DESCRIPTION OF PROJECTED BENEFIT COST ISSUES. CY 2018 Extension population experience, in the form of adjusted encounter data, was used as the underlying data source for the development of the CY 2020 capitation rates. This process is consistent with the methodology used in developing the CY 2019 capitation rates for the Extension population. The data sources, assumptions, and methodologies are generally consistent with the CY 2019 certification and the August amendment to the CY 2019 certification. Discussion of other assumption changes is provided in the next section.
DESCRIPTION OF PROJECTED BENEFIT COST ISSUES. CY 2017 Extension population experience, in the form of adjusted encounter data, is used as the underlying data source for the development of the CY 2019 capitation rates. In developing the adjusted base data for the CY 2019 capitation rates, rate cells were reassigned based on each member’s rate cell as of July 1, 2018. This process is consistent with the methodology used in developing the CY 2018 capitation rates for the Extension population. The data sources, assumptions, and methodologies are generally consistent with the CY 2018 certification and the July amendment to the CY 2018 certification. Discussion of other assumption changes is provided in the next section.
