Centers for Medicare and Medicaid Services · Schema

StateMedicaid

Schema for StateMedicaid from CMS Marketplace API

MedicareMedicaidHealthcareHealth InsuranceFHIRFederal GovernmentDrug SpendingProvider DataQuality MeasuresClaims Data

Properties

Name	Type	Description
name	string	Uppercase name
abbrev	string	2-letter USPS abbreviation
fiscal_year	number	4 digit fiscal year
fiscal_quarter	number	Fiscal quarter (1 - 4)
pc_fpl_parent	number	Percentage federal poverty level parent caretaker
pc_fpl_pregnant	number	Percentage medicaid federal poverty level pregnant woman
pc_fpl_adult	number	Percentage federal poverty level adult group
pc_fpl_child_newborn	number	Percentage medicaid federal poverty level child
pc_fpl_child_1_5	number	Percentage medicaid federal poverty level child 1 - 5
pc_fpl_child_6_18	number	Percentage medicaid federal poverty level child 6 - 18
low_income_child	array	Low income child eligibility rules
chip	array	Children's Health Insurance Program eligibility rules

View JSON Schema on GitHub

JSON Schema

{
  "$schema": "http://json-schema.org/draft-07/schema#",
  "title": "StateMedicaid",
  "description": "Schema for StateMedicaid from CMS Marketplace API",
  "properties": {
    "name": {
      "description": "Uppercase name",
      "type": "string"
    },
    "abbrev": {
      "description": "2-letter USPS abbreviation",
      "type": "string"
    },
    "fiscal_year": {
      "description": "4 digit fiscal year",
      "format": "integer",
      "type": "number"
    },
    "fiscal_quarter": {
      "description": "Fiscal quarter (1 - 4)",
      "format": "integer",
      "type": "number"
    },
    "pc_fpl_parent": {
      "description": "Percentage federal poverty level parent caretaker",
      "format": "float",
      "type": "number"
    },
    "pc_fpl_pregnant": {
      "description": "Percentage medicaid federal poverty level pregnant woman",
      "format": "float",
      "type": "number"
    },
    "pc_fpl_adult": {
      "description": "Percentage federal poverty level adult group",
      "format": "float",
      "type": "number"
    },
    "pc_fpl_child_newborn": {
      "description": "Percentage medicaid federal poverty level child",
      "format": "float",
      "type": "number"
    },
    "pc_fpl_child_1_5": {
      "description": "Percentage medicaid federal poverty level child 1 - 5",
      "format": "float",
      "type": "number"
    },
    "pc_fpl_child_6_18": {
      "description": "Percentage medicaid federal poverty level child 6 - 18",
      "format": "float",
      "type": "number"
    },
    "low_income_child": {
      "description": "Low income child eligibility rules",
      "items": {
        "$ref": "#/definitions/LowIncomeChild"
      },
      "type": "array"
    },
    "chip": {
      "description": "Children's Health Insurance Program eligibility rules",
      "items": {
        "$ref": "#/definitions/LowIncomeChild"
      },
      "type": "array"
    }
  },
  "example": {
    "name": "KANSAS",
    "abbrev": "KS",
    "fiscal_year": 2019,
    "fiscal_quarter": 1,
    "pc_fpl_parent": 0.33,
    "pc_fpl_pregnant": 1.66,
    "pc_fpl_adult": 0,
    "pc_fpl_child_newborn": 1.66,
    "pc_fpl_child_1_5": 1.49,
    "pc_fpl_child_6_18": 1.33,
    "low_income_child": [],
    "chip": [
      {
        "min_age": 0,
        "max_age": 18,
        "pc_fpl": 2.35
      }
    ]
  },
  "type": "object"
}