{
  "name": "medicaid-enrollment-mcp",
  "title": "HealthMesh · Medicaid & CHIP Enrollment MCP",
  "version": "0.1.0",
  "description": "Monthly state Medicaid & CHIP applications, eligibility determinations, MAGI processing times, call-center metrics and enrollment for 50 states + DC (CMS Performance Indicator data on data.medicaid.gov, 2013-09 and 2017-06 onward).",
  "healthmesh_domain": "Eligibility & Enrollment",
  "datasets": [
    "ELIG-01"
  ],
  "mcp_endpoint": "https://medicaid-enrollment.healthmesh.ai/mcp",
  "transport": "Streamable HTTP (stateless, JSON responses)",
  "authorization": "none",
  "auth_mode": "off",
  "docs": "https://github.com/HendrikK/healthmesh/tree/main/servers/medicaid-enrollment-mcp#readme",
  "contact": "hendrik.kleine@gmail.com",
  "data_source": {
    "name": "data.medicaid.gov – State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data",
    "url": "https://data.medicaid.gov/dataset/6165f45b-ca93-5bb5-9d06-db29c692a360",
    "license": "U.S. Government Work (public domain) – https://www.usa.gov/government-works",
    "refresh": "daily check, monthly upstream release"
  },
  "tools": [
    {
      "name": "medicaid_get_enrollment",
      "title": "Medicaid & CHIP enrollment (point in time)",
      "description": "Returns Medicaid and CHIP enrollment counts (total Medicaid+CHIP, Medicaid, CHIP, adult Medicaid, children) for one or more states for a reporting month, with Medicaid-expansion status, preliminary/updated flag and state footnotes, plus a sum across the returned states. Use for 'how many people are enrolled' questions. Counts are state-reported point-in-time totals (last day of month); preliminary months are later revised, and footnotes flag non-standard counts (e.g. any-time-in-month or retroactive enrollment). Covers 50 states + DC (no territories)."
    },
    {
      "name": "medicaid_get_enrollment_trend",
      "title": "Medicaid & CHIP enrollment trend",
      "description": "Returns a monthly time series of one metric (default total Medicaid+CHIP enrollment) for a state, or the national sum when state='US', between two months, with absolute and percent change, peak and trough, and the first month the state is flagged as a Medicaid-expansion state. Use for growth, unwinding (from 2023-03) and post-expansion analysis. Uses the best available version per month; preliminary months are flagged. Note: no data between 2013-10 and 2017-05."
    },
    {
      "name": "medicaid_compare_states",
      "title": "Rank / compare states on a Medicaid metric",
      "description": "Ranks or compares states on one metric for a reporting month: any enrollment, application, determination, processing-time or call-center field, or a derived percentage (e.g. pct_determinations_under_24_hours, pct_enrollment_chip). Optionally restrict to expansion or non-expansion states. Use for cross-state benchmarking. Raw counts are not population-adjusted; states not reporting the metric are listed separately."
    },
    {
      "name": "medicaid_get_applications_and_determinations",
      "title": "Applications, determinations, processing time & call center",
      "description": "Returns a state-month's application, eligibility-determination and operations metrics: new Medicaid/CHIP applications, marketplace (SBM) financial-assistance applications, individuals determined eligible for Medicaid/CHIP at application, MAGI determination processing-time buckets (<24h, 24h–7d, 8–30d, 31–45d, >45d) with shares, and call-center volume, average wait (minutes) and abandonment rate. Use for intake and agency-performance questions. Check footnotes: many states include renewals or report processing time at the application level."
    },
    {
      "name": "medicaid_describe_dataset",
      "title": "Describe the Medicaid Performance Indicator dataset",
      "description": "Describes the underlying CMS Performance Indicator dataset: available reporting periods (and the 2013–2017 gap), states covered, row counts by version, every field with label and definition, derived metrics, data-version semantics (P/U, final_report), the most common state footnotes, source links, license and when this server last refreshed. Call first when unsure which metric name or period to use."
    }
  ]
}