遇见数据集

MLR Summary Reports

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Medicaid & CHIP Open Data2026-05-26 收录
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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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data.medicaid.gov
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