CMS posts Managed Care Program Annual Reports (MCPARs) submitted by states, organized by Performance Year. On this page, you can access PDF summary files by Performance Year. MCPAR Public Use Files (PUFs) for data analysis are available on data.medicaid.gov.
MCPAR PDFs by Performance Year
State-submitted MCPARs are available in PDF format by Performance Year below. CMS posts new Performance Year PDFs twice yearly, in July and January.
PDF files are organized in a zip file by Performance Year. Files are labeled to identify the State, Program Name, and Performance Year, and are listed alphabetically by state and then program name.
How MCPARs are organized by Performance Year
MCPARs are organized by Performance Year, which groups all managed care contracts with rating periods that are in effect on June 30 of a given year. Because state managed care rating periods differ, not all MCPARs cover the same period.
MCPARs are due to CMS no later than 180 days after the close of each rating period. The table below shows the rating periods, performance year and corresponding due dates.
| Rating period | MCPAR Performance Year | MCPAR Submission Due Date |
|---|---|---|
| July 1, 2025, to June 30, 2026 | 2026 | 12/27/2026 |
| September 1, 2025, to August 31, 2026 | 2026 | 2/27/2027 |
| October 1, 2025, to September 30, 2026 | 2026 | 3/28/2027 |
| January 1, 2026, to December 31, 2026 | 2026 | 6/27/2027 |
| April 1, 2026, to March 31, 2027 | 2026 | 9/27/2027 |
| July 1, 2026, to June 30, 2027 | 2027 | 12/27/2027 |
| September 1, 2026, to August 31, 2027 | 2027 | 2/27/2028 |
| October 1, 2026, to September 30, 2027 | 2027 | 3/28/2028 |
| January 1, 2027, to December 31, 2027 | 2027 | 6/27/2028 |
| April 1, 2027, to March 31, 2028 | 2027 | 9/27/2028 |
Public Use Files (PUFs)
CMS publishes MCPAR data as PUFs on data.medicaid.gov and are available for download as CSV files. PUFs are published annually and allow for flexible data analysis across states, programs, and managed care plans. Files are organized by Performance Year, state name, and program name.
MCPAR Report Categories
The MCPAR report collects information across the following categories. States report all categories for programs that utilize Managed Care Organizations (MCOs), Prepaid Inpatient Health Plans (PIHPs), and Prepaid Ambulatory Health Plans (PAHPs); states only report the categories marked with an asterisk (*) for Primary Care Case Management Entities (PCCM-E). The Category Notes column indicates the level(s) at which data is collected for each category — state, program, and/or plan level.
| MCPAR Category | Category Notes |
|---|---|
| (I) Program Characteristics and Enrollment* | State-, program-, and plan-level data |
| (II) Financial Performance | Program- and plan-level data |
| (III) Encounter Data Reporting | State-, program-, and plan-level data |
| (IV) Grievance, Appeals, and State Fair Hearings | Program- and plan-level data |
| (V) Availability, Accessibility, and Network Adequacy | Program-level data |
| (VI) Topic Reserved | — |
| (VII) Quality and Performance Measures | Plan-level data |
| (VIII) Sanctions and Corrective Action Plans* | Plan-level data |
| (IX) Beneficiary Support Systems | Program-level data |
| (X) Program Integrity | State-, program-, and plan-level data |
| (XI) In Lieu of Services and Settings (ILOSs) | Plan-level data (reporting began December 2025) |
| (XII) Mental Health and Substance Use Disorder Parity | Program-level data |
| (XIII) Prior Authorization | State- and plan-level data (required starting June 2026) |
| (XIV) Patient Access API Usage | Plan-level data (required starting June 2026) |
PUF Structure
Each record in the MCPAR PUF represents a specific data point for a managed care program or plan. Each MCPAR in the PUFs is unique by state name, program name, and reporting period dates. MCPAR indicators are identified by both a question number and a descriptive Question ID. To ensure replicability of analyses, CMS recommends using the Question ID as the unique question identifier, as question numbers may change in future MCPAR revisions. The accompanying Data Dictionary provides definitions and coding descriptions for each question.
The PUFs include two additional structural columns:
- Measure_Number: Differentiates responses for questions that can be answered multiple times — for example, multiple Quality and Performance Measures; Sanctions; or In Lieu of Services and Settings (ILOSs). Responses are numbered sequentially (1, 2, 3, … n) to indicate the order in which a state entered them. This column is left blank for questions when it does not apply.
- Plan_or_BSS: Differentiates responses for questions in which a state enters data separately for each managed care plan or, in limited cases, each beneficiary support system (BSS) entity. Plans and BSS entities are identified by name as entered by the state. Note that some questions may be unique by both measure number and plan name — for example, plan-level counts of resolved appeals.
Data Cleaning
The data presented in the MCPAR PUFs have been modified from the original reported data in two ways. First, "Not Applicable" responses have been standardized to appear as "N/A" . Second, three ratio questions (D1.X.3, D1.X.5, and D1.X.8) are excluded from the PUFs as these were retired from the MCPAR in July 2025 due to data quality issues; they can be calculated from other reported data elements.
Additional Resources
- For detailed guidance on working with MCPAR PUF data — including step-by-step use cases — visit the How to Use MCPAR Public Use Files page.
- MCPAR Data Dictionary: For detailed definitions of each MCPAR data element, refer to the accompanying Data Dictionary available on data.medicaid.gov.
- Questions about reported data: Questions about data reported in a specific MCPAR should be directed to the state Medicaid agency.
- Contact CMS: For general MCPAR questions, email ManagedCareTA@cms.hhs.gov.