Basic Care Rates for SNBC Sample Clauses

Basic Care Rates for SNBC. ‌ For the Contract Year, payments for SNBC Enrollees shall be:
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Basic Care Rates for SNBC. For the Contract Year, payments for SNBC Enrollees shall be: Monthly payments paid by the STATE to the MCO shall be at 100% of the statewide Base Rate in the Payment Appendix, multiplied by the MCO’s (Plan) risk factor normalized by the overall average rate cell-specific risk scores for all MCOs. The dollar value of risk adjustment rate is shown in the Payment Appendix. Rates, including the BHH add-on, as reduced by eight percent (8.0%) withhold, plus (if applicable) the NF add-on is the total capitation payment to the MCO.
Basic Care Rates for SNBC. For the Contract Year, payments for SNBC Enrollees shall be:‌ Monthly payments paid by the STATE to the MCO shall be at 100% of the statewide Base Rate in the Payment Appendix, multiplied by the MCO’s (Plan) risk factor normalized by the overall average rate cell-specific risk scores for all MCOs. The dollar value of risk adjustment rate is shown in the Payment Appendix. Rates, including the BHH add-on, as reduced by eight percent (8.0%) withhold, plus (if applicable) the NF add-on is the total capitation payment to the MCO. Add-on Rates for SNBC.‌ A Behavioral Health Home add-on (BHH add-on) is included for all rate cells and subject to the withhold and risk adjustment. A nursing facility add-on (NF Add-on) will be included in the capitation rate for non-institutionalized rate cells. The NF Add-on is not subject to the withhold and is not risk adjusted.

Related to Basic Care Rates for SNBC

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