The All-Plan Letter 24-018 outlines Medical Loss Ratio (MLR) requirements for Medi-Cal managed care plans (MCPs) and their subcontractors, as mandated by federal regulations and California law. Effective January 1, 2023, MCPs must impose MLR reporting requirements on subcontractors, with remittance requirements starting January 1, 2025. The letter details the framework for identifying applicable subcontractors, reporting processes, and oversight responsibilities, emphasizing compliance with established MLR standards and potential penalties for non-compliance.

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