Capitation Rates. The table below includes the capitation rates per member per month (PMPM) effective January 1, 2011 – December 31, 2011 varying by region and rate cell. Each CCO will be paid based on the distribution of members they have in each rate cell. In addition, CCO capitation payments will vary based on their members’ county of residence. Each county has been assigned to one of the following regions: north, central, or south. MississippiCAN Capitation Rates Per Member Per Month (PMPM) Effective January 1, 2011 – December 31, 2011 Region SSI / Disabled Xxxxxx Care Breast / Cervical Cancer North $514.14 $211.55 $2,373.98 Central $541.77 $222.92 $2,501.56 South $574.82 $236.52 $2,654.16 The capitation rates for each rate cell will be further adjusted for each CCO using the combined Chronic Illness and Disability Payment System and Medicaid Rx risk adjuster (CDPS + Rx). The CDPS + Rx risk adjuster will be used to adjust for the acuity differences among the enrolled populations of each CCO. The CDPS + Rx weights will be specific to the non-inpatient services covered by MississippiCAN and calculated using Mississippi fee-for-service data.
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Samples: medicaid.ms.gov, www.medicaid.ms.gov, medicaid.ms.gov
