Financial Reports
Finance & Technology Dashboards
The Finance & Technology dashboards are designed to provide helpful information on Virginia’s Medicaid expenditures and the expenditures and finances of our MCO partners. DMAS also has several other dashboards on topics like enrollment, Medicaid expansion and eligibility. You can find all the DMAS dashboards here.
Virginia Medicaid’s mission is to improve the health and well-being of Virginians through access to quality health care coverage. The Commonwealth dedicates significant resources to achieving that mission, and these dashboards are part of our effort to be good stewards of those resources and transparent about how we use them.
Thank you for taking a moment to browse our site. If you have any questions or need more information, don't hesitate to reach out to finance@dmas.virginia.gov
We also invite you to view the video below on Financial Literacy 101 to learn more about who we are, who we serve, who funds us, how we fund health coverage and how Virginia Medicaid Finance has responded to the COVID-19 health emergency.
Chris Gordon, CFO
MCO Financials & Reporting
FY 2023 MCO Financial Results-Q3
FY 2023 MCO Financial Results-Q2
FY 2023 MCO Financial Results-Q1
FY 2022 MCO Financial Results-Q4
FY 2022 MCO Financial Results-Q3
FY 2022 MCO Financial Results-Q2
FY 2022 MCO Financial Results-Q1
FY 2021 MCO Financial Results-Q4
FY 2021 MCO Financial Results-Q3
CY 2020 MCO Financial Results-Q4
CY 2020 MCO Financial Results-Q3
CY 2020 MCO Financial Results-Q2
CY 2020 MCO Financial Results-Q1
CY 2019 MCO Financial Performance
Hospital Encounter Timeliness Analytics
Q1 SFY20 Summary Report on MCO Medicaid and CHIP Expenditures
Forecasts
Annual Official Forecast of Virginia Medicaid, published in 2022
Annual Official Forecast of Virginia Medicaid, published in 2021
Annual Official Forecast of Virginia Medicaid, published in 2020
Annual Consensus Forecast of Virginia Medicaid, published in 2019
Annual Consensus Forecast of Virginia Medicaid, published in 2018
Annual Consensus Forecast of Virginia Medicaid, published in 2017
Annual Consensus Forecast of Virginia Medicaid, published in 2016
Annual Consensus Forecast of Virginia Medicaid, published in 2015
Annual Consensus Forecast of Virginia Medicaid, published in 2014
Annual Consensus Forecast of Virginia Medicaid, published in 2013
Annual Consensus Forecast of Virginia Medicaid, published in 2012
Annual Consensus Forecast of Virginia Medicaid, published in 2011
Annual Consensus Forecast of Virginia Medicaid, published in 2010
Data Book
2022 Virginia Medicaid and CHIP Data Book (PDF)
2022 Virginia Medicaid and CHIP Data Book (XLSX)
2021 Virginia Medicaid and CHIP Data Book (PDF)
2021 Virginia Medicaid and CHIP Data Book (XLSX)
2020 Virginia Medicaid and CHIP Data Book (PDF)
2020 Virginia Medicaid and CHIP Data Book (XLSX)
2019 Virginia Medicaid and CHIP Data Book (PDF)
2019 Virginia Medicaid and CHIP Data Book (XLSX)
2018 Virginia Medicaid and CHIP Data Book (PDF)
2018 Virginia Medicaid and CHIP Data Book (XLSX)
Assessment Reports
Coverage and Payment Rate Assessment Report May 2023
Coverage and Payment Rate Assessment Report April 2023
Coverage and Payment Rate Assessment Report March 2023
Coverage and Payment Rate Assessment Report February 2023
Coverage and Payment Rate Assessment Report November 2022
Coverage and Payment Rate Assessment Report October 2022
Coverage and Payment Rate Assessment Report September 2022
Coverage and Payment Rate Assessment Report August 2022
Coverage and Payment Rate Assessment Report July 2022
Coverage and Payment Rate Assessment Report June 2022
Coverage and Payment Rate Assessment Report May 2022
Coverage and Payment Rate Assessment Report April 2022
Coverage and Payment Rate Assessment Report March 2022
Coverage and Payment Rate Assessment Report February 2022
Coverage and Payment Rate Assessment Report January 2022
Coverage and Payment Rate Assessment Report December 2021
Coverage and Payment Rate Assessment Report November 2021
Coverage and Payment Rate Assessment Report October 2021
Coverage and Payment Rate Assessment Report September 2021
Coverage and Payment Rate Assessment Report August 2021
Coverage and Payment Rate Assessment Report July 2021
Coverage and Payment Rate Assessment Report June 2021
Coverage and Payment Rate Assessment Report May 2021
Coverage and Payment Rate Assessment Report April 2021
Coverage and Payment Rate Assessment Report March 2021
Coverage and Payment Rate Assessment Report February 2021
Coverage and Payment Rate Assessment Report January 2021
Coverage and Payment Rate Assessment Report December 2020
Coverage and Payment Rate Assessment Report November 2020
Coverage and Payment Rate Assessment Report October 2020
FY21 Coverage and Payment Rate Assessment Report September 2020
FY21 Coverage and Payment Rate Assessment Report August 2020
FY21 Coverage and Payment Rate Assessment Report July 2020
Other Reports
Actuarial Rate Setting May 4, 2023
Summary Of Virginia Medicaid Eligibility Levels Final 06 07 2019
JLARC Report: "Managing Virginia's Medicaid Spending, 2016"
VCU Nfs UPL Supplemental Payment Report
Physician Supplemental Payments 2019 12 17
Final DMAS Forecast And Rate Setting Review Report 5.8.2019
EFRC 031120 MCO Contract Changes
EFRC Forecast Presentation Mar 2020
Monthly Accuracy Reports
Financial Audits of Managed Care Plans
2021 Audit Report MLR CCC Plus Aetna
2021 Audit Report MLR CCC Plus Anthem
2021 Audit Report MLR CCC Plus Molina
2021 Audit Report MLR CCC Plus Optima
2021 Audit Report MLR CCC Plus United
2021 Audit Report MLR CCC Plus Virginia Premier
2021 Audit Report MLR Medallion 4.0 Aetna
2021 Audit Report MLR Medallion 4.0 Anthem
2021 Audit Report MLR Medallion 4.0 Molina
2021 Audit Report MLR Medallion 4.0 Optima
2021 Audit Report MLR Medallion 4.0 United
2021 Audit Report MLR Medallion 4.0 Virginia Premier
2021 Administrative Expenses Report Coventry
2021 Administrative Expenses Report Healthkeepers
2021 Administrative Expenses Report Molina (Formerly Magellan)
2021 Administrative Expenses Report Optima
2021 Administrative Expenses Report United
2021 Administrative Expenses Report Virginia Premier
2020 Administrative Expenses Report Coventry
2020 Administrative Expenses Report Healthkeepers
2020 Administrative Expenses Report Magellan
2020 Administrative Expenses Report Optima
2020 Administrative Expenses Report United
2020 Administrative Expenses Report Virginia Premier
2020 Audit Report MLR CCC Plus Aetna
2020 Audit Report MLR CCC Plus Magellan
2020 Audit Report MLR CCC Plus Optima
2020 Audit Report MLR CCC Plus United
2020 Audit Report MLR CCC Plus Virginia Premier
2020 Audit Report MLR Medallion 4.0 Aetna
2020 Audit Report MLR Medallion 4.0 Magellan
2020 Audit Report MLR Medallion 4.0 Optima
2020 Audit Report MLR Medallion 4.0 United
2020 Audit Report MLR Medallion 4.0 Virginia Premier
2019 Administrative Expenses Report Coventry
2019 Administrative Expenses Report Healthkeepers
2019 Administrative Expenses Report Magellan
2019 Administrative Expenses Report Optima
2019 Administrative Expenses Report United
2019 Administrative Expenses Report Virginia Premier
2019 Audit Report MLR CCC Plus Aetna
2019 Audit Report MLR CCC Plus Magellan
2019 Audit Report MLR CCC Plus Optima
2019 Audit Report MLR CCC Plus United
2019 Audit Report MLR CCC Plus Virginia Premier
2019 Audit Report MLR Medallion 4.0 Aetna
2019 Audit Report MLR Medallion 4.0 Magellan
2019 Audit Report MLR Medallion 4.0 Optima
2019 Audit Report MLR Medallion 4.0 United
2019 Audit Report MLR Medallion 4.0 Virginia Premier
2018 Audit Report MLR CCC Plus Aetna
2018 Audit Report MLR CCC Plus Magellan
2018 Audit Report MLR CCC Plus Optima
2018 Audit Report MLR CCC Plus United
2018 Audit Report MLR CCC Plus Virginia Premier
2018 Audit Report MLR FAMIS Aetna
2018 Audit Report MLR FAMIS Optima
2018 Audit Report MLR FAMIS United
2018 Audit Report MLR FAMIS Virginia Premier
2018 Audit Report MLR Medallion 3.0 Aetna
2018 Audit Report MLR Medallion 3.0 Optima