MLR Summary Reports
The MLR Summary Reports provide plan-specific MLRs for Medicaid managed care programs. The MLR summary report data include MLRs for MCOs, PIHPs, and PAHPs submitted by states under 42 CFR § 438.74.
Plan-specific data include:
• Plan name
• Reporting period start and end dates
• Report Year
• MLR numerator
• MLR denominator
• Member months
• Adjusted MLR
• Remittance amount owed by plan
The report also provides:
• State
• Program name
• Program type
• Eligibility group (if applicable)
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Complete Metadata
| @type | Dataset |
|---|---|
| accessLevel | public |
| accessRights | public |
| bureauCode |
[ "009:00" ] |
| contactPoint |
{ "fn": "Medicaid.gov", "hasEmail": "mailto:Medicaid.gov@cms.hhs.gov" } |
| description | The MLR Summary Reports provide plan-specific MLRs for Medicaid managed care programs. The MLR summary report data include MLRs for MCOs, PIHPs, and PAHPs submitted by states under 42 CFR § 438.74. Plan-specific data include: • Plan name • Reporting period start and end dates • Report Year • MLR numerator • MLR denominator • Member months • Adjusted MLR • Remittance amount owed by plan The report also provides: • State • Program name • Program type • Eligibility group (if applicable) |
| distribution |
[ { "@type": "Distribution", "title": "MLR Summary Reports", "format": "csv", "license": "http://www.usa.gov/publicdomain/label/1.0/", "describedBy": { "@type": "Distribution", "title": "data.medicaid.gov", "accessURL": "https://data.medicaid.gov/api/1/metastore/schemas/data-dictionary/items/ef3a09ce-ec80-474a-80ff-8ee547168c13", "mediaType": "application/vnd.tableschema+json" }, "downloadURL": "https://download.medicaid.gov/data/mlr-public-use-file-updated06262026.csv" } ] |
| identifier | 743f9f04-4473-41e2-9da2-9a89db65ee55 |
| inventoried | 2026-09-27 |
| issued | 2024-11-01T20:12:44Z |
| keyword |
[ "Medicaid" ] |
| license | http://www.usa.gov/publicdomain/label/1.0/ |
| modified | 2026-06-26T18:40:00Z |
| programCode |
[ "009:000" ] |
| publisher |
{ "name": "Office of Communications (OC)", "@type": "Organization", "subOrganizationOf": [ { "name": "Centers for Medicare & Medicaid Services (CMS)", "@type": "Organization" } ] } |
| theme |
[ "Uncategorized" ] |
| title | MLR Summary Reports |
