Base Experience. We used the projected claims data underlying the calendar year CY 2016 MMC capitation rates, as outlined in the Original certification, as base experience for developing the July 1, 2016 capitation rates. These projected claims costs are inclusive of all retrospective, prospective, trend, managed care efficiency, and other claims cost adjustments made to the data as outlined in the Original certification.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Base Experience. We used the projected claims data underlying the calendar year CY 2016 2018 MMC capitation rates, as outlined in the Original certification, as base experience for developing the July 1, 2016 2018 capitation rates. These projected claims costs are inclusive of all retrospective, prospective, trend, managed care efficiency, and other claims cost adjustments made to the data as outlined in the Original certification.
Appears in 1 contract
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan
Base Experience. We used the projected claims data underlying the calendar year CY 2016 2019 MMC capitation rates, as outlined in the Original certification, as base experience for developing the July 1, 2016 2019 capitation rates. These projected claims costs are inclusive of all retrospective, prospective, trend, managed care efficiency, and other claims cost adjustments made to the data as outlined in the Original certification.
Appears in 1 contract
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan
