Calculation of Annual MCO Elderly Waiver Risk Scores Sample Clauses

Calculation of Annual MCO Elderly Waiver Risk Scores. (a) The MCO’s risk score for the Contract Year is based on an Enrollee roster derived from paid MCO capitation claims for the month of August of the previous Contract Year. Area, Age Group, and ADL Group factors for each EW recipient are derived from the MMIS Data Warehouse claims and LTCC Screening document tables as of the first data update in August of the year prior to the start of the Contract Year. Elderly Waiver Enrollees without a valid and current LTCC Screening document are excluded from the calculation. EW recipient-level risk scores will be averaged to derive the overall MCO risk score. (See the Rate Development Report.)
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Related to Calculation of Annual MCO Elderly Waiver Risk Scores

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  • Certification of Meeting or Exceeding Tobacco-Free Workplace Policy Minimum Standards A. Grantee certifies that it has adopted and enforces a Tobacco-Free Workplace Policy that meets or exceeds all of the following minimum standards of:

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