States Reporting Medicaid MCO Minimum Medical Loss Ratio (MLR) Remittance Requirements
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
As of July 1, 2025
| Location | Require MCOs That Do Not Meet a Minimum MLR to Pay Remittances |
|---|---|
| United States | Yes - Always: 33; Yes - Sometimes: 3; No: 5; NR: 1 |
| Alabama | - |
| Alaska | - |
| Arizona | No |
| Arkansas | No |
| California | Yes - Always |
| Colorado | Yes - Always |
| Connecticut | - |
| Delaware | Yes - Always |
| District of Columbia | Yes - Always |
| Florida | NR |
| Georgia | Yes - Always |
| Hawaii | Yes - Always |
| Idaho | - |
| Illinois | Yes - Always |
| Indiana | Yes - Always |
| Iowa | No |
| Kansas | Yes - Always |
| Kentucky | Yes - Always |
| Louisiana | Yes - Always |
| Maine | - |
| Maryland | Yes - Always |
| Massachusetts | Yes - Always |
| Michigan | Yes - Always |
| Minnesota | Yes - Always |
| Mississippi | Yes - Always |
| Missouri | Yes - Always |
| Montana | - |
| Nebraska | Yes - Always |
| Nevada | Yes - Always |
| New Hampshire | Yes - Always |
| New Jersey | Yes - Always |
| New Mexico | Yes - Always |
| New York | Yes - Always |
| North Carolina | Yes - Always |
| North Dakota | Yes - Always |
| Ohio | Yes - Sometimes |
| Oklahoma | Yes - Always |
| Oregon | Yes - Always |
| Pennsylvania | Yes - Always |
| Rhode Island | Yes - Sometimes |
| South Carolina | Yes - Always |
| South Dakota | - |
| Tennessee | Yes - Always |
| Texas | No |
| Utah | Yes - Sometimes |
| Vermont | - |
| Virginia | Yes - Always |
| Washington | Yes - Always |
| West Virginia | Yes - Always |
| Wisconsin | No |
| Wyoming | - |