Minimum MLR definition

Minimum MLR means one and one-half (1.5) percentage points below the Target MLR outlined in the Contract Year 2021 capitation rate development report dated September 17, 2020 (“2021 Rate Development Report”) as shown below. This value will be reduced by up to an additional one-half (0.5) percentage point if certain quality measures described in Section
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Minimum MLR means one and one-half (1.5) percentage points below the Target MLR outlined in the Contract Year 2021 capitation rate development report dated September 17, 2020 (“2021 Rate Development Report”) as shown below. This value will be reduced by up to an additional one-half (0.5) percentage point if certain quality measures described in section 7.13 are met or exceeded. The reduction will be the proportion of points obtained by the MCO for meeting quality measures to the total points possible times the one-half (0.5) percentage point.
Sample 1Sample 2Sample 3
Minimum MLR means one and one-half (1.5) percentage points below the Target MLR outlined in the Contract Year 2021 capitation rate development report dated
Sample 1Sample 2

Examples of Minimum MLR in a sentence

  • Minimum MLR percentage that is at least as high as the CMS guidelines of 85%.

  • P-Connect GmbH may process personal data like name, business and private contact data, résumé (including place of birth and nationality), qualifications, skills, testimonials, certifica- tions, records of interviews and assessments, personal interests, hobbies, marital status and background check information (like identity verification, education and employment history, criminal, civil and regulatory judgements, financial and credit checks) or any other details you choose to share with us.

  • In the event that the MCO meets or exceeds the required score in each of the quality measures in section 7.13, and has realized an Actual MLR lower than the Target MLR, then the Minimum MLR will be decreased by the proportion of points obtained by the MCO for meeting quality measures, not to exceed one-half of a percentage point from the value previously outlined in this section.

  • New Jersey’s Minimum MLR RequirementsNew Jersey raised its minimum loss ratio requirement in 2009 to require carriers in New Jersey’s individual and small group markets to satisfy an MLR of 80 percent each calendar year.526 New Jersey does not have a minimum loss ratio for its large group market, and it does not make any adjustments to MLR.527 C.

  • Payments are the difference between the Minimum MLR and the plan’s actual MLR.

  • In the event that the MCO does not meet or exceed the required score in each of the quality measures in section 7.13, and has realized an Actual MLR lower than the Target MLR, then no change will be made to the Minimum MLR previously outlined in this section.

  • Test results will be used to establish optimum mortar proportions and establish quality control values for construction testing.

  • Otherwise, enter amount if added to CCO Total Incurred Medical Related Costs would result in a Minimum MLR equal to the Minimum MLR Standard.

  • Costs generally allowable as an offset within Medical Related Revenues for purposes of the Minimum MLR calculation.

  • Minimum MLR Threshold 214 Appendix A — Maternity Event Criteria 216Appendix B — Other Population Eligibility Criteria 220Future Managed Care Populations Criteria 220Permanently Excluded Population Criteria 221Appendix C — Rate Cell Determination 222Methodology 222Population Rate Cell Recommendations.

Related to Minimum MLR

  • Minimum Term means the minimum period of service for each Service as shown on the Service Agreement, such period to start on the date on which the relevant Service is first made available to you for use;

  • Minimum DSCR means, with respect to a Supplemental Loan, (i) if the Senior Indebtedness bears interest at a fixed rate, 1.25:1, or (ii) if the Senior Indebtedness bears interest at a floating rate, 1.10:1.

  • Minimum Level (ML means the concentration at which the entire analytical system must give a recognizable signal and an acceptable calibration point. The ML is the concentration in a sample that is equivalent to the concentration of the lowest calibration standard analyzed by a specific analytical procedure, assuming that all the method-specified sample weights, volumes and processing steps have been followed.

  • Minimum Balance means, at any time, an amount that equals the product of: (a) the average Borrowing Base (or, if less on any given day, the Revolving Loan Commitment) during the immediately preceding month multiplied by (b) the Minimum Balance Percentage for such month.

  • Minimum capital or "minimum required capital" means the capital that must be constantly maintained by a stock insurance corporation as required by statute.

  • VWAP Minimum Price Threshold means, with respect to any particular VWAP Purchase Notice, the Sale Price on the VWAP Purchase Date equal to the greater of (i) 80% of the Closing Sale Price on the Business Day immediately preceding the VWAP Purchase Date or (ii) such higher price as set forth by the Company in the VWAP Purchase Notice.

  • Minimum Payment means the amount of minimum payment as stated in the Fee Schedule;

  • Contract Minimum Investment Requirement means, with respect to the Project, investment by the Company and any Sponsor Affiliates of at least $10,000,000 in Economic Development Property subject (non-exempt) to ad valorem taxation (in the absence of this Fee Agreement).

  • Minimum Payments $50 (with respect to all funds in the aggregate.) No payment pursuant to this Schedule is payable to a dealer, bank or other service provider for the first year with respect to sales of $1 million or more, at no load, in cases where A I M Distributors, Inc. has advanced the service fee to the dealer, bank or other service provider.

  • Minimum Equity Amount shall have the meaning provided in the recitals to this Agreement.

  • Minimum Threshold means the average daily yield on the 10 Year Treasury Note (as reported in the Bloomberg GT10 index) over the Award Period.

  • Minimum Takedown Threshold shall have the meaning given in Section 2.1.4.

  • Minimum Net Worth means, for any Fiscal Quarter, the minimum Consolidated Net Worth required to be maintained by the Parent as of the end of such Fiscal Quarter pursuant to Section 6.12.

  • Minimum Cash Balance means $10,000,000 minus (i) $500,000, (ii) any amounts to be paid to holders of Allowed Ongoing Trade Claims of New Permian Corp., and (iii) any amounts to be paid to holders of Allowed Cure Amounts pursuant to Section 8.4(ii).

  • Minimum Balance Requirements You must maintain a minimum daily balance of $2,000.00 in your Money Market Savings account to obtain the disclosed annual percentage yield. We impose a monthly maintenance fee if the balance falls below $500 any day of the month. Basic Checking Account Rate Information: This account does not pay interest.

  • Minimum Liquidity means, as of any date of determination, the sum of (a) the aggregate unused amount of the Commitments as of such date and (b) unrestricted cash of the Loan Parties as of such date.

  • Minimum Order Quantity means the minimum number of batches of a Product to be produced during the same cycle of manufacturing as set forth in a Product Agreement on Schedule B;

  • Minimum Run Time For all generating units that are not combined cycle units, “Minimum Run Time” shall mean the minimum number of hours a unit must run, in real-time operations, from the time after generator breaker closure, which is typically indicated by telemetered or aggregated State Estimator megawatts greater than zero, to the time of generator breaker opening, as measured by PJM's State Estimator. For combined cycle units, “Minimum Run Time” shall mean the time period after the first combustion turbine generator breaker closure, which is typically indicated by telemetered or aggregated State Estimator megawatts greater than zero, and the last generator breaker opening as measured by PJM’s State Estimator.

  • Minimum Annual Resource Requirement means, for Delivery Years through May 31, 2017, the minimum amount of capacity that PJM will seek to procure from Annual Resources for the PJM Region and for each Locational Deliverability Area for which the Office of the Interconnection is required under Tariff, Attachment DD, section 5.10(a) to establish a separate VRR Curve for such Delivery Year. For the PJM Region, the Minimum Annual Resource Requirement shall be equal to the RTO Reliability Requirement minus [the Sub-Annual Resource Reliability Target for the RTO in Unforced Capacity]. For an LDA, the Minimum Annual Resource Requirement shall be equal to the LDA Reliability Requirement minus [the LDA CETL] minus [the Sub-Annual Resource Reliability Target for such LDA in Unforced Capacity]. The LDA CETL may be adjusted pro rata for the amount of load served under the FRR Alternative.

  • Minimum Hire Period means the Minimum Hire Period as described on the invoices, quotation, authority to hire, or any other forms as provided by the Supplier to the Client.

  • FILOT Act Minimum Investment Requirement means, with respect to the Project, an investment of at least $2,500,000 by the Company, or of at least $5,000,000 by the Company and any Sponsor Affiliates in the aggregate, in Economic Development Property.

  • Minimum Price shall have the meaning set forth in Section 7.2(b)(ii).

  • Minimum Weighted Average Coupon Test means a test that will be satisfied on any Measurement Date if the Weighted Average Coupon equals or exceeds 7.0%.

  • Minimum Hourly Work Requirement means the work hours over a given time period that are required of you by your Employer in order to be eligible for coverage. Your Minimum Hourly Work Requirement is specified in the Schedule of Benefits.

  • Minimum Period means the minimum period for the Service, the initial term of which is set out on the Front Sheet and which starts on the Service Start Date; the minimum period may be renewed on agreement between you and us from time to time for further minimum periods for the same length as, or different to, the initial term.

  • Minimum Contract Value means 10% of the Maximum Contract Value.