Development of Weights Sample Clauses

Development of Weights. ‌ The risk adjustment method utilizes two sets of weights, one for Medical Assistance only (non- Dual Eligible) Enrollees, and one for Dual Eligible Enrollees. These two models include disease categories and risk factor weights customized separately for non-Dual Eligible and Dual Eligible experience. The weights were developed using constrained linear regression and were based upon the Fiscal Years (FYs) 2016 and 2017 experience of individuals enrolled in the SNBC program. Risk factor weights were constrained to be non-negative. The model includes: 1) demographic information; 2) diagnoses from health care claims for services provided to individuals during FY 2016; 3) costs from health care claims for services provided to individuals during FY 2017; and 4) developmental disability (DD) waiver status.

Development of Weights. The risk adjustment method utilizes two sets of weights, one for Medical Assistance only (non-Dual) enrollees, and one for Dual Eligible enrollees. These two models are identical in structure, but distinct with respect to specific values of the risk factor weights. The weights were developed using multiple regression methods and were based upon the fee-for-service population for people with disabilities. The model includes: 1) demographic information; 2) diagnoses from health care claims and costs for services provided to individuals during Calendar Year 2005; 3) Institutional status (MMIS indication of living arrangement of NF, ICF and ICF/DD upon enrollment); and 4) home and community based waiver status (MMIS indication of one of the following waivers upon enrollment; CAC, CADI, TBI and DD). The risk adjustment weights are found in Exhibit III.

Development of Weights. The risk adjustment method utilizes two sets of weights, one for Medicaid-only (non-Dual) Enrollees, and one for Dual Eligible enrollees. These two models are identical in structure, but distinct with respect to specific values of the risk factor weights. The risk adjustment weights were developed using multiple regression methods and were based upon the statewide fee-for-service population of recipients with disabilities. The model included 1) demographic information; 2) diagnoses from health care claims and costs for services provided to individuals during calendar year 2005; and 3) Institutional status (MMIS indicator of living arrangement “NF” upon enrollment) and home and community based waiver status (MMIS indication of one of the following waivers upon enrollment: CAC, CADI, or TBI). The risk adjustment weights are found in Exhibit III.