Monthly Report by State Package

The state of Connecticut [CT] has transitioned existing counties for Connecticut to county-equivalent geographic units.  
This change created the need to update associated FIPS and SSA codes for the new areas.  
This has also affected the 'eligible' data.

We are working to move all Connecticut county data to the designated county-equivalent geographic units.   
For this reason, data for CT are excluded for this month. 

The State of Alaska [AK] has redistricted five of its counties: Hoonah-Angoon, Petersburg, Prince of Wales-Hyder, 
Skagway, Wrangell City and Borough. In addition, the County of Valdez was split into Chugach and Copper River.  
The data for Alaska do not reflect the changes in the new county designations because the FIPS and SSA codes 
for the new Alaska counties have not been updated in the CMS data. This has also affected the 'eligible' data.
For this reason, data for AK are excluded for this month. 


The Monthly_Report_By_State_YYYY_MM.zip file is a compressed file (using SecureZIP) 
consisting of the following files:

Read_Me_Monthly_Report_By_State.txt - this file
Monthly_Report_By_State_YYYY_MM.csv - data in comma separated value (csv) format

Please note that anywhere you see YYYY it denotes the 4 digit year and MM = the 2 digit
month the data covers.

The CSV file contains the following columns (these column names are included as the first row 
of data):

  State Name - [text] - the state name
  State Code - [text] - the 2 character state code
  SSAST - [text] - the SSA state code
  FIPST - [text] - the FIPS (now ANSI) state code
  Eligible - [text] - the number of Medicare eligibles in the state
  MA Enrolled - [text] - the number of enrolled MA beneficiaries in the state
  Other Enrolled - [text] - the number enrolled other beneficiaries in the state
  PDP Enrolled - [text] - the number enrolled PDP beneficiaries in the state

An issue has been identified for the eligibles number, where the number of beneficiaries was 
double counted for beneficiaries with multiple addresses. The issue has been corrected for the October monthly report.

Prior reports impacted will be updated by December 31, 2020.  

For any questions, please email: EnrollmentReports@cms.hhs.gov  

This file contains data for the following organization types (where there are active contracts): 

  MA Organizations
     Local CCP
     Regional CCP
     MSA 
     PFFS 
     RFB - PFFS

  Other Organizations
     Demonstrations 
     National PACE 
     1976 Cost 
     HCPP - 1933 Cost
  
  PDP Organizations
     Employer/Union Only Direct Contract PDP
     PDP

Special Notes:

  The privacy laws of HIPAA have been interpreted to prohibit publishing 
  enrollment data with values of 10 or less. Data rows with enrollment values
  of 10 or less have been removed from this file. The complete file that includes
  these removed rows but with blanked out enrollment data is also available for
  download. 