{
 "id": "mcd:743f9f04-4473-41e2-9da2-9a89db65ee55",
 "slug": "mlr-summary-reports",
 "source": "data.medicaid.gov",
 "title": "MLR Summary Reports",
 "summary": "The MLR Summary Reports provide plan-specific MLRs for Medicaid managed care programs.",
 "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)",
 "aliases": [],
 "keywords": [
  "Medicaid"
 ],
 "themes": [],
 "topics": [
  "medicaid-chip"
 ],
 "category": "Other Medicaid data",
 "publisher": "Centers for Medicare & Medicaid Services (CMS), data.medicaid.gov",
 "contact": "Medicaid.gov@cms.hhs.gov",
 "landing_url": "https://data.medicaid.gov/dataset/743f9f04-4473-41e2-9da2-9a89db65ee55",
 "csv_url": "https://download.medicaid.gov/data/mlr-public-use-file-updated06262026.csv",
 "api_url": "https://data.medicaid.gov/api/1/datastore/query/743f9f04-4473-41e2-9da2-9a89db65ee55/0",
 "api_kind": "dkan-datastore",
 "preview_url": null,
 "dictionary_url": "https://data.medicaid.gov/api/1/metastore/schemas/data-dictionary/items/ef3a09ce-ec80-474a-80ff-8ee547168c13",
 "dictionary_kind": "tableschema",
 "methodology_urls": [],
 "state_column": "state",
 "row_count": 2783,
 "posted": "2026-06-26",
 "modified": "2026-06-26",
 "period_start": null,
 "period_end": null,
 "latest_period": null,
 "cadence": null,
 "next_update": null,
 "versions": [],
 "columns": [
  {
   "name": "state",
   "label": "State",
   "type": "string",
   "meaning": "Name of the state/territory that submitted MLR data",
   "source": "medicaid-dictionary"
  },
  {
   "name": "program_name",
   "label": "Program Name",
   "type": "string",
   "meaning": "Name of the program for which the state reported MLR data.",
   "source": "medicaid-dictionary"
  },
  {
   "name": "program_type",
   "label": "Program Type",
   "type": "string",
   "meaning": "Category that best describes the program: Behavioral health only, Comprehensive MCO, Comprehensive MCO + MLTSS, Dental only, MLTSS only, Other PIHP, Other PAHP",
   "source": "medicaid-dictionary"
  },
  {
   "name": "eligibility_group",
   "label": "Eligibility Group",
   "type": "string",
   "meaning": "Eligibility group category: All populations, Children, Group VIII expansion adults only, MH/SUD, MLTSS only, Non-expansion adult only, Other, Standalone CHIP",
   "source": "medicaid-dictionary"
  },
  {
   "name": "if_other_describe_eligibility_group",
   "label": "If Other, Describe Eligibility Group",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "mco_pihp_or_pahp_name",
   "label": "MCO, PIHP, or PAHP Name",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "mlr_reporting_period_start_date",
   "label": "MLR Reporting Period Start Date",
   "type": "date",
   "meaning": "Start date of the MLR reporting period",
   "source": "medicaid-dictionary"
  },
  {
   "name": "mlr_reporting_period_end_date",
   "label": "MLR Reporting Period End Date",
   "type": "date",
   "meaning": "End date of the MLR reporting period",
   "source": "medicaid-dictionary"
  },
  {
   "name": "report_year",
   "label": "Report Year",
   "type": "string",
   "meaning": "Calendar year of the End date of the MLR reporting period",
   "source": "medicaid-dictionary"
  },
  {
   "name": "mlr_numerator",
   "label": "MLR Numerator",
   "type": "string",
   "meaning": "MLR numerator dollar value",
   "source": "medicaid-dictionary"
  },
  {
   "name": "mlr_denominator",
   "label": "MLR Denominator",
   "type": "string",
   "meaning": "MLR denominator dollar value",
   "source": "medicaid-dictionary"
  },
  {
   "name": "statereported_member_months",
   "label": "State-Reported Member Months",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "adjusted_mlr",
   "label": "Adjusted MLR",
   "type": "string",
   "meaning": "MLR percentage after any credibility adjustment is applied",
   "source": "medicaid-dictionary"
  },
  {
   "name": "remittance_dollar_amount_for_mlr_reporting_period",
   "label": "Remittance Dollar Amount for MLR Reporting Period",
   "type": "string",
   "meaning": "Calculated remittance dollar amount owed by the plan for the MLR reporting period",
   "source": "medicaid-dictionary"
  }
 ],
 "caveats": [],
 "curated": false,
 "license": "http://www.usa.gov/publicdomain/label/1.0/",
 "detail_key": "743f9f04-4473-41e2-9da2-9a89db65ee55|2026-06-26T18:40:00+00:00|https://download.medicaid.gov/data/mlr-public-use-file-updated06262026.csv",
 "checked": "2026-10-25",
 "source_name": "data.medicaid.gov"
}