Actuarial Basis. The actuarial basis in the rate setting process for the computation of capitated rates is provided in Attachment F of this Agreement.
Actuarial Basis. The capitation rate is calculated on an actuarial basis (specified in Addendum VII) recognizing the payment limits set forth in 42 CFR 447.361.
Actuarial Basis. The capitation rate is calculated on an actuarial basis, recognizing the payment limits set forth in 42 C.F.R. § 438.6 for non-PACE contracts and 42 C.F.R. § 460.182 for PACE contracts.
Actuarial Basis. The capitation rate is calculated prospectively on an actuarial basis recognizing the payment limits set forth in 42 CFR 447.361, and based on geographic location, eligibility category, gender, age and type of services.
Actuarial Basis. 69 C. Renegotiation................................................................ 69 D. Reinsurance.................................................................. 69 E. Neonatal Intensive Care Unit Risk-Sharing.................................... 70 F.
Actuarial Basis. B. Retrospective Adjustme nts
