Medicaid Intelligence

liveHealthGovernmentUS

Return quarterly state Medicaid utilization rows for an exact 11-digit NDC, separated into fee-for-service and managed-care records.

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free tier50 calls/day

Tools

medicaid_drug_utilization

Quarterly state-level Medicaid utilization rows for a drug — prescriptions, units and reimbursement per state and quarter, separated into fee-for-service and managed care. Ask by NAME ("Ozempic") or b

No parameters required.

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medicaid_drug_state_market

Which states spend the most on a drug — one year of Medicaid reimbursement broken down by state, keeping fee-for-service and managed care separate. Ask by NAME ("Ozempic") or by an exact 11-digit NDC.

No parameters required.

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medicaid_drug_trend

How much Medicaid spent on a drug, year by year — annual prescriptions, units and gross reimbursement from 2020 onward, split between fee-for-service and managed care. Ask by NAME ("Ozempic", "Humira"

No parameters required.

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medicaid_managed_care_summary

Show annual state Medicaid enrollment and enrollment in any or comprehensive managed care. Counts are state-reported program enrollment, not covered lives attributable to a particular insurer.

No parameters required.

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medicaid_managed_care_program_mix

Show state Medicaid enrollment by managed-care program type, including comprehensive MCO, PCCM, MLTSS, behavioral health, dental, transportation, and PACE. Program counts overlap and must not be summe

No parameters required.

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medicaid_plan_market

Return a bounded API-order sample of Medicaid managed-care plan/program rows by state and optional year, with the authoritative matching-row count. Zero may represent confidentiality suppression in th

No parameters required.

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medicaid_monthly_managed_care

Show monthly Medicaid/CHIP enrollment for one state and managed-care participation category. Data-quality flags and confidentiality suppression are preserved.

No parameters required.

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medicaid_enrollment_operations

Show monthly Medicaid and CHIP enrollment and application-processing indicators for one state. Values are preliminary or updated state reports and may include footnotes or missing periods.

No parameters required.

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Test with curl

The gateway speaks JSON-RPC 2.0 over HTTP POST. You can test any pack directly from the terminal.

List available tools
bash
curl -X POST https://gateway.pipeworx.io/medicaid-intelligence/mcp \
  -H "Content-Type: application/json" \
  -d '{"jsonrpc":"2.0","id":1,"method":"tools/list"}'
Call a tool
bash
curl -X POST https://gateway.pipeworx.io/medicaid-intelligence/mcp \
  -H "Content-Type: application/json" \
  -d '{"jsonrpc":"2.0","id":2,"method":"tools/call","params":{"name":"medicaid_drug_utilization","arguments":{}}}'

Use with the SDK

Install @pipeworx/sdk to call tools from any TypeScript/Node project.

TypeScript
import { Pipeworx } from '@pipeworx/sdk';
const px = new Pipeworx();
const result = await px.call("medicaid_drug_utilization", {});
ask_pipeworx
// Or ask in plain English:
const answer = await px.ask("return quarterly state medicaid utilization rows for an exact 11-digit ndc, separated into fee-for-service and managed-care records");