Examples of Rating Category in a sentence
Rating Category (RC) – An identifier used by EOHHS to identify a specific grouping of Enrollees for which a discrete TCOC applies pursuant to the Contract.
At least annually, EOHHS intends to re- calculate the Total PCE-specific Primary Care Sub-Capitation Rates for Primary Care Entities Rates All RC rate to reflect the actual Rating Category mix of Enrollees attributed to each PCE during the Contract Year, as specified by EOHHS.
The Medicaid savings percentages may vary by Rating Category, but will in the aggregate equal the savings percentages identified above.
The Contractor shall perform such MLR calculation in the aggregate for the Contractor’s Enrollee population and individually for each Medicaid Rating Category.
HCRP reconciliation will occur annually based on nine (9) months of claims run‑out after the end of each calendar year Applicable costs: Cost must be for Covered Services incurred while Enrollee is in the Rating Category applicable to the pool.