High Needs Population DCE definition
High Needs Population DCE means a DCE that focuses on Beneficiaries with complex, high needs, including dually eligible individuals, and is approved by CMS to participate in the Model as a High Needs Population DCE prior to the Effective Date. A High Needs Population DCE qualifies for the alternative Beneficiary alignment minimums specified in Section 5.03.C and qualifies for the methodology for calculating the Performance Year Benchmark described in Section III of Appendix B of the Agreement.
High Needs Population DCE means a DCE that focuses on Beneficiaries with complex, high needs, including dually eligible individuals, and is approved by CMS to participate in the Model
High Needs Population DCE means a DCE that focuses on Beneficiaries with complex, high needs, including dually eligible individuals, and is approved by CMS to participate in the Model as a High Needs Population DCE prior to the Effective Date, and has not subsequently been approved by CMS to participate in the Model as a New Entrant DCE or a Standard DCE pursuant to Article VIII. A High Needs Population DCE qualifies for the alternative Beneficiary alignment minimums specified in Section 5.03.C and qualifies for the methodology for calculating the Performance Year Benchmark described in Section III of Appendix B of the Agreement.