for Medicaid and CHIP Beneficiaries ages 15 to 44
U.S. Department of Health & Human Services —
This data set includes monthly counts and rates (per 1,000 beneficiaries) of pregnancy outcomes, including (1) live births and (2) miscarriages, stillbirths, and... -
Federal
Medicaid and CHIP enrollees who received a well-child visit
U.S. Department of Health & Human Services —
This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees who received a well-child visit paid for by... -
Federal
Separate CHIP Enrollment by Month and State – Historic CAA/Unwinding Period
U.S. Department of Health & Human Services —
This historic dataset with total enrollment in separate CHIP programs by month and state was created to fulfill reporting requirements under section 1902(tt)(1) of... -
Federal
Medicaid and CHIP Updated Renewal Outcomes
U.S. Department of Health & Human Services —
State-reported data on Medicaid and CHIP eligibility renewals that reflect the outcomes of previously pending renewals three months after the renewal was due and also... -
Federal
State Medicaid and CHIP Eligibility Processing Data
U.S. Department of Health & Human Services —
All states (including the District of Columbia) provide data to the Centers for Medicare & Medicaid Services (CMS) on a range of Medicaid and Children’s Health... -
Federal
Major Eligibility Group Information for Medicaid and CHIP Beneficiaries by Month
U.S. Department of Health & Human Services —
This data set includes monthly enrollment counts of Medicaid and CHIP beneficiaries by major eligibility group (children, adult expansion group, adult, aged, persons... -
Federal
Managed Care Information for Medicaid and CHIP Beneficiaries by Year
U.S. Department of Health & Human Services —
This data set presents annual enrollment counts of Medicaid and CHIP beneficiaries by managed care participation (comprehensive managed care, primary care case... -
Federal
MLR Summary Reports
U.S. Department of Health & Human Services —
The MLR Summary Reports provide plan-specific MLRs for Medicaid managed care programs. The MLR summary report data include MLRs for MCOs, PIHPs, and PAHPs submitted...