FAQs Issued on Medical Loss Ratio (MLR) 

Situation Report | June 15, 2020

The U.S. Centers for Medicare and Medicaid Services (CMS) has issued an Informational Bulletin, entitled “Medicaid Managed Care Frequently Asked Questions (FAQs) — Medical Loss Ratio.” 

It covers: what is required for states to be in compliance; whether states are required to set a minimum MLR; how the MLR reporting year is defined; which types of managed care plans must calculate and report an MLR; and more.