Limitations and Data Reliance. The information contained in this report has been prepared for the Ohio Department of Medicaid (ODM) to provide documentation of the development of an amendment to the certified calendar year (CY) 2021 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 for the Medicaid Managed Care Program (MMC). The amended capitation rates in this report are effective for the January 1, 2022 through June 30, 2022 time period. The data and information presented may not be appropriate for any other purpose. The information contained in this report, including the appendices, has been prepared for ODM and their consultants and advisors. It is our understanding that the information contained in this report will be shared with CMS and may be utilized in a public document. Any distribution of the information should be in its entirety. Any user of the data must possess a certain level of expertise in actuarial science and healthcare modeling so as not to misinterpret the information presented. Milliman makes no representations or warranties regarding the contents of this report to third parties. Likewise, third parties are instructed that they are to place no reliance upon this report prepared for ODM by Milliman that would result in the creation of any duty or liability under any theory of law by Milliman or its employees to third parties. Other parties receiving this report must rely upon their own experts in drawing conclusions about the capitation rates, assumptions, and trends. Milliman has developed certain models to estimate the values included in this report. We have reviewed the models, including their inputs, calculations, and outputs for consistency, reasonableness, and appropriateness to the intended purpose and in compliance with generally accepted actuarial practice and relevant actuarial standards of practice (ASOP). The models rely on data and information as input to the models. We have relied upon certain data and information provided by ODM and the participating Medicaid MCPs for this purpose and accepted it without audit. To the extent that the data and information provided is not accurate, or is not complete, the values provided in this report may likewise be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purpose. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results wil...
Limitations and Data Reliance. The information contained in this report has been prepared for the Ohio Department of Medicaid (ODM) to provide documentation of the development of an amendment to the certified Medicaid Managed Care Program (MMC) capitation rates. The amended capitation rates in this report are effective for the July 1, 2022 through December 31, 2023 period. The data and information presented may not be appropriate for any other purpose.
Limitations and Data Reliance. The information contained in this report has been prepared for the Ohio Department of Medicaid (ODM) to provide documentation of the certified capitation rates for the MyCare Ohio (MyCare) program for the period of January 1, 2024 through December 31, 2024. The data and information presented may not be appropriate for any other purpose.
Limitations and Data Reliance. The information contained in this report has been prepared for the Ohio Department of Medicaid (ODM) to provide documentation of the development of an amendment to the certified calendar year (CY) 2021 capitation rates for the Medicaid Managed Care Program (MMC). The data and information presented may not be appropriate for any other purpose.
