Common use of DESCRIPTION OF PROJECTED BENEFIT COST ISSUES Clause in Contracts

DESCRIPTION OF PROJECTED BENEFIT COST ISSUES. CY 2018 Extension population experience, in the form of adjusted encounter data, was used as the underlying data source for the development of the CY 2020 capitation rates. This process is consistent with the methodology used in developing the CY 2019 capitation rates for the Extension population. The data sources, assumptions, and methodologies are generally consistent with the CY 2019 certification and the August amendment to the CY 2019 certification. Discussion of other assumption changes is provided in the next section.

Appears in 3 contracts

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan

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DESCRIPTION OF PROJECTED BENEFIT COST ISSUES. CY 2018 2019 Extension population experience, in the form of adjusted encounter data, was used as the underlying data source for the development of the CY 2020 2021 capitation rates. This process is consistent with the methodology used in developing the CY 2019 2020 capitation rates for the Extension population. The data sources, assumptions, and methodologies are generally consistent with the CY 2019 2020 certification and the August July amendment to the CY 2019 2020 certification. Discussion of other assumption changes is provided in the next section.

Appears in 2 contracts

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan

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