Transparency in Medicaid Managed Care: Findings from a 13- State Scan

Key Findings

  • State Medicaid agency and Managed Care Organization (MCO) websites varied in the amount and type of information that they made publicly available, but most fell far short of including basic information about MCO enrollment and performance for children and pregnant individuals.
  • None of the state Medicaid agency websites posted all of the minimum data elements required by federal regulations.
  • The little information available hinted that quality and access to services varied widely between MCOs within states, between states, and across managed care parent firms in calendar year 2018. This variation highlights the need for further transparency as advocates and stakeholders work with state agencies to ensure that children and pregnant individuals enrolled in managed care receive the services to which they are entitled.


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