Letter to CMS - Medicaid Managed Care Policies - Agency for ...

Draft MLR Reporting Schedule
Health plans will be required to submit their Quarterly Medical Loss Ratio (MLR) reports to the
Agency for Health Care Administration (the Agency) no later than 45 days following the close of
the quarter. The Agency submits the report to the Centers for Medicare and Medicaid Services
(Federal CMS) within 15 days of receiving the report from the health plan. The Annual MLR
report will be due to the Agency by September 15 th of each year.
Provided below is the schedule health plans are required to meet for quarterly and annual MLR
reporting for submission to the Agency, and the schedule the Agency is required to meet for
submission to Federal CMS for demonstration years (DY) 7 and DY 8 of Florida’s Section 1115
Research and Demonstration Waiver.
Draft MLR Reporting Schedule
Demonstration Year Quarter Due to Agency Due to CMS
Demonstration
Year 7
(07/01/12 – 6/30/13)
Demonstration
Year 8
(07/01/13 – 06/30/14)
Q1: 07/01/12 – 09/30/12 11/14/12 11/29/12
Q2: 10/01/12 – 12/31/12 02/14/13 03/01/13
Q3: 01/01/13 – 03/31/13 05/15/13 05/30/13
Q4: 04/01/13 – 06/30/13 08/14/13 08/29/13
DY 7 Annual Report 09/15/13 09/30/13
Q1: 07/01/13 – 09/30/13 11/14/13 11/29/13
Q2: 10/01/13 – 12/31/13 02/14/14 03/01/14
Q3: 01/01/14 – 03/31/14 05/15/14 05/30/14
Q4: 04/01/14 – 06/30/14 08/14/14 08/29/14
DY 8 Annual Report 09/15/14 09/30/14
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