Medicaid delivery system activity U.S. states number 2020

This statistic displays select activities of Medicaid delivery systems in the United States in the 2019 and 2020 fiscal years. In fiscal year 2019, there were 48 states with HCBS (home and community-based services) expansions. Improvements in the delivery systems can help provide access, increase quality, and create budget certainty.

Number of U.S. states with select delivery system activities for Medicaid in FY 2019 and FY 2020

Characteristic	FY 2019	FY 2020**
Managed care quality initiatives	36	23
Any delivery system initiatives	44	14
HCBS expansions*	48	47

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Release date

October 2019

More information

Region

United States

Survey time period

as of October 2019

Method of interview

Face-to-face interview

Supplementary notes

Managed Care Expansion refer to expansions to new groups, new regions, increasing the use of mandatory enrollment, and new RBMC programs. Other Delivery System Initiatives include new or expanded initiatives related to PCMH, Health Homes, ACOs and initiatives focused on dual eligible beneficiaries (both those inside and outside the CMS financial alignment demonstration.)
* HCBS = home and community-based services.
** Projected.

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