HMOS and CBPs. The minimum and maximum MLRs will depend on the MCO rate cell/regional mix and MCO type as follows: (1) For MCOs licensed as Health Maintenance Organizations but not County-Based Purchasing organizations: (a) The minimum/maximum MLR for each SNBC rate cell is one and one-half (1.5) percentage point lower/higher than the Target MLR. The Target MLR is defined as: (“Base Rate” + “NF Add-On”)/(”Final Rate for Non-CBP Plans”) in Exhibit 2A of the 2020 Rate Development Report. (b) The MLRs will be weighted on Contract Year 2020 SNBC revenue by rate cells and regions to calculate the combined SNBC minimum and maximum MLRs; (2) For County-Based Purchasing organizations: (a) The minimum/maximum MLR for each SNBC rate cell is one and one-half (1
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Samples: Special Needs Basiccare Program Services Contract, Special Needs Basiccare Program Services Contract, Contract for Special Needs Basiccare Program Services
HMOS and CBPs. The minimum and maximum MLRs will depend on the MCO rate cell/regional mix and MCO type as follows:
(1) For MCOs licensed as Health Maintenance Organizations but not County-Based Purchasing organizations:
(a) The minimum/maximum MLR for each SNBC rate cell is one and one-half (1.5) percentage point lower/higher than the Target MLR. The Target MLR is defined as: (“Base Rate” + “NF Add-On”)/(”Final Rate for Non-CBP Plans”) in Exhibit 2A of the 2020 2021 Rate Development Report.
(b) The MLRs will be weighted on Contract Year 2020 2021 SNBC revenue by rate cells and regions to calculate the combined SNBC minimum and maximum MLRs;
(2) For County-Based Purchasing organizations:
(a) The minimum/maximum MLR for each SNBC rate cell is one and one-half (1
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