Managed Long Term Services and Supports (MLTSS) Enrollees

  1. Enrollment includes both Medicaid-only and Medicare-Medicaid (“dual”) enrollees. For both types of enrollees, Medicaid covers LTSS. For dual enrollees, 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.
  2. Some comprehensive managed care programs enroll beneficiaries who may be at risk of needing LTSS but do not receive any LTSS. These counts only include individuals that receive LTSS. Moreover, states differ in their ability to report individuals who use MLTSS versus those who are enrolled (and may or may not be using LTSS). This table reports MLTSS users unless otherwise noted.
  3. Comprehensive Managed Care Including LTSS does not include PACE programs.
  4. MLTSS Only programs cover LTSS under capitation; acute, primary, and specialty care services for these enrollees may be covered by another Medicaid MCO, Medicaid FFS, or by Medicare for dual enrollees. These data include states that provide MLTSS plus other benefits in a package that does not include inpatient medical care.
  5. The indicated territory was not able to supply data for this report. The Northern Mariana Islands reported that they have no Medicaid managed care enrollment, but they did not report total Medicaid enrollees.

Data and Resources

Field Value
accessLevel public
accrualPeriodicity R/P10Y
bureauCode {009:38}
catalog_@context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
catalog_@id https://healthdata.gov/data.json
catalog_conformsTo https://project-open-data.cio.gov/v1.1/schema
catalog_describedBy https://project-open-data.cio.gov/v1.1/schema/catalog.json
identifier 5394bcab-c748-5e4b-af07-b5bf77ed3aa3
issued 2017-12-09
landingPage https://healthdata.gov/d/5vjr-nzpw
license https://www.usa.gov/government-works
modified 2022-06-13
programCode {009:000}
publisher Centers for Medicare & Medicaid Services
resource-type Dataset
source_datajson_identifier true
source_hash 961af1294f82a0d1ad03b5095161baab0baf2883
source_schema_version 1.1
theme {Enrollment}
Groups
  • AmeriGEOSS
  • National Provider
  • North America
Tags
  • amerigeo
  • amerigeoss
  • ckan
  • geo
  • geoss
  • medicaid
  • national
  • north-america
  • united-states
isopen False
license_id other-license-specified
license_title other-license-specified
maintainer Jeff Chamblee
maintainer_email Medicaid.gov@cms.hhs.gov
metadata_created 2025-11-23T00:37:43.504359
metadata_modified 2025-11-23T00:37:43.504363
notes 1. Enrollment includes both Medicaid-only and Medicare-Medicaid (“dual”) enrollees. For both types of enrollees, Medicaid covers LTSS. For dual enrollees, 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. 2. Some comprehensive managed care programs enroll beneficiaries who may be at risk of needing LTSS but do not receive any LTSS. These counts only include individuals that receive LTSS. Moreover, states differ in their ability to report individuals who use MLTSS versus those who are enrolled (and may or may not be using LTSS). This table reports MLTSS users unless otherwise noted. 3. Comprehensive Managed Care Including LTSS does not include PACE programs. 4. MLTSS Only programs cover LTSS under capitation; acute, primary, and specialty care services for these enrollees may be covered by another Medicaid MCO, Medicaid FFS, or by Medicare for dual enrollees. These data include states that provide MLTSS plus other benefits in a package that does not include inpatient medical care. 5. The indicated territory was not able to supply data for this report. The Northern Mariana Islands reported that they have no Medicaid managed care enrollment, but they did not report total Medicaid enrollees.
num_resources 1
num_tags 9
title Managed Long Term Services and Supports (MLTSS) Enrollees