Material Adjustment. Material adjustment is an adjustment that, using reasonable actuarial judgment, has a significant impact on the development of the capitation payment such that its omission or misstatement could impact a determination whether the development of the capitation rate is consistent with generally accepted actuarial principles and practices.
Appears in 3 contracts
Sources: Medicaid Agreement, Contract for Medicaid Managed Care Services, Contract for Medicaid Managed Care Services
Material Adjustment. Material In accordance with 42 CFR § 438.2, material adjustment is an adjustment that, using reasonable actuarial judgment, has a significant impact on the development of the capitation payment such that its omission or misstatement could impact a determination whether the development of the capitation rate is consistent with generally accepted actuarial principles and practices.
Appears in 2 contracts
Sources: Medicaid Rite Smiles Program Agreement, Medicaid Program Agreement
Material Adjustment. Material In accordance with 42 C.F.R. § 438.2, material adjustment is an adjustment that, using reasonable actuarial judgment, has a significant impact on the development of the capitation payment such that its omission or misstatement could impact a determination whether the development of the capitation rate is consistent with generally accepted actuarial principles and practices.
Appears in 2 contracts
Sources: Contract for Medicaid Managed Care Services, Medicaid Managed Care Services Agreement