Common use of Basic Care Rates for SNBC Clause in Contracts

Basic Care Rates for SNBC. ‌ For the Contract Year, payments for SNBC Enrollees shall be: 4.4.1.1 Monthly payments paid by the STATE to the MCO shall be at 100% of the statewide Base Rate in the Payment Appendix, multiplied by the MCO’s (Plan) risk factor normalized by the overall average rate cell-specific risk scores for all MCOs. The dollar value of the risk adjustment rate is shown in the Payment Appendix. 4.4.1.2 Rates, as reduced by eight percent (8.0%) withhold, plus (if applicable) the NF add-on is the total capitation payment to the MCO.

Basic Care Rates for SNBC. ‌ For the Contract Year, payments for SNBC Enrollees shall be: 4.4.1.1 be:‌ Monthly payments paid by the STATE to the MCO shall be at 100% of the statewide Base Rate in the Payment Appendix, multiplied by the MCO’s (Plan) risk factor normalized by the overall average rate cell-specific risk scores for all MCOs. The dollar value of the risk adjustment rate is shown in the Payment Appendix. 4.4.1.2 . Rates, including the BHH add-on, as reduced by eight percent (8.0%) withhold, plus (if applicable) the NF add-on is the total capitation payment to the MCO.

Basic Care Rates for SNBC. ‌ For the Contract Year, payments for SNBC Enrollees shall be: 4.4.1.1 : Monthly payments paid by the STATE to the MCO shall be at 100% of the statewide Base Rate in the Payment Appendix, multiplied by the MCO’s (Plan) risk factor normalized by the overall average rate cell-specific risk scores for all MCOs. The dollar value of the risk adjustment rate is shown in the Payment Appendix. 4.4.1.2 . Rates, including the BHH add-on, as reduced by eight percent (8.0%) withhold, plus (if applicable) the NF add-on is the total capitation payment to the MCO.