Common use of Limitations and Data Reliance Clause in Contracts

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 will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12, 2019. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: North Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 $ 999.86 $ 1,004.70 0.5% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19-44 M 6,999 383.79 388.01 1.1% HF 19-44 F 24,684 527.73 537.14 1.8% HF 45+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8% Subtotal CFC 113,747 $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 35-44 M 5,909 865.18 878.33 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.3% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 $ 943.93 $ 930.70 (1.4%) HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19-44 M 7,730 320.29 325.64 1.7% HF 19-44 F 24,818 459.17 470.62 2.5% HF 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 $ 1,315.48 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.2% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19-44 M 110,930 342.11 348.14 1.8% HF 19-44 F 360,856 507.19 519.91 2.5% HF 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.5% Subtotal CFC 1,758,510 $ 356.04 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall provide both members and eligible individuals with a copy of their practice guidelines.

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 the July 1, 2016 amendment to the certified calendar year (CY) 2021 2016 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates 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 appendicesenclosures, 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 in the development of the July 1, 2016 amendment to the certified CY 2016 capitation rates. Milliman has relied upon ODM and the MCPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development would need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX ODM dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: North Central APPENDIX 1 Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,552 4,706 4,706 $ 999.86 585.91 $ 1,004.70 0.5% 584.57 (0.23%) HF/HST 1 M+F 4,570 206.06 201.25 4,852 4,845 147.00 138.61 (2.35.71%) HF/HST 2-13 M+F 49,838 194.74 192.69 47,789 47,600 116.15 113.81 (1.12.02%) HF/HST 14-18 M 8,846 230.65 230.14 7,419 7,382 166.95 163.98 (0.21.78%) HF/HST 14-18 F 8,683 289.81 290.04 0.17,558 7,533 217.95 219.79 0.84% HF 19-44 M 6,999 383.79 388.01 1.1% 7,434 7,415 292.22 290.65 (0.54%) HF 19-44 F 24,684 527.73 537.14 1.822,300 22,245 382.96 384.17 0.32% HF 45+ M+F 3,791 764.60 777.49 1.7% 3,519 3,488 721.29 716.19 (0.71%) HST 19-64 F 1,784 597.62 614.09 2.82,127 2,125 398.99 401.30 0.58% Subtotal - CFC 113,747 107,706 107,341 $ 346.67 241.47 $ 348.74 0.6% EXT 239.97 (0.62%) Extension EXT 19-34 M 11,813 9,411 9,353 $ 582.92 317.04 $ 591.19 1.4% 312.46 (1.45%) EXT 19-34 F 9,772 535.82 542.74 1.3% 8,476 8,438 363.59 356.64 (1.91%) EXT 35-44 M 5,909 865.18 878.33 1.5% 4,382 4,343 526.07 521.69 (0.83%) EXT 35-44 F 4,531 912.74 928.83 1.8% 3,539 3,510 613.99 605.74 (1.34%) EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% 4,472 4,390 740.07 722.84 (2.33%) EXT 45-54 F 5,059 991.99 1,010.62 1.9% 4,752 4,684 825.04 812.64 (1.50%) EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% 3,317 3,247 921.54 912.70 (0.96%) EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% 3,802 3,735 813.90 800.65 (1.63%) Subtotal EXT 49,721 - Extension 42,151 41,701 $ 809.82 567.59 $ 822.93 1.6% 557.72 (1.74%) ABD ABD <21 3,848 2,511 2,784 $ 943.34 519.12 $ 960.93 1.9556.86 7.27% ABD 2121 + 10,355 1,829.06 1,865.11 2.0% 7,591 8,132 1,587.89 1,582.67 (0.33%) Subtotal - ABD 14,203 10,101 10,916 $ 1,589.09 1,322.26 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% 1,321.02 (0.09%) CFC & EXT Delivery 287 304 304 $ 6,429.01 6,406.05 $ 6,484.66 0.96,406.05 0.00% Total 179,905 159,958 159,958 $ 585.76 407.81 $ 593.41 1.3408.74 0.23% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northwest North Central Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 3,160 3,350 3,350 $ 917.12 582.28 $ 910.53 580.94 (0.70.23%) HF/HST 1 M+F 3,252 216.22 213.31 3,282 3,280 148.11 139.94 (1.35.51%) HF/HST 2-13 M+F 33,863 160.73 157.34 33,281 33,186 117.78 115.35 (2.12.07%) HF/HST 14-18 M 6,148 240.46 240.31 5,383 5,350 161.31 158.53 (0.11.73%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% 5,362 5,345 188.65 186.73 (1.02%) HF 19-44 M 4,690 361.17 366.83 1.6% 4,750 4,738 256.99 256.25 (0.29%) HF 19-44 F 14,803 474.99 484.86 2.1% 13,470 13,434 365.37 362.27 (0.85%) HF 45+ M+F 2,231 676.02 688.62 1.9% 1,995 1,981 684.10 675.24 (1.29%) HST 19-64 F 1,381 427.98 441.58 3.2% 1,713 1,711 334.73 333.30 (0.43%) Subtotal - CFC 75,537 72,587 72,375 $ 302.70 224.80 $ 303.69 0.3% EXT 222.01 (1.24%) Extension EXT 19-34 M 5,834 4,529 4,510 $ 548.84 290.01 $ 561.41 2.3% 287.05 (1.02%) EXT 19-34 F 5,615 497.91 506.20 1.7% 4,756 4,739 347.79 346.14 (0.47%) EXT 35-44 M 3,221 708.29 720.92 1.8% 2,208 2,200 543.91 533.59 (1.90%) EXT 35-44 F 2,998 712.36 726.39 2.0% 2,227 2,212 676.49 671.65 (0.72%) EXT 45-54 M 2,600 989.46 1,014.67 2.5% 2,302 2,285 837.91 834.52 (0.40%) EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% 2,801 2,782 799.12 786.77 (1.55%) EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% 1,895 1,880 862.61 861.73 (0.10%) EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% 2,188 2,170 878.24 843.66 (3.94%) Subtotal EXT 28,355 - Extension 22,904 22,778 $ 775.11 584.94 $ 791.57 2.1% 576.92 (1.37%) ABD ABD <21 1,717 526 685 $ 852.44 518.96 $ 868.45 1.9555.37 7.02% ABD 2121 + 4,617 1,592.24 1,632.60 2.52,927 3,107 1,411.81 1,430.40 1.32% Subtotal - ABD 6,334 3,453 3,792 $ 1,391.70 1,275.86 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% 1,272.34 (0.28%) CFC & EXT Delivery 192 209 209 $ 5,975.47 5,666.79 $ 5,987.85 0.2% 5,666.79 (0.00%) Total 111,307 98,945 98,945 $ 498.58 356.83 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary 355.95 (0.25%) Region: Southwest Northwest Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 17,597 17,085 17,085 $ 1,262.30 851.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 850.66 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.10.08%) HF/HST 1 M+F 15,372 288.51 287.04 17,283 17,262 184.05 173.43 (0.55.77%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% 182,585 181,991 142.04 138.86 (2.24%) HF/HST 14-18 M 28,913 254.04 256.54 1.0% 28,339 28,192 210.22 206.37 (1.83%) HF/HST 14-18 F 29,231 318.77 322.18 1.1% 29,181 29,088 235.85 234.67 (0.50%) HF 19-44 M 23,665 349.19 356.00 2.0% 25,968 25,900 267.83 265.20 (0.98%) HF 19-44 F 71,281 563.74 580.36 2.9% 80,251 80,071 363.93 362.90 (0.28%) HF 45+ M+F 14,148 708.47 725.94 2.5% 13,279 13,197 653.26 646.41 (1.05%) HST 19-64 F 5,883 586.12 608.58 3.88,341 8,332 358.09 358.41 0.09% Subtotal - CFC 372,537 402,313 401,118 $ 382.93 259.31 $ 387.98 1.3% EXT 256.50 (1.08%) Extension EXT 19-34 M 33,504 33,129 32,993 $ 601.51 313.38 $ 615.92 2.4% 308.95 (1.41%) EXT 19-34 F 29,214 603.11 616.40 2.2% 28,527 28,429 367.33 362.40 (1.34%) EXT 35-44 M 18,111 880.49 903.51 2.6% 16,512 16,428 505.59 500.26 (1.05%) EXT 35-44 F 14,846 877.94 899.88 2.5% 13,087 13,001 573.36 565.23 (1.42%) EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% 17,023 16,862 746.30 738.25 (1.08%) EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% 17,687 17,515 761.36 753.47 (1.04%) EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% 12,213 12,008 831.05 819.30 (1.41%) EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% 14,338 14,154 777.16 769.32 (1.01%) Subtotal EXT 148,262 - Extension 152,516 151,390 $ 853.39 551.91 $ 874.95 2.5% 544.52 (1.34%) ABD ABD <21 9,842 6,453 7,377 $ 1,232.54 892.80 $ 1,259.01 2.1960.76 7.61% ABD 2121 + 29,961 1,752.05 1,804.35 3.0% 22,721 24,119 1,455.42 1,453.10 (0.16%) Subtotal - ABD 39,803 29,175 31,496 $ 1,623.59 1,330.97 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.11,337.78 0.51% CFC & EXT Delivery 957 1,066 1,066 $ 5,783.26 6,012.13 $ 5,965.09 3.16,012.13 (0.00%) Total 584,004 584,004 $ 400.23 $ 400.46 0.06% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Southwest Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,722 15,277 15,277 $ 1,225.57 904.99 $ 1,221.70 904.97 (0.30.00%) HF/HST 1 M+F 4,784 233.22 229.74 15,582 15,567 181.44 170.55 (1.56.00%) HF/HST 2-13 M+F 53,831 194.79 194.39 155,070 154,565 129.57 127.01 (0.21.98%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% 24,158 24,038 159.89 157.15 (1.72%) HF/HST 14-18 F 9,973 315.68 318.51 0.924,411 24,332 211.02 212.82 0.85% HF 19-44 M 9,424 361.81 368.52 1.9% 25,329 25,237 292.13 289.17 (1.01%) HF 19-44 F 25,116 514.02 527.35 2.667,032 66,822 394.54 395.02 0.12% HF 45+ M+F 4,614 799.91 820.48 2.6% 12,199 12,064 667.64 658.67 (1.34%) HST 19-64 F 1,786 561.24 583.02 3.97,101 7,088 399.97 402.86 0.72% Subtotal - CFC 124,122 346,159 344,989 $ 355.77 261.70 $ 359.96 1.2% EXT 259.61 (0.80%) Extension EXT 19-34 M 12,036 26,592 26,458 $ 500.88 334.60 $ 511.86 2.2% 329.20 (1.61%) EXT 19-34 F 10,527 567.53 580.47 2.3% 23,655 23,562 361.33 354.28 (1.95%) EXT 35-44 M 6,721 683.18 705.15 3.2% 12,793 12,678 546.03 538.07 (1.46%) EXT 35-44 F 5,793 810.55 830.53 2.5% 10,669 10,579 616.05 605.54 (1.71%) EXT 45-54 M 5,528 880.19 898.79 2.1% 12,506 12,328 794.03 775.04 (2.39%) EXT 45-54 F 6,208 971.78 996.97 2.6% 13,314 13,110 726.03 712.35 (1.88%) EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% 8,719 8,528 768.78 757.36 (1.48%) EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% 10,633 10,434 791.46 776.91 (1.84%) Subtotal EXT 57,335 - Extension 118,881 117,676 $ 760.97 552.81 $ 780.09 2.5% 541.68 (2.01%) ABD ABD <21 3,162 5,164 5,948 $ 1,223.04 836.02 $ 1,246.28 1.9890.52 6.52% ABD 2121 + 11,894 1,549.61 1,593.82 2.923,148 24,739 1,432.56 1,442.24 0.68% Subtotal - ABD 15,056 28,313 30,688 $ 1,481.03 1,323.75 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.51,335.30 0.87% CFC & EXT Delivery 303 887 887 $ 5,102.70 5,428.51 $ 5,152.12 1.05,428.51 0.00% Total 199,509 493,353 493,353 $ 570.90 402.56 $ 582.48 2.0403.56 0.25% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast South Central Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 18,881 5,154 5,154 $ 1,375.64 868.00 $ 1,362.27 (1.0%) 868.04 0.00% HF/HST 1 M+F 19,478 256.11 255.01 4,886 4,881 167.27 157.35 (0.45.93%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% 52,997 52,850 141.70 138.83 (2.02%) HF/HST 14-18 M 40,560 248.78 251.88 1.2% 9,413 9,371 185.69 182.35 (1.80%) HF/HST 14-18 F 40,839 304.53 309.14 1.5% 9,336 9,312 215.88 213.66 (1.03%) HF 19-44 M 32,969 322.73 327.89 1.6% 10,495 10,469 253.45 251.62 (0.72%) HF 19-44 F 112,237 490.07 501.31 2.3% 24,143 24,078 372.72 369.63 (0.83%) HF 45+ M+F 20,522 675.31 691.25 2.4% 4,234 4,205 610.19 606.80 (0.56%) HST 19-64 F 7,105 638.81 659.09 3.2% 2,607 2,605 368.91 368.23 (0.18%) Subtotal - CFC 517,246 123,265 122,924 $ 358.13 257.72 $ 362.35 1.2% EXT 254.81 (1.13%) Extension EXT 19-34 M 62,187 10,825 10,788 $ 474.15 233.97 $ 482.33 1.7% 232.27 (0.73%) EXT 19-34 F 50,610 473.53 481.26 1.6% 9,391 9,369 347.84 346.71 (0.33%) EXT 35-44 M 31,273 671.62 684.60 1.9% 4,890 4,869 466.32 462.13 (0.90%) EXT 35-44 F 23,623 695.39 708.63 1.9% 4,654 4,621 582.39 576.43 (1.02%) EXT 45-54 M 26,371 869.64 885.73 1.9% 5,204 5,149 654.70 648.19 (0.99%) EXT 45-54 F 26,643 904.61 924.19 2.2% 6,017 5,960 669.49 662.54 (1.04%) EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% 3,815 3,771 797.37 788.16 (1.16%) EXT 55-64 F 25,852 970.77 989.78 2.0% 4,791 4,745 752.04 748.86 (0.42%) Subtotal EXT 269,525 - Extension 49,586 49,272 $ 695.99 501.55 $ 708.86 1.8% 496.83 (0.94%) ABD ABD <21 17,875 1,390 1,623 $ 1,102.71 708.15 $ 1,127.93 2.3759.97 7.32% ABD 2121 + 50,902 1,677.75 1,716.97 2.3% 8,632 9,055 1,306.30 1,302.64 (0.28%) Subtotal - ABD 68,777 10,022 10,678 $ 1,528.30 1,223.32 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% 1,220.17 (0.26%) CFC & EXT Delivery 1,299 325 325 $ 6,068.35 4,806.59 $ 6,079.32 0.24,806.59 0.00% Total 864,715 182,874 182,874 $ 570.10 385.28 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary 384.91 (0.10%) Region: Northeast Central Southeast Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,852 18,046 18,046 $ 943.93 946.10 $ 930.70 (1.4%) 946.28 0.02% HF/HST 1 M+F 5,017 236.24 235.11 19,496 19,463 192.72 181.39 (0.55.88%) HF/HST 2-13 M+F 53,874 192.98 192.70 205,245 204,331 130.69 127.91 (0.12.12%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% 35,916 35,661 171.62 168.73 (1.69%) HF/HST 14-18 F 9,558 286.31 289.76 1.2% 36,369 36,222 204.81 204.56 (0.13%) HF 19-44 M 7,730 320.29 325.64 1.7% 31,710 31,607 261.77 257.44 (1.65%) HF 19-44 F 24,818 459.17 470.62 2.5% 99,378 99,043 357.47 355.80 (0.47%) HF 45+ M+F 3,897 666.61 681.52 2.2% 18,593 18,439 619.51 608.57 (1.77%) HST 19-64 F 1,881 509.02 531.96 4.57,767 7,751 395.36 395.94 0.15% Subtotal - CFC 121,062 472,521 470,565 $ 318.20 253.28 $ 321.41 1.0% EXT 250.42 (1.13%) Extension EXT 19-34 M 11,012 45,330 45,120 $ 477.49 287.12 $ 486.84 2.0% 282.23 (1.70%) EXT 19-34 F 9,978 489.01 497.61 1.8% 40,117 39,990 320.18 317.88 (0.72%) EXT 35-44 M 6,119 674.86 688.08 2.0% 21,546 21,401 435.73 429.72 (1.38%) EXT 35-44 F 5,416 753.87 770.48 2.2% 17,327 17,233 518.25 513.01 (1.01%) EXT 45-54 M 5,062 909.71 927.27 1.9% 23,563 23,312 644.99 633.01 (1.86%) EXT 45-54 F 5,664 935.40 955.98 2.2% 24,511 24,225 683.85 673.53 (1.51%) EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% 18,876 18,552 784.41 774.72 (1.24%) EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% 22,266 21,926 668.90 660.44 (1.26%) Subtotal EXT 52,807 - Extension 213,537 211,759 $ 723.63 495.88 $ 738.12 2.0% 488.34 (1.52%) ABD ABD <21 3,413 10,698 12,142 $ 1,161.76 675.51 $ 1,180.81 1.6726.01 7.48% ABD 2121 + 9,197 1,581.29 1,624.62 2.7% 35,887 38,176 1,489.12 1,488.95 (0.01%) Subtotal - ABD 12,610 46,584 50,318 $ 1,467.74 1,302.28 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.01,304.84 0.20% CFC & EXT Delivery 310 1,283 1,283 $ 4,983.35 5,759.83 $ 5,059.90 1.55,759.83 (0.00%) Total 732,642 732,642 $ 400.78 $ 401.69 0.23% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Northeast Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 68,698 5,081 5,081 $ 1,315.48 654.66 $ 1,311.11 654.51 (0.30.02%) HF/HST 1 M+F 70,522 261.59 260.32 5,061 5,058 177.88 168.51 (0.55.27%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.2% 51,192 51,052 125.13 122.77 (1.88%) HF/HST 14-18 M 137,992 247.24 249.51 0.9% 8,625 8,586 165.40 162.60 (1.69%) HF/HST 14-18 F 138,541 306.84 310.53 1.28,624 8,601 202.22 203.83 0.79% HF 19-44 M 110,930 342.11 348.14 1.8% 8,311 8,295 226.77 225.56 (0.53%) HF 19-44 F 360,856 507.19 519.91 2.522,669 22,627 344.04 344.34 0.09% HF 45+ M+F 63,557 696.97 713.12 2.3% 3,892 3,874 546.04 542.75 (0.60%) HST 19-64 F 26,968 576.45 596.43 3.52,549 2,547 362.29 363.78 0.41% Subtotal - CFC 1,758,510 116,003 115,720 $ 356.04 228.74 $ 360.30 1.2% EXT 227.15 (0.70%) Extension EXT 19-34 M 178,709 8,355 8,325 $ 519.67 249.59 $ 530.45 2.1% 247.29 (0.92%) EXT 19-34 F 151,571 524.77 534.79 1.9% 8,107 8,088 371.60 368.30 (0.89%) EXT 35-44 M 94,931 744.24 760.84 2.2% 4,152 4,133 420.87 418.07 (0.67%) EXT 35-44 F 75,729 781.14 798.61 2.2% 3,934 3,917 580.23 576.54 (0.64%) EXT 45-54 M 77,168 947.09 967.23 2.1% 4,333 4,315 709.46 703.88 (0.79%) EXT 45-54 F 80,589 972.03 995.00 2.4% 5,069 5,035 625.36 620.16 (0.83%) EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% 3,373 3,344 757.92 748.47 (1.25%) EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% 4,383 4,348 723.43 715.12 (1.15%) Subtotal EXT 795,695 - Extension 41,705 41,505 $ 757.45 505.90 $ 773.79 2.2% 501.04 (0.96%) ABD ABD <21 52,254 1,602 1,819 $ 1,132.61 666.17 $ 1,156.23 2.1713.44 7.10% ABD 2121 + 150,389 1,677.90 1,721.10 2.66,219 6,484 1,288.62 1,294.02 0.42% Subtotal - ABD 202,643 7,821 8,304 $ 1,537.29 1,161.13 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.71,166.80 0.49% CFC & EXT Delivery 4,442 314 314 $ 5,852.24 4,988.51 $ 5,907.29 0.94,988.51 (0.00%) Total 165,529 165,529 $ 352.08 $ 352.42 0.10% Region: Northeast Central Rate Cell CY 2016 Average Monthly Enrollment/Deliveries July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate July 2016 - December 2016 Capitation Rate Total Change CFC HF/HST <1 M+F 68,700 68,700 $ 843.55 $ 843.27 (0.03%) HF/HST 1 M+F 70,443 70,357 180.04 169.57 (5.82%) HF/HST 2-13 M+F 728,159 725,576 132.16 129.40 (2.09%) HF/HST 14-18 M 119,253 118,579 178.32 175.21 (1.75%) HF/HST 14-18 F 120,841 120,433 214.34 214.31 (0.01%) HF 19-44 M 113,997 113,662 268.37 265.51 (1.06%) HF 19-44 F 329,244 328,320 368.84 367.93 (0.25%) HF 45+ M+F 57,712 57,247 640.25 632.13 (1.27%) HST 19-64 F 32,206 32,157 378.98 379.97 0.26% Subtotal - CFC 1,640,555 1,635,032 $ 253.10 $ 250.59 (0.99%) Extension EXT 19-34 M 138,170 137,547 $ 298.25 $ 293.86 (1.47%) EXT 19-34 F 123,029 122,615 348.58 344.48 (1.18%) EXT 35-44 M 66,483 66,052 485.18 479.23 (1.23%) EXT 35-44 F 55,436 55,073 572.33 565.23 (1.24%) EXT 45-54 M 69,402 68,642 713.97 702.42 (1.62%) EXT 45-54 F 74,151 73,310 718.15 708.20 (1.39%) EXT 55-64 M 52,208 51,330 803.50 793.46 (1.25%) EXT 55-64 F 62,401 61,513 741.05 730.91 (1.37%) Subtotal - Extension 641,281 636,082 $ 528.74 $ 520.79 (1.50%) ABD ABD <21 28,344 32,380 $ 738.55 $ 792.56 7.31% ABD 21 + 107,126 113,812 1,448.26 1,450.37 0.15% Subtotal - ABD 135,469 146,192 $ 1,299.77 $ 1,304.67 0.38% CFC & EXT Delivery 4,388 4,388 $ 5,668.77 $ 5,668.77 0.00% Total 2,790,629 2,417,305 2,417,305 $ 570.39 395.17 $ 580.94 1.8395.73 0.14% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall provide both members and eligible individuals with a copy Region: Statewide Table of their practice guidelines.Contents INTRODUCTION 1 Background 1

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 the July 1, 2018 amendment to the certified calendar year (CY) 2021 2018 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 reportletter, including the appendicesenclosures, has been prepared for ODM and their consultants and advisors. It is our understanding that the information contained in this report letter 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 letter to third parties. Likewise, third parties are instructed that they are to place no reliance upon this report letter 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 letter 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 MCOPs in the development of the July 1, 2018 amendment to the certified CY 2018 capitation rates capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development would need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX ODM dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1APPENDIX 1 Region: January 2022 Central / Southeast Rate Cell Average Monthly Enrollment Calendar Year 2018 Capitation Rate July 2018 Capitation Rate % Change Summaries NFLOC 2,097 $ 4,614.29 $ 4,625.28 0.2% Community Well 18-44 403 601.42 604.50 0.5% Community Well 45-64 788 691.93 695.80 0.6% Community Well 65+ 905 934.51 941.97 0.8% Total 4,193 $ 2,697.24 $ 2,705.37 0.3% State of Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Program Capitation Opt-Out Rates Effective January 1, 2022 July 2018 Rate Change Summary Region: North East Central Average Monthly Calendar Year 2018 July 2018 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 NFLOC 2,617 $ 999.86 3,465.55 $ 1,004.70 0.53,471.45 0.2% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19Community Well 18-44 M 6,999 383.79 388.01 1.1403 358.02 362.16 1.2% HF 19-44 F 24,684 527.73 537.14 1.8% HF Community Well 45+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8936 444.41 448.87 1.0% Subtotal CFC 113,747 $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 35-44 M 5,909 865.18 878.33 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21Community Well 65+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9787 738.89 744.84 0.8% Total 179,905 4,743 $ 585.76 2,152.88 $ 593.41 1.32,158.35 0.3% State of Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Program Capitation Opt-Out Rates Effective January 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 July 2018 Rate Change Summary Region: Northeast Average Monthly Calendar Year 2018 July 2018 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 NFLOC 4,405 $ 1,375.64 3,971.26 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.53,979.24 0.2% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19Community Well 18-44 M 32,969 322.73 327.89 1.6616 368.58 372.76 1.1% HF 19-44 F 112,237 490.07 501.31 2.3% HF Community Well 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.21,474 461.45 465.97 1.0% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21Community Well 65+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.21,824 777.79 783.89 0.8% Total 864,715 8,319 $ 570.10 2,382.41 $ 579.81 1.72,389.09 0.3% State of Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Program Capitation Opt-Out Rates Effective January 1, 2022 July 2018 Rate Change Summary Region: Northeast Central Average Monthly Calendar Year 2018 July 2018 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 NFLOC 968 $ 943.93 3,911.36 $ 930.70 3,932.01 0.5% Community Well 18-44 280 329.60 333.42 1.2% Community Well 45-64 517 423.49 427.54 1.0% Community Well 65+ 446 771.98 777.11 0.7% Total 2,211 $ 2,008.92 $ 2,020.43 0.6% Region: Northwest Rate Cell Average Monthly Enrollment Calendar Year 2018 Capitation Rate July 2018 Capitation Rate % Change NFLOC 1,196 $ 4,160.54 $ 4,169.34 0.2% Community Well 18-44 298 443.58 440.82 (1.40.6%) HF/HST 1 M+F 5,017 236.24 235.11 Community Well 45-64 508 538.16 536.11 (0.50.4%) HF/HST 2Community Well 65+ 404 861.59 864.37 0.3% Total 2,406 $ 2,381.41 $ 2,385.47 0.2% State of Ohio Department of Medicaid MyCare Ohio Program Opt-13 M+F 53,874 192.98 192.70 Out Rates July 2018 Rate Change Summary Region: Southwest Average Monthly Calendar Year 2018 July 2018 Rate Cell Enrollment Capitation Rate Capitation Rate % Change NFLOC 3,466 $ 4,503.63 $ 4,494.64 (0.2%) Community Well 18-44 598 355.22 357.58 0.7% Community Well 45-64 1,220 470.93 472.88 0.4% Community Well 65+ 1,023 918.81 922.18 0.4% Total 6,307 $ 2,748.77 $ 2,744.98 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19-44 M 7,730 320.29 325.64 1.7% HF 19-44 F 24,818 459.17 470.62 2.5% HF 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% State of Ohio Department of Medicaid MyCare Ohio Program Opt-Out Rates July 2018 Rate Change Summary Region: West Central Average Monthly Calendar Year 2018 July 2018 Rate Cell Enrollment Capitation Rate Capitation Rate % Change NFLOC 3,083 $ 3,406.61 $ 3,401.48 (0.2%) Community Well 18-44 432 360.89 366.91 1.7% Community Well 45-64 976 439.15 444.56 1.2% Community Well 65+ 627 684.87 687.57 0.4% Total 5,118 $ 2,250.20 $ 2,248.98 (0.1%) State of Ohio Department of Medicaid Managed Care MyCare Ohio Program Capitation Opt-Out Rates Effective January 1, 2022 July 2018 Rate Change Summary Region: Statewide Average Monthly Calendar Year 2018 July 2018 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 NFLOC 17,832 $ 1,315.48 3,987.96 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.23,991.16 0.1% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19Community Well 18-44 M 110,930 342.11 348.14 1.83,030 398.18 401.40 0.8% HF 19-44 F 360,856 507.19 519.91 2.5% HF Community Well 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.56,419 488.68 492.20 0.7% Subtotal CFC 1,758,510 $ 356.04 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21Community Well 65+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.96,016 815.77 820.94 0.6% Total 2,790,629 33,297 $ 570.39 2,413.56 $ 580.94 1.82,417.18 0.2% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP MCOP’s responsibilities related to communicating with eligible individuals pre-enrollment and MCP MCOP members post-enrollment. Upon request, the MCP shall MCOP will provide both members and eligible individuals with a copy of their practice guidelines.

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 2020 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 appendicesenclosures, 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 Xxxxxxxx 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 Xxxxxxxx that would result in the creation of any duty or liability under any theory of law by Milliman Xxxxxxxx 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 Xxxxxxxx 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 MCOPs in the development of this amendment to the certified CY 2020 capitation rates. Xxxxxxxx has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development may likewise need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. At the time of this report, we acknowledge there is substantial uncertainty regarding the impact of the COVID-19 pandemic on future projections. It is possible that the COVID-19 pandemic could have a material impact on the projected enrollment and capitation rates presented in this report. The impact of COVID-19 has been excluded from this analysis. The services provided by Milliman Xxxxxxxx to ODM were performed under the signed contract agreement between Milliman Xxxxxxxx and XXX dated July 12, 2019. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 through June 2020 Rate Change Summaries Summary Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Calendar Year 2020 Rate Amendment January through June 2020 Capitation Rates Effective January 1, 2022 Rate Change Summary Region: North Statewide Rate Cell Average Monthly Enrollment January to June 2020Capitation Rate NFLOC 22,557 $ 4,099.22 Community Well 18-44 4,878 $ 303.11 Community Well 45-64 10,554 $ 365.42 Community Well 65+ 9,917 $ 435.98 Total 47,906 $ 2,131.78 Region: Central / Southeast Rate Cell Average Monthly Enrollment January to June 2020Capitation Rate NFLOC 2,462 $ 4,744.90 Community Well 18-44 643 336.86 Community Well 45-64 1,250 455.96 Community Well 65+ 1,261 582.25 Total 5,616 $ 2,350.91 Region: East Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation January to June 2020Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 NFLOC 3,898 $ 999.86 $ 1,004.70 0.5% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 193,623.66 Community Well 18-44 M 6,999 383.79 388.01 1.1% HF 19-44 F 24,684 527.73 537.14 1.8% HF 656 277.18 Community Well 45+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8% Subtotal CFC 113,747 1,497 345.67 Community Well 65+ 1,384 452.22 Total 7,435 $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 35-44 M 5,909 865.18 878.33 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.3% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary 2,078.04 Region: Northeast Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation January to June 2020Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 NFLOC 5,946 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 194,266.90 Community Well 18-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 1,179 308.90 Community Well 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 2,634 371.28 Community Well 65+ 3,268 434.30 Total 13,027 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% 2,159.55 Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Calendar Year 2020 Rate Amendment January through June 2020 Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation January to June 2020Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 NFLOC 1,340 $ 943.93 $ 930.70 (1.4%) HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 193,772.36 Community Well 18-44 M 7,730 320.29 325.64 1.7% HF 19434 265.47 Community Well 45-64 925 321.03 Community Well 65+ 813 378.38 Total 3,512 $ 1,644.29 Region: Northwest Rate Cell Average Monthly Enrollment January to June 2020Capitation Rate NFLOC 1,367 $ 4,123.12 Community Well 18-44 F 24,818 459.17 470.62 2.5% HF 446 328.42 Community Well 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 950 373.29 Community Well 65+ 665 345.83 Total 3,428 $ 318.20 1,857.46 Region: Southwest Rate Cell Average Monthly Enrollment January to June 2020Capitation Rate NFLOC 4,104 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 354,518.99 Community Well 18-44 M 6,119 674.86 688.08 2.0% EXT 35913 302.42 Community Well 45-64 1,881 356.57 Community Well 65+ 1,534 422.74 Total 8,432 $ 2,388.67 Region: West Central Rate Cell Average Monthly Enrollment January to June 2020Capitation Rate NFLOC 3,440 $ 3,503.17 Community Well 18-44 F 5,416 753.87 770.48 2.2% EXT 607 293.46 Community Well 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 1,417 330.94 Community Well 65+ 992 361.08 Total 6,456 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% 2,022.33 MILLIMAN CLIENT REPORT Appendix 2: July through December 2020 Rate Summary Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Calendar Year 2020 Rate Amendment July through December 2020 Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 22,557 $ 4,127.24 Community Well 18-44 4,878 308.14 Community Well 45-64 10,554 371.05 Community Well 65+ 9,917 442.91 Total 47,906 $ 2,148.16 Region: Central / Deliveries Jul - Dec 2021 Southeast Rate Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 2,462 $ 4,763.98 Community Well 18-44 643 342.46 Community Well 45-64 1,250 461.72 Community Well 65+ 1,261 588.14 Total 5,616 $ 2,362.52 Region: East Central Rate Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 3,898 $ 3,641.62 Community Well 18-44 656 281.75 Community Well 45-64 1,497 351.24 Community Well 65+ 1,384 460.01 Total 7,435 $ 2,090.43 Region: Northeast Rate Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 5,946 $ 4,296.53 Community Well 18-44 1,179 313.11 Community Well 45-64 2,634 376.18 Community Well 65+ 3,268 440.84 Total 13,027 $ 2,176.09 Ohio Department of Medicaid MyCare Ohio Opt-Out Program Calendar Year 2020 Rate Amendment July through December 2020 Capitation Rate Jan - Jun 2022 Capitation Summary Region: Northeast Central Rate % Change CFC HF/HST <1 M+F 68,698 Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 1,340 $ 1,315.48 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.2% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 193,795.52 Community Well 18-44 M 110,930 342.11 348.14 1.8% HF 19434 269.55 Community Well 45-64 925 325.22 Community Well 65+ 813 383.54 Total 3,512 $ 1,655.93 Region: Northwest Rate Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 1,367 $ 4,102.09 Community Well 18-44 F 360,856 507.19 519.91 2.5% HF 446 333.55 Community Well 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.5% Subtotal CFC 1,758,510 950 378.30 Community Well 65+ 665 350.35 Total 3,428 $ 356.04 1,852.01 Region: Southwest Rate Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 4,104 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 354,583.16 Community Well 18-44 M 94,931 744.24 760.84 2.2% EXT 35913 308.41 Community Well 45-64 1,881 363.73 Community Well 65+ 1,534 432.11 Total 8,432 $ 2,423.85 Region: West Central Rate Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 3,440 $ 3,524.44 Community Well 18-44 F 75,729 781.14 798.61 2.2% EXT 607 299.17 Community Well 45-54 M 77,168 947.09 967.23 2.1% EXT 4564 1,417 337.22 Community Well 65+ 992 368.70 Total 6,456 $ 2,036.75 MILLIMAN CLIENT REPORT July 2020 MyCare Ohio Capitation Provider Agreement Rate Amendment Summary Opt-54 F 80,589 972.03 995.00 2.4% EXT 55In Capitation Rates July 1, 2020 through December 31, 2020 Ohio Department of Medicaid June 17, 2020 Xxxxxx X. Xxxxxx, FSA, MAAA Xxxxx X. Xxxxx, FSA, MAAA Principal and Consulting Actuary Consulting Actuary Xxxxxxx X. Xxxxxx, FSA, MAAA Principal and Consulting Actuary Table of Contents I. INTRODUCTION & EXECUTIVE SUMMARY 2 BACKGROUND 2 SUMMARY OF METHODOLOGY 3 II. PROSPECTIVE DATA ADJUSTMENTS 4 PROGRAM ADJUSTMENTS: JULY THROUGH DECEMBER 2020 4 NURSING FACILITY REIMBURSEMENT CHANGES 4 VENTILATOR-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55DEPENDENT NURSING FACILITY RATE CHANGE 4 OTHER NON-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% FACILITY REIMBURSEMENT CHANGES 4 IMMATERIAL PROGRAM ADJUSTMENTS 4 III. NON-BENEFIT EXPENSES 5 CARE MANAGEMENT COSTS 5 ADMINISTRATIVE EXPENSE COST ALLOWANCE 5 STATE TAXES AND FEES 5 HEALTH INSURANCE PROVIDERS FEE (HIF) 5 IV. OTHER ITEMS 6 INCENTIVES AND WITHHOLDS 6 V. MEMBER ENROLLMENT MIX ADJUSTMENT (MEMA) 7 VI. LIMITATIONS AND DATA RELIANCE 8 APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall provide both members and eligible individuals with a copy of their practice guidelines.1: JULY 2020 RATE CHANGE SUMMARIES

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 the July 1, 2020 amendment to the certified calendar year (CY) 2021 2020 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 appendicesenclosures, 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 MCOPs in the development of the July 1, 2020 amendment to the certified CY 2020 capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development may likewise need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. At the time of this report, we acknowledge there is substantial uncertainty regarding the impact of the COVID- 19 pandemic on future projections. It is possible that the COVID-19 pandemic could have a material impact on the projected enrollment and capitation rates presented in this report. The impact of COVID-19 has been excluded from this analysis. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12, 2019. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 July 2020 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Capitation Rates Effective January July 1, 2022 2020 Rate Change Summary Region: North Central Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 NFLOC 22,557 $ 999.86 4,099.22 $ 1,004.70 4,127.24 0.7% Community Well 18-44 4,878 303.11 308.14 1.7% Community Well 45-64 10,554 365.42 371.05 1.5% Community Well 65+ 9,917 435.98 442.91 1.6% Total 47,906 $ 2,131.78 $ 2,148.16 0.8% Region: Central / Southeast Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 2,462 $ 4,744.90 $ 4,763.98 0.4% Community Well 18-44 643 336.86 342.46 1.7% Community Well 45-64 1,250 455.96 461.72 1.3% Community Well 65+ 1,261 582.25 588.14 1.0% Total 5,616 $ 2,350.91 $ 2,362.52 0.5% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1Region: East Central Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % HF 19Change NFLOC 3,898 $ 3,623.66 $ 3,641.62 0.5% Community Well 18-44 M 6,999 383.79 388.01 1.1656 277.18 281.75 1.6% HF 19Community Well 45-64 1,497 345.67 351.24 1.6% Community Well 65+ 1,384 452.22 460.01 1.7% Total 7,435 $ 2,078.04 $ 2,090.43 0.6% Region: Northeast Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 5,946 $ 4,266.90 $ 4,296.53 0.7% Community Well 18-44 F 24,684 527.73 537.14 1.81,179 308.90 313.11 1.4% HF Community Well 45+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8% Subtotal CFC 113,747 $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 2,634 371.28 376.18 1.3% EXT 35-44 M 5,909 865.18 878.33 Community Well 65+ 3,268 434.30 440.84 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 Total 13,027 $ 809.82 2,159.55 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.32,176.09 0.8% Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Capitation Rates Effective January July 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 2020 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 NFLOC 1,340 $ 943.93 3,772.36 $ 930.70 (3,795.52 0.6% Community Well 18-44 434 265.47 269.55 1.5% Community Well 45-64 925 321.03 325.22 1.3% Community Well 65+ 813 378.38 383.54 1.4%) HF/HST 1 M+F 5,017 236.24 235.11 % Total 3,512 $ 1,644.29 $ 1,655.93 0.7% Region: Northwest Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 1,367 $ 4,123.12 $ 4,102.09 (0.5%) HF/HST 2Community Well 18-13 M+F 53,874 192.98 192.70 44 446 328.42 333.55 1.6% Community Well 45-64 950 373.29 378.30 1.3% Community Well 65+ 665 345.83 350.35 1.3% Total 3,428 $ 1,857.46 $ 1,852.01 (0.10.3%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19-44 M 7,730 320.29 325.64 1.7% HF 19-44 F 24,818 459.17 470.62 2.5% HF 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Southwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 NFLOC 4,104 $ 1,315.48 4,518.99 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.24,583.16 1.4% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19Community Well 18-44 M 110,930 342.11 348.14 1.8913 302.42 308.41 2.0% HF 19Community Well 45-64 1,881 356.57 363.73 2.0% Community Well 65+ 1,534 422.74 432.11 2.2% Total 8,432 $ 2,388.67 $ 2,423.85 1.5% Region: West Central Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 3,440 $ 3,503.17 $ 3,524.44 0.6% Community Well 18-44 F 360,856 507.19 519.91 2.5607 293.46 299.17 1.9% HF Community Well 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.51,417 330.94 337.22 1.9% Subtotal CFC 1,758,510 $ 356.04 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 Community Well 65+ 992 361.08 368.70 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 Total 6,456 $ 757.45 2,022.33 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.82,036.75 0.7% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP MCOP’s responsibilities related to communicating with eligible individuals pre-enrollment and MCP MCOP members post-enrollment. Upon request, the MCP shall MCOP will provide both members and eligible individuals with a copy of their practice guidelines.

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 will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12, 2019. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: North Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 $ 999.86 $ 1,004.70 0.5% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19-44 M 6,999 383.79 388.01 1.1% HF 19-44 F 24,684 527.73 537.14 1.8% HF 45+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8% Subtotal CFC 113,747 $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 35-44 M 5,909 865.18 878.33 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.3% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 $ 943.93 $ 930.70 (1.4%) HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19-44 M 7,730 320.29 325.64 1.7% HF 19-44 F 24,818 459.17 470.62 2.5% HF 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 $ 1,315.48 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.2% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19-44 M 110,930 342.11 348.14 1.8% HF 19-44 F 360,856 507.19 519.91 2.5% HF 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.5% Subtotal CFC 1,758,510 $ 356.04 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall provide both members and eligible individuals with a copy of their practice guidelines.

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 the July 1, 2020 amendment to the certified calendar year (CY) 2021 2020 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates 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 appendicesenclosures, 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 in the development of the July 1, 2020 amendment to the certified CY 2020 capitation rates. Milliman has relied upon ODM and the MCPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development may likewise need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. At the time of this report, we acknowledge there is substantial uncertainty regarding the impact of the COVID-19 pandemic on future projections. It is possible that the COVID-19 pandemic could have a material impact on the capitation rates presented in this report. With the exception of the morbidity impact of increased caseload expected to be enrolled in July through December 2020, the impact of COVID-19 has been excluded from this analysis. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX ODM dated July 12, 2019. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 July 2020 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: North Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 4,779 $ 999.86 1,023.28 $ 1,004.70 0.51,031.60 0.8% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) 4,200 192.11 199.21 3.7% HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) 49,823 178.83 181.45 1.5% HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) 7,870 235.22 238.09 1.2% HF/HST 14-18 F 8,683 289.81 290.04 0.17,969 304.85 306.11 0.4% HF 19-44 M 6,999 383.79 388.01 1.1% 6,189 427.78 409.99 (4.2%) HF 19-44 F 24,684 527.73 537.14 1.8% 21,343 577.38 565.45 (2.1%) HF 45+ M+F 3,791 764.60 777.49 1.7% 3,356 897.67 872.26 (2.8%) HST 19-64 F 1,784 597.62 614.09 2.8% 1,285 826.07 740.91 (10.3%) Subtotal CFC 113,747 106,814 $ 346.67 355.12 $ 348.74 0.6% EXT 352.06 (0.9%) Extension EXT 19-34 M 11,813 8,560 $ 582.92 624.90 $ 591.19 1.4% 593.85 (5.0%) EXT 19-34 F 9,772 535.82 542.74 1.3% 8,358 591.81 566.81 (4.2%) EXT 35-44 M 5,909 865.18 878.33 1.5% 4,161 907.14 865.11 (4.6%) EXT 35-44 F 4,531 912.74 928.83 1.8% 3,922 993.14 951.14 (4.2%) EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% 4,107 1,057.64 1,009.02 (4.6%) EXT 45-54 F 5,059 991.99 1,010.62 1.9% 4,493 1,043.51 999.85 (4.2%) EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% 3,826 1,178.91 1,134.78 (3.7%) EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% 4,277 1,145.34 1,105.30 (3.5%) Subtotal EXT 49,721 41,705 $ 809.82 872.98 $ 822.93 1.6% 835.81 (4.3%) ABD ABD <21 3,848 3,897 $ 943.34 851.86 $ 960.93 1.9859.57 0.9% ABD 21+ 10,355 1,829.06 1,865.11 2.010,631 1,821.16 1,822.30 0.1% Subtotal ABD 14,203 14,528 $ 1,589.09 1,561.15 $ 1,620.14 2.01,564.05 0.2% AFK 2,234 2,255 $ 567.53 573.24 $ 582.26 2.6580.03 1.2% CFC & EXT Delivery 287 304 $ 6,429.01 6,226.12 $ 6,484.66 0.96,226.12 0.0% Total 179,905 165,301 $ 585.76 606.20 $ 593.41 1.3% 595.19 (1.8%) Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 3,342 $ 917.12 871.70 $ 910.53 (0.7%) 880.76 1.0% HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) 2,901 180.98 186.81 3.2% HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) 33,461 153.00 155.20 1.4% HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) 5,403 263.16 264.11 0.4% HF/HST 14-18 F 6,009 252.71 252.85 0.15,544 256.55 257.95 0.5% HF 19-44 M 4,690 361.17 366.83 1.6% 4,098 403.01 385.55 (4.3%) HF 19-44 F 14,803 474.99 484.86 12,497 514.15 503.57 (2.1% %) HF 45+ M+F 2,231 676.02 688.62 1.9% 1,992 862.44 837.72 (2.9%) HST 19-64 F 1,381 427.98 441.58 3.2% 1,014 586.33 529.42 (9.7%) Subtotal CFC 75,537 70,252 $ 302.70 310.19 $ 303.69 0.3% EXT 307.67 (0.8%) Extension EXT 19-34 M 5,834 4,325 $ 548.84 638.82 $ 561.41 2.3% 606.56 (5.0%) EXT 19-34 F 5,615 497.91 506.20 1.7% 5,074 552.52 528.33 (4.4%) EXT 35-44 M 3,221 708.29 720.92 1.8% 2,354 794.95 758.47 (4.6%) EXT 35-44 F 2,998 712.36 726.39 2.0% 2,551 814.66 780.80 (4.2%) EXT 45-54 M 2,600 989.46 1,014.67 2.5% 2,274 1,071.22 1,018.46 (4.9%) EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% 2,844 1,130.75 1,081.99 (4.3%) EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% 1,284.29 1,233.93 (3.9%) EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% 2,752 1,082.93 1,045.28 (3.5%) Subtotal EXT 28,355 24,439 $ 775.11 861.62 $ 791.57 2.1% 824.35 (4.3%) ABD ABD <21 1,717 1,668 $ 852.44 814.06 $ 868.45 1.9819.88 0.7% ABD 21+ 4,617 1,592.24 1,632.60 2.54,580 1,632.09 1,633.30 0.1% Subtotal ABD 6,334 6,247 $ 1,391.70 1,413.75 $ 1,425.46 2.41,416.19 0.2% AFK 1,081 1,083 $ 639.91 608.93 $ 657.12 2.7614.38 0.9% CFC & EXT Delivery 192 187 $ 5,975.47 5,719.85 $ 5,987.85 0.25,719.85 0.0% Total 111,307 102,021 $ 498.58 523.51 $ 505.55 1.4% 513.05 (2.0%) Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 18,540 $ 1,262.30 1,202.89 $ 1,265.69 0.31,207.81 0.4% HF/HST 1 M+F 18,049 281.37 281.84 0.216,608 240.65 243.66 1.3% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% 193,305 192.88 190.89 (1.0%) HF/HST 14-18 M 34,218 244.22 246.87 1.1% 29,917 257.45 255.31 (0.8%) HF/HST 14-18 F 34,248 316.37 321.05 1.5% 31,001 311.00 307.83 (1.0%) HF 19-44 M 25,453 345.00 351.93 2.0% 22,152 400.38 379.44 (5.2%) HF 19-44 F 87,917 494.47 507.49 2.6% 76,386 529.76 515.57 (2.7%) HF 45+ M+F 14,354 677.16 692.62 2.3% 12,545 780.18 755.00 (3.2%) HST 19-64 F 7,148 551.47 569.97 3.4% 4,958 743.93 669.93 (9.9%) Subtotal CFC 434,259 405,413 $ 352.82 354.55 $ 357.95 1.5% EXT 348.05 (1.8%) Extension EXT 19-34 M 42,323 31,931 $ 516.42 578.67 $ 528.92 2.4% 546.29 (5.6%) EXT 19-34 F 35,855 531.85 543.10 2.1% 30,900 583.14 554.61 (4.9%) EXT 35-44 M 23,577 745.91 763.14 2.3% 17,533 796.19 756.22 (5.0%) EXT 35-44 F 18,522 790.64 810.28 2.5% 15,565 864.65 825.15 (4.6%) EXT 45-54 M 18,469 935.82 957.10 2.3% 16,114 1,012.54 960.10 (5.2%) EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% 17,024 1,066.21 1,017.32 (4.6%) EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% 14,711 1,187.94 1,139.20 (4.1%) EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% 16,269 1,108.08 1,067.28 (3.7%) Subtotal EXT 189,690 160,047 $ 761.75 836.53 $ 779.48 2.3% 797.24 (4.7%) ABD ABD <21 12,397 12,450 $ 1,162.87 1,125.95 $ 1,186.20 2.01,129.43 0.3% ABD 21+ 33,463 1,648.92 1,692.23 2.6% 33,847 1,725.47 1,723.18 (0.1%) Subtotal ABD 45,860 46,297 $ 1,517.53 1,564.25 $ 1,555.44 2.5% 1,563.51 (0.0%) AFK 9,246 9,326 $ 790.87 772.64 $ 820.32 3.7775.08 0.3% CFC & EXT Delivery 1,095 1,112 $ 5,936.74 5,953.57 $ 5,936.04 5,953.57 0.0% Total 621,082 $ 585.86 $ 571.47 (0.02.5%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 15,710 $ 1,631.73 1,475.83 $ 1,629.98 (0.1%) 1,482.60 0.5% HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) 14,208 262.42 264.82 0.9% HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% 166,896 197.56 195.74 (0.9%) HF/HST 14-18 M 28,913 254.04 256.54 1.0% 25,723 269.80 267.74 (0.8%) HF/HST 14-18 F 29,231 318.77 322.18 1.1% 26,119 335.97 332.70 (1.0%) HF 19-44 M 23,665 349.19 356.00 2.0% 21,432 405.72 385.44 (5.0%) HF 19-44 F 71,281 563.74 580.36 2.9% 61,624 600.34 584.40 (2.7%) HF 45+ M+F 14,148 708.47 725.94 2.5% 12,378 795.65 771.01 (3.1%) HST 19-64 F 5,883 586.12 608.58 3.8% 4,044 751.06 677.40 (9.8%) Subtotal CFC 372,537 348,133 $ 382.93 385.42 $ 387.98 1.3% EXT 378.75 (1.7%) Extension EXT 19-34 M 33,504 25,789 $ 601.51 670.37 $ 615.92 2.4% 632.64 (5.6%) EXT 19-34 F 29,214 603.11 616.40 2.2% 25,111 659.17 626.69 (4.9%) EXT 35-44 M 18,111 880.49 903.51 2.6% 13,599 980.70 931.04 (5.1%) EXT 35-44 F 14,846 877.94 899.88 2.5% 12,554 966.49 922.92 (4.5%) EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% 12,821 1,201.03 1,138.65 (5.2%) EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% 13,713 1,111.36 1,061.06 (4.5%) EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% 10,752 1,351.68 1,296.19 (4.1%) EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% 12,264 1,208.12 1,161.72 (3.8%) Subtotal EXT 148,262 126,603 $ 853.39 942.31 $ 874.95 2.5% 897.55 (4.7%) ABD ABD <21 9,842 9,712 $ 1,232.54 1,203.28 $ 1,259.01 2.11,207.20 0.3% ABD 21+ 29,961 1,752.05 1,804.35 3.0% 30,651 1,814.90 1,813.17 (0.1%) Subtotal ABD 39,803 40,364 $ 1,623.59 1,667.73 $ 1,669.50 2.8% 1,667.36 (0.0%) AFK 6,613 7,042 $ 783.43 778.11 $ 815.49 4.1781.31 0.4% CFC & EXT Delivery 957 955 $ 5,783.26 5,768.18 $ 5,965.09 3.15,768.18 0.0% Total 567,215 522,141 $ 607.39 635.42 $ 620.24 2.1% 620.13 (2.4%) Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 5,014 $ 1,225.57 1,190.27 $ 1,221.70 (0.3%) 1,194.97 0.4% HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) 4,473 261.24 264.74 1.3% HF/HST 2-13 M+F 53,831 194.79 194.39 54,654 190.72 189.56 (0.20.6%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% 9,176 275.22 273.38 (0.7%) HF/HST 14-18 F 9,973 315.68 318.51 0.9% 9,302 317.92 315.78 (0.7%) HF 19-44 M 9,424 361.81 368.52 1.9% 8,950 442.05 419.18 (5.2%) HF 19-44 F 25,116 514.02 527.35 22,848 562.21 547.87 (2.6% %) HF 45+ M+F 4,614 799.91 820.48 2.6% 4,142 844.10 817.04 (3.2%) HST 19-64 F 1,786 561.24 583.02 3.9% 1,494 693.20 621.57 (10.3%) Subtotal CFC 124,122 120,051 $ 355.77 369.64 $ 359.96 1.2% EXT 362.87 (1.8%) Extension EXT 19-34 M 12,036 9,955 $ 500.88 587.28 $ 511.86 2.2% 554.77 (5.5%) EXT 19-34 F 10,527 567.53 580.47 2.3% 9,543 593.60 565.16 (4.8%) EXT 35-44 M 6,721 683.18 705.15 3.2% 5,316 772.44 735.83 (4.7%) EXT 35-44 F 5,793 810.55 830.53 2.5% 5,045 871.15 832.72 (4.4%) EXT 45-54 M 5,528 880.19 898.79 2.1% 5,151 1,012.96 961.77 (5.1%) EXT 45-54 F 6,208 971.78 996.97 2.6% 5,941 1,000.44 956.17 (4.4%) EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% 4,891 1,196.43 1,148.53 (4.0%) EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% 5,695 1,128.96 1,086.82 (3.7%) Subtotal EXT 57,335 51,537 $ 760.97 843.18 $ 780.09 2.5% 804.67 (4.6%) ABD ABD <21 3,162 3,116 $ 1,223.04 1,136.21 $ 1,246.28 1.91,141.11 0.4% ABD 21+ 11,894 1,549.61 1,593.82 2.9% 12,168 1,603.59 1,602.22 (0.1%) Subtotal ABD 15,056 15,283 $ 1,481.03 1,508.31 $ 1,520.83 2.7% 1,508.22 (0.0%) AFK 2,996 3,025 $ 756.53 798.95 $ 782.86 3.5803.30 0.5% CFC & EXT Delivery 303 316 $ 5,102.70 5,001.74 $ 5,152.12 1.05,002.01 0.0% Total 199,509 189,896 $ 570.90 604.96 $ 582.48 2.0% 590.30 (2.4%) Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 20,391 $ 1,375.64 1,308.30 $ 1,362.27 (1.0%) 1,309.35 0.1% HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) 18,714 245.23 248.29 1.2% HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% 229,076 199.81 198.15 (0.8%) HF/HST 14-18 M 40,560 248.78 251.88 1.2% 37,192 253.24 251.86 (0.5%) HF/HST 14-18 F 40,839 304.53 309.14 1.5% 38,584 302.54 300.33 (0.7%) HF 19-44 M 32,969 322.73 327.89 1.6% 30,284 363.38 345.89 (4.8%) HF 19-44 F 112,237 490.07 501.31 2.3% 100,984 519.68 506.81 (2.5%) HF 45+ M+F 20,522 675.31 691.25 2.4% 18,885 738.70 716.49 (3.0%) HST 19-64 F 7,105 638.81 659.09 3.2% 5,149 823.87 740.51 (10.1%) Subtotal CFC 517,246 499,259 $ 358.13 360.15 $ 362.35 1.2% EXT 353.90 (1.7%) Extension EXT 19-34 M 62,187 49,370 $ 474.15 538.47 $ 482.33 1.7% 509.69 (5.3%) EXT 19-34 F 50,610 473.53 481.26 1.6% 45,315 531.19 506.54 (4.6%) EXT 35-44 M 31,273 671.62 684.60 1.9% 24,482 725.21 690.08 (4.8%) EXT 35-44 F 23,623 695.39 708.63 1.9% 21,055 752.76 719.99 (4.4%) EXT 45-54 M 26,371 869.64 885.73 1.9% 24,253 954.82 907.20 (5.0%) EXT 45-54 F 26,643 904.61 924.19 2.2% 25,228 962.73 920.25 (4.4%) EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% 23,518 1,120.57 1,076.68 (3.9%) EXT 55-64 F 25,852 970.77 989.78 2.0% 26,356 987.06 950.91 (3.7%) Subtotal EXT 269,525 239,578 $ 695.99 768.32 $ 708.86 1.8% 733.68 (4.5%) ABD ABD <21 17,875 17,881 $ 1,102.71 1,069.38 $ 1,127.93 2.31,073.55 0.4% ABD 21+ 50,902 1,677.75 1,716.97 2.351,605 1,712.51 1,713.42 0.1% Subtotal ABD 68,777 69,486 $ 1,528.30 1,547.01 $ 1,563.88 2.31,548.76 0.1% AFK 9,167 9,890 $ 780.44 749.74 $ 811.71 4.0752.78 0.4% CFC & EXT Delivery 1,299 1,288 $ 6,068.35 6,110.76 $ 6,079.32 0.26,110.76 0.0% Total 864,715 818,213 $ 570.10 594.78 $ 579.81 1.7% 581.02 (2.3%) Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 5,264 $ 943.93 978.15 $ 930.70 (1.4%) 982.35 0.4% HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) 4,589 216.86 220.51 1.7% HF/HST 2-13 M+F 53,874 192.98 192.70 54,515 181.13 180.39 (0.10.4%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% 8,562 242.26 241.45 (0.3%) HF/HST 14-18 F 9,558 286.31 289.76 1.2% 8,878 291.79 289.86 (0.7%) HF 19-44 M 7,730 320.29 325.64 1.7% 6,892 392.86 373.57 (4.9%) HF 19-44 F 24,818 459.17 470.62 22,074 490.54 478.32 (2.5% %) HF 45+ M+F 3,897 666.61 681.52 2.2% 3,521 720.43 698.14 (3.1%) HST 19-64 F 1,881 509.02 531.96 4.5% 1,498 632.94 566.47 (10.5%) Subtotal CFC 121,062 115,793 $ 318.20 325.61 $ 321.41 1.0% EXT 320.38 (1.6%) Extension EXT 19-34 M 11,012 8,517 $ 477.49 554.21 $ 486.84 2.0% 524.13 (5.4%) EXT 19-34 F 9,978 489.01 497.61 1.8% 9,179 530.38 505.43 (4.7%) EXT 35-44 M 6,119 674.86 688.08 2.0% 4,520 740.77 704.66 (4.9%) EXT 35-44 F 5,416 753.87 770.48 2.2% 4,703 805.78 769.75 (4.5%) EXT 45-54 M 5,062 909.71 927.27 1.9% 4,496 930.40 883.60 (5.0%) EXT 45-54 F 5,664 935.40 955.98 2.2% 5,235 943.49 901.98 (4.4%) EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% 4,337 1,154.40 1,107.24 (4.1%) EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% 5,270 998.07 960.08 (3.8%) Subtotal EXT 52,807 46,255 $ 723.63 780.75 $ 738.12 2.0% 745.07 (4.6%) ABD ABD <21 3,413 3,374 $ 1,161.76 1,145.96 $ 1,180.81 1.61,150.70 0.4% ABD 21+ 9,197 1,581.29 1,624.62 2.7% 9,138 1,539.66 1,538.52 (0.1%) Subtotal ABD 12,610 12,511 $ 1,467.74 1,433.49 $ 1,504.50 2.51,433.94 0.0% AFK 2,444 2,492 $ 642.07 632.70 $ 661.42 3.0636.17 0.5% CFC & EXT Delivery 310 308 $ 4,983.35 5,090.07 $ 5,059.90 1.55,090.07 0.0% Total 188,923 177,051 $ 520.62 535.99 $ 529.55 1.7% 523.32 (2.4%) Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 73,040 $ 1,315.48 1,247.06 $ 1,311.11 1,251.64 0.4% HF/HST 1 M+F 65,692 240.66 244.02 1.4% HF/HST 2-13 M+F 781,730 192.34 191.10 (0.30.6%) HF/HST 1 M+F 70,522 261.59 260.32 14-18 M 123,842 257.85 256.53 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.2% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% 127,397 309.97 307.71 (0.7%) HF 19-44 M 110,930 342.11 348.14 1.8% 99,996 395.33 375.86 (4.9%) HF 19-44 F 360,856 507.19 519.91 317,756 542.44 528.75 (2.5% %) HF 45+ M+F 63,557 696.97 713.12 2.3% 56,818 780.54 756.51 (3.1%) HST 19-64 F 26,968 576.45 596.43 3.5% 19,442 751.34 675.85 (10.0%) Subtotal CFC 1,758,510 1,665,713 $ 356.04 359.92 $ 360.30 1.2% EXT 353.92 (1.7%) Extension EXT 19-34 M 178,709 138,447 $ 519.67 585.27 $ 530.45 2.1% 553.39 (5.4%) EXT 19-34 F 151,571 524.77 534.79 1.9% 133,480 576.31 548.99 (4.7%) EXT 35-44 M 94,931 744.24 760.84 2.2% 71,964 808.05 768.38 (4.9%) EXT 35-44 F 75,729 781.14 798.61 2.2% 65,394 850.20 812.49 (4.4%) EXT 45-54 M 77,168 947.09 967.23 2.1% 69,215 1,026.53 974.61 (5.1%) EXT 45-54 F 80,589 972.03 995.00 2.4% 74,477 1,026.69 980.92 (4.5%) EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% 64,302 1,191.92 1,144.21 (4.0%) EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% 72,884 1,076.06 1,036.27 (3.7%) Subtotal EXT 795,695 690,164 $ 757.45 832.11 $ 773.79 2.2% 793.93 (4.6%) ABD ABD <21 52,254 52,097 $ 1,132.61 1,092.37 $ 1,156.23 2.11,096.73 0.4% ABD 21+ 150,389 1,677.90 1,721.10 2.6% 152,619 1,722.07 1,721.46 (0.0%) Subtotal ABD 202,643 204,716 $ 1,537.29 1,561.82 $ 1,575.44 2.51,562.48 0.0% AFK 33,781 35,112 $ 753.17 741.77 $ 781.25 3.7745.14 0.5% CFC & EXT Delivery 4,442 4,470 $ 5,852.24 5,841.17 $ 5,907.29 0.95,841.19 0.0% Total 2,790,629 2,595,705 $ 570.39 595.48 $ 580.94 1.8% 581.58 (2.3%) APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall provide both members and eligible individuals with a copy of their practice guidelines.

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 the July 1, 2017 amendment to the certified calendar year (CY) 2021 2017 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Opt-Out Program (MMCMyCare). 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 appendicesenclosures, 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 MCOPs in the development of the July 1, 2017 amendment to the certified CY 2017 capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development would need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX ODM dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 Rate Change Summaries Ohio Department of Medicaid Medicaid MyCare Ohio Managed Care Program Capitation July 2017 - December 2017 Opt-Out Certified Rates Effective January 1, 2022 Rate Change Summary Region: North Central / Southeast Projected Average January - December 2017 July - December 2017 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Members Capitation Rate Jan - Jun 2022 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,552 NFLOC Total 2,173 $ 999.86 4,777.16 $ 1,004.70 0.5% HF/HST 1 M+F 4,570 206.06 201.25 4,506.12 Community Well 18-44 304 542.66 544.29 Community Well 45-64 621 746.75 734.17 Community Well 65+ 861 994.94 973.56 All Populations 3,959 $ 2,997.25 $ 2,841.98 Region: East Central Projected Average January - December 2017 July - December 2017 Rate Cell Monthly Members Capitation Rate Capitation Rate (2.35.67%) HF/HST 2-13 M+F 49,838 194.74 192.69 0.30% (1.11.68%) HF/HST 14-18 M 8,846 230.65 230.14 (0.22.15%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19-44 M 6,999 383.79 388.01 1.1% HF 19-44 F 24,684 527.73 537.14 1.8% HF 45+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8% Subtotal CFC 113,747 $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 35-44 M 5,909 865.18 878.33 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.3% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.05.18%) Total 679,055 Change NFLOC Total 2,601 $ 561.25 3,892.59 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 193,674.13 Community Well 18-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 328 345.05 346.81 Community Well 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 702 408.82 407.40 Community Well 65+ 662 827.21 808.95 All Populations 4,293 $ 382.93 2,579.18 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary 2,443.91 Region: Northeast Projected Average January - December 2017 July - December 2017 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Members Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.05.61%) HF/HST 1 M+F 19,478 256.11 255.01 0.51% (0.40.35%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19(2.21%) (5.24%) Total Change NFLOC Total 4,634 $ 4,319.74 $ 4,040.43 Community Well 18-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 450 436.40 428.40 Community Well 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 1,120 509.30 497.08 Community Well 65+ 1,529 713.92 694.39 All Populations 7,733 $ 358.13 2,828.92 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary 2,655.45 Region: Northeast Central Projected Average January - December 2017 July - December 2017 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Members Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 $ 943.93 $ 930.70 (1.46.47%) HF/HST 1 M+F 5,017 236.24 235.11 (0.51.83%) HF/HST 2-13 M+F 53,874 192.98 192.70 (0.12.40%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19(2.74%) (6.13%) Total Change NFLOC Total 1,051 $ 4,456.99 $ 4,193.99 Community Well 18-44 M 7,730 320.29 325.64 1.7195 304.05 306.86 Community Well 45-64 403 356.92 356.74 Community Well 65+ 362 789.60 773.03 All Populations 2,011 $ 2,572.48 $ 2,432.28 Region: Northwest Projected Average January - December 2017 July - December 2017 Rate Cell Monthly Members Capitation Rate Capitation Rate (5.90%) 0.92% HF 19(0.05%) (2.10%) (5.45%) Total Change NFLOC Total 1,141 $ 4,472.59 $ 4,221.09 Community Well 18-44 F 24,818 459.17 470.62 2.5% HF 212 472.90 476.58 Community Well 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5385 522.64 523.47 Community Well 65+ 350 640.52 642.93 All Populations 2,088 $ 2,695.82 $ 2,559.32 Region: Southwest Projected Average January - December 2017 July - December 2017 Rate Cell Monthly Members Capitation Rate Capitation Rate (5.62%) 0.78% Subtotal CFC 121,062 0.16% 0.38% (5.06%) Total Change NFLOC Total 3,373 $ 318.20 4,712.23 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 354,482.57 Community Well 18-44 M 6,119 674.86 688.08 2.0462 382.73 403.95 Community Well 45-64 953 471.20 488.64 Community Well 65+ 886 949.75 950.12 All Populations 5,674 $ 3,059.87 $ 2,928.06 Region: West Central Projected Average January - December 2017 July - December 2017 Rate Cell Monthly Members Capitation Rate Capitation Rate (4.87%) 5.54% EXT 353.70% 0.04% (4.31%) Total Change NFLOC Total 3,058 $ 3,687.58 $ 3,448.26 Community Well 18-44 F 5,416 753.87 770.48 2.2% EXT 345 444.42 444.17 Community Well 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 755 516.58 512.12 Community Well 65+ 447 874.02 853.93 All Populations 4,605 $ 723.63 2,651.61 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary 2,489.98 Region: Statewide Total Projected Average January - December 2017 July - December 2017 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Members Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 $ 1,315.48 $ 1,311.11 (0.36.49%) HF/HST 1 M+F 70,522 261.59 260.32 (0.50.06%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.2% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19(0.86%) (2.30%) (6.10%) Total Change NFLOC Total 18,031 $ 4,297.13 $ 4,046.38 (5.84%) Community Well 18-44 M 110,930 342.11 348.14 1.82,296 419.95 423.66 0.88% HF 19-44 F 360,856 507.19 519.91 2.5% HF Community Well 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.5% Subtotal CFC 1,758,510 4,939 507.24 505.42 (0.36%) Community Well 65+ 5,097 831.47 816.92 (1.75%) All Populations 30,363 $ 356.04 2,805.69 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% 2,654.32 (5.39%) Appendix 01 - Rate Change Xxxxxxxx, Inc. Page 1 of 1 APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP MyCare Ohio Plan’s (MCOP’s) responsibilities related to communicating with eligible individuals pre-enrollment pre‐enrollment and MCP MCOP members post-enrollmentpost‐enrollment. Upon request, the MCP shall MCOP will provide both members and eligible individuals with a copy of their practice guidelines.

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 the July 1, 2019 amendment to the certified calendar year (CY) 2021 2019 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 appendicesenclosures, 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 MCOPs in the development of the July 1, 2019 amendment to the certified CY 2019 capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development may likewise need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 July 2019 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-In Program Capitation Rates Effective January July 1, 2022 2019 Rate Change Summary Region: North Central Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Members Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 NFLOC 27,389 $ 999.86 3,710.02 $ 1,004.70 0.53,780.22 1.9% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19Community Well 18-44 M 6,999 383.79 388.01 13,371 339.73 $ 344.61 1.4% Community Well 45-64 22,867 388.79 $ 395.03 1.6% Community Well 65+ 18,166 436.57 $ 446.84 2.4% Total 81,793 $ 1,503.52 $ 1,531.85 1.9% Region: Central / Southeast Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 4,069 $ 4,267.31 $ 4,332.13 1.5% Community Well 18-44 1,829 428.84 433.71 1.1% HF 19Community Well 45-64 3,191 542.68 548.79 1.1% Community Well 65+ 2,909 581.25 591.49 1.8% Total 11,998 $ 1,797.85 $ 1,824.68 1.5% Region: East Central Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 4,634 $ 3,267.58 $ 3,339.81 2.2% Community Well 18-44 F 24,684 527.73 537.14 1.81,703 281.92 287.27 1.9% HF Community Well 45+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.82,773 343.40 351.73 2.4% Subtotal CFC 113,747 Community Well 65+ 2,099 409.60 423.18 3.3% Total 11,209 $ 346.67 1,555.36 $ 348.74 0.61,590.64 2.3% EXT EXT 19Region: Northeast Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 6,515 $ 3,873.91 $ 3,936.98 1.6% Community Well 18-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 44 3,632 359.56 364.14 1.3% EXT 35Community Well 45-44 M 5,909 865.18 878.33 64 6,325 369.92 375.55 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21Community Well 65+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.96,019 394.57 402.72 2.1% Total 179,905 22,491 $ 585.76 1,389.85 $ 593.41 1.31,412.62 1.6% Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-In Program Capitation Rates Effective January July 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 2019 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Members Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 NFLOC 2,341 $ 943.93 3,707.25 $ 930.70 (1.4%) HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) HF/HST 23,794.17 2.3% Community Well 18-13 M+F 53,874 192.98 192.70 (0.1%) HF/HST 1444 1,167 318.26 322.53 1.3% Community Well 45-18 M 9,435 232.90 234.29 0.664 2,062 360.29 366.55 1.7% HF/HST 14Community Well 65+ 1,543 402.40 413.65 2.8% Total 7,113 $ 1,464.07 $ 1,497.63 2.3% Region: Northwest Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 2,532 $ 3,609.06 $ 3,649.39 1.1% Community Well 18-18 F 9,558 286.31 289.76 44 1,473 281.75 285.95 1.5% Community Well 45-64 2,530 338.74 343.05 1.3% Community Well 65+ 1,567 355.03 360.80 1.6% Total 8,102 $ 1,353.55 $ 1,369.38 1.2% HF 19Region: Southwest Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 4,275 $ 3,725.03 $ 3,807.04 2.2% Community Well 18-44 M 7,730 320.29 325.64 2,316 324.12 328.93 1.5% Community Well 45-64 3,875 374.16 380.52 1.7% HF 19Community Well 65+ 2,666 432.93 443.05 2.3% Total 13,132 $ 1,468.11 $ 1,499.59 2.1% Region: West Central Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 3,023 $ 3,350.40 $ 3,435.48 2.5% Community Well 18-44 F 24,818 459.17 470.62 2.51,251 347.74 354.37 1.9% HF Community Well 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2,111 387.04 394.65 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21Community Well 65+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.51,363 494.29 513.28 3.8% Total 188,923 7,748 $ 520.62 1,555.76 $ 529.55 1.71,595.44 2.6% Milliman is among the world’s largest providers of actuarial and related products and services. The firm has consulting practices in life insurance and financial services, property & casualty insurance, healthcare, and employee benefits. Founded in 1947, Milliman is an independent firm with offices in major cities around the globe. xxxxxxxx.xxx MILLIMAN CLIENT REPORT July 2019 MyCare Ohio Provider Agreement Rate Amendment Summary Opt-Out Capitation Rates July 1, 2019 through December 31, 2019 Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1June 18, 2022 Rate Change Summary Region2019 Xxxxxx X. Xxxxxx, FSA, MAAA Xxxxx X. Xxxxx, FSA, MAAA Principal and Consulting Actuary Consulting Actuary Xxxxxxx X. Xxxxxx, FSA, MAAA Principal and Consulting Actuary MILLIMAN CLIENT REPORT Table of Contents I. INTRODUCTION & EXECUTIVE SUMMARY 3 BACKGROUND 3 SUMMARY OF METHODOLOGY 4 II. PROSPECTIVE DATA ADJUSTMENTS 5 PROGRAM ADJUSTMENTS: Statewide Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 $ 1,315.48 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2JULY THROUGH DECEMBER 2019 5 NURSING FACILITY REIMBURSEMENT CHANGES 5 VENTILATOR-13 M+F 780,446 204.79 205.11 0.2% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19-44 M 110,930 342.11 348.14 1.8% HF 19-44 F 360,856 507.19 519.91 2.5% HF 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.5% Subtotal CFC 1,758,510 $ 356.04 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall provide both members and eligible individuals with a copy of their practice guidelines.DEPENDENT NURSING FACILITY RATE CHANGE 5 IMMATERIAL PROGRAM ADJUSTMENTS 5

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 the July 1, 2017 amendment to the certified calendar year (CY) 2021 2017 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Opt-Out Program (MMCMyCare). 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 appendicesenclosures, 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 MCOPs in the development of the July 1, 2017 amendment to the certified CY 2017 capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development would need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 Rate Change Summaries Ohio Department of Medicaid Medicaid MyCare Ohio Managed Care Program Capitation July 2017 - December 2017 Opt-Out Certified Rates Effective January 1, 2022 Rate Change Summary Region: North Central / Southeast Projected AverageRate Cell Monthly Members January - December 2017 Capitation Rate July - December 2017 Capitation Rate Total Change NFLOC Total 2,173 304 621 861 3,959 Projected Average Monthly Members $ 4,777.16 542.66 746.75 994.94 $ 2,997.25 January - December 2017 Capitation Rate $ 4,506.12 (5.67%) Community Well 18-44 544.29 0.30% Community Well 45-64 734.17 (1.68%) Community Well 65+ 973.56 (2.15%) All Populations $ 2,841.98 (5.18%) Region: East Central July - December 2017 Total Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan Change NFLOC Total 2,601 328 702 662 4,293 Projected Average Monthly Members $ 3,892.59 345.05 408.82 827.21 $ 2,579.18 January - Jun 2022 December 2017 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 $ 999.86 $ 1,004.70 0.5% HF/HST 1 M+F 4,570 206.06 201.25 3,674.13 (2.35.61%) HF/HST 2Community Well 18-13 M+F 49,838 194.74 192.69 44 346.81 0.51% Community Well 45-64 407.40 (1.10.35%) HF/HST 14-18 M 8,846 230.65 230.14 Community Well 65+ 808.95 (0.22.21%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19-44 M 6,999 383.79 388.01 1.1% HF 19-44 F 24,684 527.73 537.14 1.8% HF 45+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8% Subtotal CFC 113,747 All Populations $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 35-44 M 5,909 865.18 878.33 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.3% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 2,443.91 (0.75.24%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast July - December 2017 Total Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19NFLOC Total 4,634 Community Well 18-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 450 Community Well 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 211,120 Community Well 65+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary 1,529 All Populations 7,733 Region: Northeast Central Projected AverageRate Cell Monthly Members $ 4,319.74 436.40 509.30 713.92 $ 2,828.92 January - December 2017 Capitation Rate $ 4,040.43 (6.47%) 428.40 (1.83%) 497.08 (2.40%) 694.39 (2.74%) $ 2,655.45 (6.13%) July - December 2017 Total Capitation Rate Change NFLOC Total 1,051 195 403 362 2,011 Projected Average Monthly Members $ 4,456.99 304.05 356.92 789.60 $ 2,572.48 January - December 2017 Capitation Rate $ 4,193.99 (5.90%) Community Well 18-44 306.86 0.92% Community Well 45-64 356.74 (0.05%) Community Well 65+ 773.03 (2.10%) All Populations $ 2,432.28 (5.45%) Region: Northwest July - December 2017 Total Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan Change NFLOC Total 1,141 212 385 350 2,088 Projected Average Monthly Members $ 4,472.59 472.90 522.64 640.52 $ 2,695.82 January - Jun 2022 December 2017 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 $ 943.93 $ 930.70 4,221.09 (1.45.62%) HF/HST 1 M+F 5,017 236.24 235.11 Community Well 18-44 476.58 0.78% Community Well 45-64 523.47 0.16% Community Well 65+ 642.93 0.38% All Populations $ 2,559.32 (0.55.06%) HF/HST 2-13 M+F 53,874 192.98 192.70 Region: Southwest July - December 2017 Total Rate Cell Capitation Rate Change NFLOC Total 3,373 462 953 886 5,674 Projected Average Monthly Members $ 4,712.23 382.73 471.20 949.75 $ 3,059.87 January - December 2017 Capitation Rate $ 4,482.57 (0.14.87%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19Community Well 18-44 M 7,730 320.29 325.64 1.7403.95 5.54% HF 19Community Well 45-64 488.64 3.70% Community Well 65+ 950.12 0.04% All Populations $ 2,928.06 (4.31%) Region: West Central July - December 2017 Total Rate Cell Capitation Rate Change NFLOC Total 3,058 345 755 447 4,605 Projected Average Monthly Members $ 3,687.58 444.42 516.58 874.02 $ 2,651.61 January - December 2017 Capitation Rate $ 3,448.26 (6.49%) Community Well 18-44 F 24,818 459.17 470.62 2.5% HF 444.17 (0.06%) Community Well 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 512.12 (0.86%) Community Well 65+ 853.93 (2.30%) All Populations $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary 2,489.98 (6.10%) Region: Statewide Total July - December 2017 Total Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 NFLOC Total 18,031 $ 1,315.48 4,297.13 $ 1,311.11 4,046.38 (0.35.84%) HF/HST 1 M+F 70,522 261.59 260.32 Community Well 18-44 2,296 419.95 423.66 0.88% Community Well 45-64 4,939 507.24 505.42 (0.50.36%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.2% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19-44 M 110,930 342.11 348.14 1.8% HF 19-44 F 360,856 507.19 519.91 2.5% HF 45Community Well 65+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.5% Subtotal CFC 1,758,510 5,097 831.47 816.92 (1.75%) All Populations 30,363 $ 356.04 2,805.69 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% 2,654.32 (5.39%) Appendix 01 - Rate Change Xxxxxxxx, Inc. Page 1 of 1 APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP MyCare Ohio Plan’s (MCOP’s) responsibilities related to communicating with eligible individuals pre-enrollment pre‐enrollment and MCP MCOP members post-enrollmentpost‐enrollment. Upon request, the MCP shall MCOP will provide both members and eligible individuals with a copy of their practice guidelines.

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 the July 1, 2018 amendment to the certified calendar year (CY) 2021 2018 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 reportletter, including the appendicesenclosures, has been prepared for ODM and their consultants and advisors. It is our understanding that the information contained in this report letter 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 letter to third parties. Likewise, third parties are instructed that they are to place no reliance upon this report letter 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 letter 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 MCOPs in the development of the July 1, 2018 amendment to the certified CY 2018 capitation rates capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development would need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1APPENDIX 1 Region: January 2022 Central / Southeast Rate Cell Average Monthly Enrollment Calendar Year 2018 Capitation Rate July 2018 Capitation Rate % Change Summaries NFLOC 4,094 $ 4,189.42 $ 4,198.15 0.2% Community Well 18-44 1,702 534.74 537.70 0.6% Community Well 45-64 2,651 586.70 590.31 0.6% Community Well 65+ 2,379 728.75 735.03 0.9% Total 10,826 $ 1,972.17 $ 1,978.19 0.3% State of Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Program Capitation Opt-In Rates Effective January 1, 2022 July 2018 Rate Change Summary Region: North East Central Average Monthly Calendar Year 2018 July 2018 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 NFLOC 4,686 $ 999.86 3,123.62 $ 1,004.70 0.53,129.10 0.2% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19Community Well 18-44 M 6,999 383.79 388.01 1,536 320.60 324.58 1.2% Community Well 45-64 2,464 379.58 383.83 1.1% HF 19-44 F 24,684 527.73 537.14 1.8% HF 45Community Well 65+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8% Subtotal CFC 113,747 $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 35-44 M 5,909 865.18 878.33 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 1,812 577.23 582.58 0.9% Total 179,905 10,498 $ 585.76 1,629.93 $ 593.41 1.31,634.87 0.3% State of Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Program Capitation Opt-In Rates Effective January 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 July 2018 Rate Change Summary Region: Northeast Average Monthly Calendar Year 2018 July 2018 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 NFLOC 6,942 $ 1,375.64 3,856.23 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 23,864.08 0.2% Community Well 18-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 44 3,462 329.83 333.84 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF Community Well 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.25,688 393.69 397.99 1.1% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21Community Well 65+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.25,433 606.69 612.16 0.9% Total 864,715 21,525 $ 570.10 1,553.88 $ 579.81 1.71,559.58 0.4% State of Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Program Capitation Opt-In Rates Effective January 1, 2022 July 2018 Rate Change Summary Region: Northeast Central Average Monthly Calendar Year 2018 July 2018 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 NFLOC 2,178 $ 943.93 3,538.70 $ 930.70 (1.4%) HF/HST 1 M+F 5,017 236.24 235.11 3,556.45 0.5% Community Well 18-44 1,150 295.77 299.43 1.2% Community Well 45-64 1,848 362.27 366.13 1.1% Community Well 65+ 1,333 602.29 606.96 0.8% Total 6,509 $ 1,462.55 $ 1,471.19 0.6% Region: Northwest Rate Cell Average Monthly Enrollment Calendar Year 2018 Capitation Rate July 2018 Capitation Rate % Change NFLOC 2,400 $ 3,566.16 $ 3,572.25 0.2% Community Well 18-44 1,291 396.72 394.61 (0.5%) HF/HST 2Community Well 45-13 M+F 53,874 192.98 192.70 64 1,970 459.28 458.03 (0.3%) Community Well 65+ 1,301 673.35 676.13 0.4% Total 6,962 $ 1,558.71 $ 1,560.59 0.1% State of Ohio Department of Medicaid MyCare Ohio Program Opt-In Rates July 2018 Rate Change Summary Region: Southwest Average Monthly Calendar Year 2018 July 2018 Rate Cell Enrollment Capitation Rate Capitation Rate % Change NFLOC 4,218 $ 3,817.55 $ 3,811.92 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19Community Well 18-44 M 7,730 320.29 325.64 1.72,023 319.56 321.90 0.7% HF 19-44 F 24,818 459.17 470.62 2.5% HF Community Well 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.53,214 403.71 405.73 0.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21Community Well 65+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.52,145 716.81 720.00 0.4% Total 188,923 11,600 $ 520.62 1,688.28 $ 529.55 1.7% 1,687.79 (0.0%) State of Ohio Department of Medicaid MyCare Ohio Program Opt-In Rates July 2018 Rate Change Summary Region: West Central Average Monthly Calendar Year 2018 July 2018 Rate Cell Enrollment Capitation Rate Capitation Rate % Change NFLOC 3,248 $ 3,333.99 $ 3,328.25 (0.2%) Community Well 18-44 1,152 323.11 328.92 1.8% Community Well 45-64 1,696 375.23 380.54 1.4% Community Well 65+ 1,015 536.32 539.64 0.6% Total 7,111 $ 1,741.22 $ 1,741.27 0.0% State of Ohio Department of Medicaid Managed Care MyCare Ohio Program Capitation Opt-In Rates Effective January 1, 2022 July 2018 Rate Change Summary Region: Statewide Average Monthly Calendar Year 2018 July 2018 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 NFLOC 27,766 $ 1,315.48 3,664.77 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 23,669.34 0.1% Community Well 18-13 M+F 780,446 204.79 205.11 44 12,316 358.51 361.59 0.9% Community Well 45-64 19,531 421.80 425.11 0.8% Community Well 65+ 15,418 637.99 642.82 0.8% Total 75,031 $ 1,655.93 $ 1,659.98 0.2% HF/HST 14Milliman Client Report July 2018 MyCare Ohio Capitation Provider Agreement Rate Amendment Summary Opt-18 M 137,992 247.24 249.51 0.9% HF/HST 14Out Capitation Rates July 1, 2018 through December 31, 2018 Ohio Department of Medicaid Prepared for: Xx Xxxxxxxxx Deputy Director Rate Setting Ohio Department of Medicaid Prepared by: Xxxxxxx X. Xxxxxx FSA, MAAA Principal and Consulting Actuary Xxxxxx X. Xxxxxx FSA, MAAA Principal and Consulting Actuary Xxxxx X. Xxxxxx ASA, MAAA Associate Actuary Market Tower 00 Xxxx Xxxxxx Xxxxxx Xxxxx 0000 Indianapolis, IN 00000-18 F 138,541 306.84 310.53 1.2% HF 19-44 M 110,930 342.11 348.14 1.8% HF 19-44 F 360,856 507.19 519.91 2.5% HF 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.5% Subtotal CFC 1,758,510 $ 356.04 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment0000 USA Tel +0 000 000 0000 Fax +0 000 000 0000 xxxxxxxx.xxx June 11, 2018 Table of Contents I. BACKGROUND 2 II. Upon request, the MCP shall provide both members and eligible individuals with a copy EXECUTIVE SUMMARY 3 Summary of their practice guidelines.Methodology 3 III. PROSPECTIVE DATA ADJUSTMENTS 4 Program Adjustments: July 2018 through December 2018 4 • Inpatient Hospital Facility Reimbursement Changes 4 • Nursing Facility Reimbursement Changes 4 • Serious Mental Illness (SMI) Health Home 4 • Immaterial Program Adjustments. 4

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 the July 1, 2020 amendment to the certified calendar year (CY) 2021 2020 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 appendicesenclosures, 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 MCOPs in the development of the July 1, 2020 amendment to the certified CY 2020 capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development may likewise need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. At the time of this report, we acknowledge there is substantial uncertainty regarding the impact of the COVID- 19 pandemic on future projections. It is possible that the COVID-19 pandemic could have a material impact on the projected enrollment and capitation rates presented in this report. The impact of COVID-19 has been excluded from this analysis. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX ODM dated July 12, 2019. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 July 2020 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-In Program Capitation Rates Effective January July 1, 2022 2020 Rate Change Summary Region: North Central Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 NFLOC 27,421 $ 999.86 3,849.20 $ 1,004.70 0.53,875.96 0.7% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19Community Well 18-44 M 6,999 383.79 388.01 1.113,687 275.68 280.62 1.8% HF 19Community Well 45-64 22,440 363.08 368.27 1.4% Community Well 65+ 19,885 380.59 388.61 2.1% Total 83,433 $ 1,498.66 $ 1,511.57 0.9% Region: Central / Southeast Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 4,444 $ 4,484.97 $ 4,502.90 0.4% Community Well 18-44 F 24,684 527.73 537.14 1.8% HF 45+ M+F 3,791 764.60 777.49 1,901 319.88 325.17 1.7% HST 19Community Well 45-64 F 1,784 597.62 614.09 2.83,122 463.70 469.52 1.3% Subtotal CFC 113,747 Community Well 65+ 3,265 502.56 510.95 1.7% Total 12,732 $ 346.67 1,855.78 $ 348.74 1,866.41 0.6% EXT EXT 19-34 M 11,813 Region: East Central Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 4,585 $ 582.92 3,322.68 $ 591.19 1.43,348.79 0.8% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 35Community Well 18-44 M 5,909 865.18 878.33 1,759 256.30 260.65 1.7% Community Well 45-64 2,758 333.62 338.62 1.5% EXT 35Community Well 65+ 2,339 380.70 389.61 2.3% Total 11,441 $ 1,529.23 $ 1,543.39 0.9% Region: Northeast Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 6,104 $ 4,048.59 $ 4,082.89 0.8% Community Well 18-44 F 4,531 912.74 928.83 1.83,743 272.26 276.93 1.7% EXT Community Well 45-54 M 4,670 1,036.30 1,054.49 1.864 6,216 360.29 364.64 1.2% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21Community Well 65+ 10,355 1,829.06 1,865.11 6,424 370.13 377.68 2.0% Subtotal ABD 14,203 Total 22,487 $ 1,589.09 1,349.62 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.31,363.07 1.0% Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-In Program Capitation Rates Effective January July 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 2020 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 NFLOC 2,382 $ 943.93 3,671.65 $ 930.70 (3,688.20 0.5% Community Well 18-44 1,168 244.58 248.37 1.5% Community Well 45-64 2,033 310.30 314.70 1.4%) HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 % Community Well 65+ 1,748 338.57 345.31 2.0% Total 7,331 $ 1,398.75 $ 1,407.55 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19-44 M 7,730 320.29 325.64 1.7% HF 19-44 F 24,818 459.17 470.62 2.5% HF 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Northwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 NFLOC 2,550 $ 1,315.48 3,709.64 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 23,725.71 0.4% Community Well 18-13 M+F 780,446 204.79 205.11 0.244 1,467 289.31 294.23 1.7% HF/HST 14Community Well 45-18 M 137,992 247.24 249.51 0.964 2,465 365.23 370.07 1.3% HF/HST 14Community Well 65+ 1,606 312.34 317.66 1.7% Total 8,088 $ 1,395.39 $ 1,403.88 0.6% Region: Southwest Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 4,296 $ 3,928.49 $ 3,967.61 1.0% Community Well 18-18 F 138,541 306.84 310.53 44 2,402 272.66 278.43 2.1% Community Well 45-64 3,776 348.63 355.23 1.9% Community Well 65+ 2,943 365.04 375.55 2.9% Total 13,417 $ 1,484.87 $ 1,502.59 1.2% HF 19Region: West Central Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 3,060 $ 3,460.22 $ 3,485.32 0.7% Community Well 18-44 M 110,930 342.11 348.14 1.81,247 264.81 270.34 2.1% HF 19-44 F 360,856 507.19 519.91 2.5% HF Community Well 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.52,070 334.58 340.21 1.7% Subtotal CFC 1,758,510 $ 356.04 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 Community Well 65+ 1,560 314.86 322.30 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 Total 7,937 $ 757.45 1,524.79 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 1,538.26 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP MCOP’s responsibilities related to communicating with eligible individuals pre-enrollment and MCP MCOP members post-enrollment. Upon request, the MCP shall MCOP will provide both members and eligible individuals with a copy of their practice guidelines.

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 the July 1, 2022 amendment to the certified calendar year (CY) 2021 2022 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 appendicesenclosures, 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 existing participating Medicaid MCPs MyCare Ohio Plans (MCOPs) 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 will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12, 2019. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January July 2022 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-In Program Capitation Rates Effective January July 1, 2022 Rate Change Summary Region: North Central Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Calendar Year 2022 Capitation Rate Amended Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 NFLOC 27,619 $ 999.86 3,815.78 $ 1,004.70 0.53,945.33 3.4% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19Community Well 18-44 M 6,999 383.79 388.01 1.114,578 310.59 317.00 2.1% HF 19Community Well 45-64 20,910 395.79 404.08 2.1% Community Well 65+ 20,201 406.66 419.21 3.1% Total 83,308 $ 1,517.34 $ 1,566.54 3.2% Region: Central / Southeast Rate Cell Average Monthly Enrollment Calendar Year 2022 Capitation Rate Amended Jul - Dec 2022 Capitation Rate % Change NFLOC 4,719 $ 4,472.67 $ 4,595.93 2.8% Community Well 18-44 F 24,684 527.73 537.14 2,071 367.04 375.24 2.2% Community Well 45-64 2,945 508.59 519.05 2.1% Community Well 65+ 3,642 551.27 566.81 2.8% Total 13,377 $ 1,896.70 $ 1,947.99 2.7% Region: East Central Rate Cell Average Monthly Enrollment Calendar Year 2022 Capitation Rate Amended Jul - Dec 2022 Capitation Rate % Change NFLOC 4,310 $ 3,335.81 $ 3,439.47 3.1% Community Well 18-44 1,811 268.68 274.87 2.3% Community Well 45-64 2,468 346.45 354.43 2.3% Community Well 65+ 2,176 375.69 386.58 2.9% Total 10,765 $ 1,536.13 $ 1,582.71 3.0% Region: Northeast Rate Cell Average Monthly Enrollment Calendar Year 2022 Capitation Rate Amended Jul - Dec 2022 Capitation Rate % Change NFLOC 6,362 $ 3,938.18 $ 4,055.41 3.0% Community Well 18-44 3,933 300.83 305.99 1.7% Community Well 45-64 5,586 386.32 393.44 1.8% HF 45Community Well 65+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8% Subtotal CFC 113,747 $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 35-44 M 5,909 865.18 878.33 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.96,020 386.81 398.42 3.0% Total 179,905 21,901 $ 585.76 1,402.88 $ 593.41 1.31,442.87 2.9% Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-In Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Calendar Year 2022 Capitation Rate Amended Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 NFLOC 2,356 $ 943.93 3,380.67 $ 930.70 (1.4%) HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 0.63,537.93 4.7% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19Community Well 18-44 M 7,730 320.29 325.64 1.71,219 255.27 259.99 1.8% HF 19Community Well 45-44 F 24,818 459.17 470.62 2.5% HF 45+ M+F 3,897 666.61 681.52 64 1,911 325.54 332.76 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21Community Well 65+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.51,696 338.37 349.83 3.4% Total 188,923 7,182 $ 520.62 1,318.85 $ 529.55 1.71,375.87 4.3% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Northwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Calendar Year 2022 Capitation Rate Amended Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 NFLOC 2,377 $ 1,315.48 3,770.46 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.23,952.26 4.8% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19Community Well 18-44 M 110,930 342.11 348.14 1,500 328.15 333.49 1.6% Community Well 45-64 2,504 380.02 385.97 1.6% Community Well 65+ 1,818 310.19 318.93 2.8% Total 8,199 $ 1,337.98 $ 1,395.42 4.3% Region: Southwest Rate Cell Average Monthly Enrollment Calendar Year 2022 Capitation Rate Amended Jul - Dec 2022 Capitation Rate % Change NFLOC 4,509 $ 3,948.37 $ 4,103.23 3.9% Community Well 18-44 2,568 331.01 339.66 2.6% Community Well 45-64 3,484 418.91 430.74 2.8% Community Well 65+ 3,237 426.88 443.54 3.9% Total 13,798 $ 1,557.80 $ 1,616.91 3.8% Region: West Central Rate Cell Average Monthly Enrollment Calendar Year 2022 Capitation Rate Amended Jul - Dec 2022 Capitation Rate % Change NFLOC 2,986 $ 3,388.83 $ 3,490.24 3.0% Community Well 18-44 1,476 301.14 307.26 2.0% Community Well 45-64 2,012 363.84 370.38 1.8% HF 19-44 F 360,856 507.19 519.91 2.5% HF 45Community Well 65+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.5% Subtotal CFC 1,758,510 $ 356.04 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 1,612 335.87 344.66 2.6% Subtotal ABD 202,643 Total 8,086 $ 1,537.29 1,463.89 $ 1,575.44 2.51,505.83 2.9% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC Milliman is among the world’s largest providers of actuarial and related products and services. The firm has consulting practices in life insurance and financial services, property & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% casualty insurance, healthcare, and employee benefits. Founded in 1947, Milliman is an independent firm with offices in major cities around the globe. xxxxxxxx.xxx MILLIMAN CLIENT REPORT July 2022 MyCare Ohio Capitation Provider Agreement Rate Amendment Summary Opt-Out Capitation Rates July 1, 2022 through December 31, 2022 Ohio Department of Medicaid June 13, 2022 Xxxxxx X. Xxxxxx, FSA, MAAA Xxxxx X. Xxxxx, FSA, MAAA Principal and Consulting Actuary Consulting Actuary Xxxxxxx X. Xxxxxx, FSA, MAAA Principal and Consulting Actuary Table of Contents I. INTRODUCTION & EXECUTIVE SUMMARY 1 BACKGROUND 1 SUMMARY OF METHODOLOGY 2 II. PROSPECTIVE DATA ADJUSTMENTS 3 PROGRAM ADJUSTMENTS: JULY THROUGH DECEMBER 2022 3 III. NON-BENEFIT EXPENSES 4 CARE MANAGEMENT COSTS 4 ADMINISTRATIVE EXPENSE COST ALLOWANCE 4 STATE TAXES AND FEES 4 IV. OTHER ITEMS 5 WITHHOLDS 5 INCENTIVES 5 XXXX XXXXXXX XXXXXXXXXX 0 V. MEMBER ENROLLMENT MIX ADJUSTMENT (MEMA) 6 VI. LIMITATIONS AND DATA RELIANCE 7 APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre1: JULY 2022 RATE CHANGE SUMMARIES July 2022 PA Capitation Rate Amendment – MyCare Ohio Opt-enrollment and MCP members post-enrollment. Upon requestOut June 13, the MCP shall provide both members and eligible individuals with a copy of their practice guidelines.2022

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 the July 1, 2020 amendment to the certified calendar year (CY) 2021 2020 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 appendicesenclosures, 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 MCOPs in the development of the July 1, 2020 amendment to the certified CY 2020 capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development may likewise need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. At the time of this report, we acknowledge there is substantial uncertainty regarding the impact of the COVID- 19 pandemic on future projections. It is possible that the COVID-19 pandemic could have a material impact on the projected enrollment and capitation rates presented in this report. The impact of COVID-19 has been excluded from this analysis. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX ODM dated July 12, 2019. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 July 2020 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Capitation Rates Effective January July 1, 2022 2020 Rate Change Summary Region: North Central Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 NFLOC 22,557 $ 999.86 4,099.22 $ 1,004.70 4,127.24 0.7% Community Well 18-44 4,878 303.11 308.14 1.7% Community Well 45-64 10,554 365.42 371.05 1.5% Community Well 65+ 9,917 435.98 442.91 1.6% Total 47,906 $ 2,131.78 $ 2,148.16 0.8% Region: Central / Southeast Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 2,462 $ 4,744.90 $ 4,763.98 0.4% Community Well 18-44 643 336.86 342.46 1.7% Community Well 45-64 1,250 455.96 461.72 1.3% Community Well 65+ 1,261 582.25 588.14 1.0% Total 5,616 $ 2,350.91 $ 2,362.52 0.5% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1Region: East Central Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % HF 19Change NFLOC 3,898 $ 3,623.66 $ 3,641.62 0.5% Community Well 18-44 M 6,999 383.79 388.01 1.1656 277.18 281.75 1.6% HF 19Community Well 45-64 1,497 345.67 351.24 1.6% Community Well 65+ 1,384 452.22 460.01 1.7% Total 7,435 $ 2,078.04 $ 2,090.43 0.6% Region: Northeast Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 5,946 $ 4,266.90 $ 4,296.53 0.7% Community Well 18-44 F 24,684 527.73 537.14 1.81,179 308.90 313.11 1.4% HF Community Well 45+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8% Subtotal CFC 113,747 $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 2,634 371.28 376.18 1.3% EXT 35-44 M 5,909 865.18 878.33 Community Well 65+ 3,268 434.30 440.84 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 Total 13,027 $ 809.82 2,159.55 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.32,176.09 0.8% Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Capitation Rates Effective January July 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 2020 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 NFLOC 1,340 $ 943.93 3,772.36 $ 930.70 (3,795.52 0.6% Community Well 18-44 434 265.47 269.55 1.5% Community Well 45-64 925 321.03 325.22 1.3% Community Well 65+ 813 378.38 383.54 1.4%) HF/HST 1 M+F 5,017 236.24 235.11 % Total 3,512 $ 1,644.29 $ 1,655.93 0.7% Region: Northwest Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 1,367 $ 4,123.12 $ 4,102.09 (0.5%) HF/HST 2Community Well 18-13 M+F 53,874 192.98 192.70 44 446 328.42 333.55 1.6% Community Well 45-64 950 373.29 378.30 1.3% Community Well 65+ 665 345.83 350.35 1.3% Total 3,428 $ 1,857.46 $ 1,852.01 (0.10.3%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19-44 M 7,730 320.29 325.64 1.7% HF 19-44 F 24,818 459.17 470.62 2.5% HF 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Southwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 NFLOC 4,104 $ 1,315.48 4,518.99 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.24,583.16 1.4% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19Community Well 18-44 M 110,930 342.11 348.14 1.8913 302.42 308.41 2.0% HF 19Community Well 45-64 1,881 356.57 363.73 2.0% Community Well 65+ 1,534 422.74 432.11 2.2% Total 8,432 $ 2,388.67 $ 2,423.85 1.5% Region: West Central Rate Cell Average Monthly Enrollment Calendar Year 2020 Capitation Rate July 2020 Capitation Rate % Change NFLOC 3,440 $ 3,503.17 $ 3,524.44 0.6% Community Well 18-44 F 360,856 507.19 519.91 2.5607 293.46 299.17 1.9% HF Community Well 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.51,417 330.94 337.22 1.9% Subtotal CFC 1,758,510 $ 356.04 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 Community Well 65+ 992 361.08 368.70 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 Total 6,456 $ 757.45 2,022.33 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.82,036.75 0.7% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP MCOP’s responsibilities related to communicating with eligible individuals pre-enrollment and MCP MCOP members post-enrollment. Upon request, the MCP shall MCOP will provide both members and eligible individuals with a copy of their practice guidelines.

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 the July 1, 2018 amendment to the certified calendar year (CY) 2021 2018 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 reportletter, including the appendicesenclosures, has been prepared for ODM and their consultants and advisors. It is our understanding that the information contained in this report letter 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 letter to third parties. Likewise, third parties are instructed that they are to place no reliance upon this report letter 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 letter 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 MCOPs in the development of the July 1, 2018 amendment to the certified CY 2018 capitation rates capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development would need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX ODM dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1APPENDIX 1 Region: January 2022 Central / Southeast Rate Cell Average Monthly Enrollment Calendar Year 2018 Capitation Rate July 2018 Capitation Rate % Change Summaries NFLOC 4,094 $ 4,189.42 $ 4,198.15 0.2% Community Well 18-44 1,702 534.74 537.70 0.6% Community Well 45-64 2,651 586.70 590.31 0.6% Community Well 65+ 2,379 728.75 735.03 0.9% Total 10,826 $ 1,972.17 $ 1,978.19 0.3% State of Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Program Capitation Opt-In Rates Effective January 1, 2022 July 2018 Rate Change Summary Region: North East Central Average Monthly Calendar Year 2018 July 2018 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 NFLOC 4,686 $ 999.86 3,123.62 $ 1,004.70 0.53,129.10 0.2% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19Community Well 18-44 M 6,999 383.79 388.01 1,536 320.60 324.58 1.2% Community Well 45-64 2,464 379.58 383.83 1.1% HF 19-44 F 24,684 527.73 537.14 1.8% HF 45Community Well 65+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8% Subtotal CFC 113,747 $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 35-44 M 5,909 865.18 878.33 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 1,812 577.23 582.58 0.9% Total 179,905 10,498 $ 585.76 1,629.93 $ 593.41 1.31,634.87 0.3% State of Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Program Capitation Opt-In Rates Effective January 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 July 2018 Rate Change Summary Region: Northeast Average Monthly Calendar Year 2018 July 2018 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 NFLOC 6,942 $ 1,375.64 3,856.23 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 23,864.08 0.2% Community Well 18-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 44 3,462 329.83 333.84 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF Community Well 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.25,688 393.69 397.99 1.1% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21Community Well 65+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.25,433 606.69 612.16 0.9% Total 864,715 21,525 $ 570.10 1,553.88 $ 579.81 1.71,559.58 0.4% State of Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Program Capitation Opt-In Rates Effective January 1, 2022 July 2018 Rate Change Summary Region: Northeast Central Average Monthly Calendar Year 2018 July 2018 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 NFLOC 2,178 $ 943.93 3,538.70 $ 930.70 (1.4%) HF/HST 1 M+F 5,017 236.24 235.11 3,556.45 0.5% Community Well 18-44 1,150 295.77 299.43 1.2% Community Well 45-64 1,848 362.27 366.13 1.1% Community Well 65+ 1,333 602.29 606.96 0.8% Total 6,509 $ 1,462.55 $ 1,471.19 0.6% Region: Northwest Rate Cell Average Monthly Enrollment Calendar Year 2018 Capitation Rate July 2018 Capitation Rate % Change NFLOC 2,400 $ 3,566.16 $ 3,572.25 0.2% Community Well 18-44 1,291 396.72 394.61 (0.5%) HF/HST 2Community Well 45-13 M+F 53,874 192.98 192.70 64 1,970 459.28 458.03 (0.3%) Community Well 65+ 1,301 673.35 676.13 0.4% Total 6,962 $ 1,558.71 $ 1,560.59 0.1% State of Ohio Department of Medicaid MyCare Ohio Program Opt-In Rates July 2018 Rate Change Summary Region: Southwest Average Monthly Calendar Year 2018 July 2018 Rate Cell Enrollment Capitation Rate Capitation Rate % Change NFLOC 4,218 $ 3,817.55 $ 3,811.92 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19Community Well 18-44 M 7,730 320.29 325.64 1.72,023 319.56 321.90 0.7% HF 19-44 F 24,818 459.17 470.62 2.5% HF Community Well 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.53,214 403.71 405.73 0.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21Community Well 65+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.52,145 716.81 720.00 0.4% Total 188,923 11,600 $ 520.62 1,688.28 $ 529.55 1.7% 1,687.79 (0.0%) State of Ohio Department of Medicaid MyCare Ohio Program Opt-In Rates July 2018 Rate Change Summary Region: West Central Average Monthly Calendar Year 2018 July 2018 Rate Cell Enrollment Capitation Rate Capitation Rate % Change NFLOC 3,248 $ 3,333.99 $ 3,328.25 (0.2%) Community Well 18-44 1,152 323.11 328.92 1.8% Community Well 45-64 1,696 375.23 380.54 1.4% Community Well 65+ 1,015 536.32 539.64 0.6% Total 7,111 $ 1,741.22 $ 1,741.27 0.0% State of Ohio Department of Medicaid Managed Care MyCare Ohio Program Capitation Opt-In Rates Effective January 1, 2022 July 2018 Rate Change Summary Region: Statewide Average Monthly Calendar Year 2018 July 2018 Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 NFLOC 27,766 $ 1,315.48 3,664.77 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 23,669.34 0.1% Community Well 18-13 M+F 780,446 204.79 205.11 44 12,316 358.51 361.59 0.9% Community Well 45-64 19,531 421.80 425.11 0.8% Community Well 65+ 15,418 637.99 642.82 0.8% Total 75,031 $ 1,655.93 $ 1,659.98 0.2% HF/HST 14Milliman Client Report July 2018 MyCare Ohio Capitation Provider Agreement Rate Amendment Summary Opt-18 M 137,992 247.24 249.51 0.9% HF/HST 14Out Capitation Rates July 1, 2018 through December 31, 2018 Ohio Department of Medicaid Prepared for: Xx Xxxxxxxxx Deputy Director Rate Setting Ohio Department of Medicaid Prepared by: Xxxxxxx X. Xxxxxx FSA, MAAA Principal and Consulting Actuary Xxxxxx X. Xxxxxx FSA, MAAA Principal and Consulting Actuary Xxxxx X. Xxxxxx ASA, MAAA Associate Actuary Market Tower 00 Xxxx Xxxxxx Xxxxxx Xxxxx 0000 Xxxxxxxxxxxx, XX 00000-18 F 138,541 306.84 310.53 1.2% HF 19-44 M 110,930 342.11 348.14 1.8% HF 19-44 F 360,856 507.19 519.91 2.5% HF 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.5% Subtotal CFC 1,758,510 $ 356.04 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment0000 XXX Tel +0 000 000 0000 Fax +0 000 000 0000 xxxxxxxx.xxx June 11, 2018 Table of Contents I. BACKGROUND 2 II. Upon request, the MCP shall provide both members and eligible individuals with a copy EXECUTIVE SUMMARY 3 Summary of their practice guidelines.Methodology 3 III. PROSPECTIVE DATA ADJUSTMENTS 4 Program Adjustments: July 2018 through December 2018 4  Inpatient Hospital Facility Reimbursement Changes 4  Nursing Facility Reimbursement Changes 4  Serious Mental Illness (SMI) Health Home 4  Immaterial Program Adjustments. 4

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 the July 1, 2017 amendment to the certified calendar year (CY) 2021 2017 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates 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 appendicesenclosures, 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 in the development of the July 1, 2017 amendment to the certified CY 2017 capitation rates. Milliman has relied upon ODM and the MCPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development would need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 Rate Change Summaries APPENDIX 1 Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: North Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,552 4,928 $ 999.86 759.57 $ 1,004.70 0.5760.51 0.12% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) 4,626 144.72 169.33 17.01% HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) 47,074 121.37 147.96 21.91% HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) 7,367 173.57 192.25 10.76% HF/HST 14-18 F 8,683 289.81 290.04 0.17,492 213.59 228.21 6.84% HF 19-44 M 6,999 383.79 388.01 1.16,853 269.75 283.03 4.92% HF 19-44 F 24,684 527.73 537.14 1.820,977 383.77 387.59 1.00% HF 45+ M+F 3,791 764.60 777.49 1.7% 3,353 614.04 591.01 (3.75%) HST 19-64 F 1,784 597.62 614.09 2.82,232 449.10 453.50 0.98% Subtotal - CFC 113,747 104,902 $ 346.67 247.52 $ 348.74 0.6263.92 6.63% EXT Extension EXT 19-34 M 11,813 9,139 $ 582.92 317.20 $ 591.19 1.4323.82 2.09% EXT 19-34 F 9,772 535.82 542.74 1.38,286 358.38 363.63 1.46% EXT 35-44 M 5,909 865.18 878.33 1.5% 4,423 547.27 544.12 (0.58%) EXT 35-44 F 4,531 912.74 928.83 1.8% 3,621 602.59 584.09 (3.07%) EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% 4,334 780.77 741.87 (4.98%) EXT 45-54 F 5,059 991.99 1,010.62 1.9% 4,492 838.45 804.61 (4.04%) EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% 3,186 924.23 888.17 (3.90%) EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% 3,530 861.33 824.77 (4.24%) Subtotal EXT 49,721 - Extension 41,011 $ 809.82 575.61 $ 822.93 1.6% 562.41 (2.29%) ABD ABD <21 3,848 2,860 $ 943.34 784.33 $ 960.93 1.9% 708.54 (9.66%) ABD 21+ 10,355 1,829.06 1,865.11 2.0% 8,734 1,595.30 1,503.21 (5.77%) Subtotal - ABD 14,203 11,594 $ 1,589.09 1,395.23 $ 1,620.14 2.0% 1,307.16 (6.31%) AFK 2,234 1,647 $ 567.53 372.47 $ 582.26 2.6383.32 2.91% CFC & EXT Delivery 287 307 $ 6,429.01 6,174.32 $ 6,484.66 0.9% 5,808.28 (5.93%) Total 179,905 159,154 $ 585.76 428.87 $ 593.41 1.3429.26 0.09% Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 3,160 3,406 $ 917.12 708.33 $ 910.53 (0.7%) 734.43 3.68% HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) 3,057 127.87 154.09 20.51% HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) 31,881 121.80 148.03 21.54% HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) 5,083 213.03 230.68 8.29% HF/HST 14-18 F 6,009 252.71 252.85 0.15,178 196.00 211.51 7.91% HF 19-44 M 4,690 361.17 366.83 1.64,295 268.71 277.99 3.45% HF 19-44 F 14,803 474.99 484.86 2.112,371 367.72 375.29 2.06% HF 45+ M+F 2,231 676.02 688.62 1.9% 1,872 613.86 601.49 (2.02%) HST 19-64 F 1,381 427.98 441.58 3.21,865 408.17 426.33 4.45% Subtotal - CFC 75,537 69,008 $ 302.70 237.63 $ 303.69 0.3256.75 8.05% EXT Extension EXT 19-34 M 5,834 4,242 $ 548.84 294.72 $ 561.41 2.3308.77 4.77% EXT 19-34 F 5,615 497.91 506.20 1.74,543 357.88 363.29 1.51% EXT 35-44 M 3,221 708.29 720.92 1.8% 2,195 524.91 523.52 (0.26%) EXT 35-44 F 2,998 712.36 726.39 2.0% 2,158 672.82 648.84 (3.56%) EXT 45-54 M 2,600 989.46 1,014.67 2.5% 2,197 819.85 777.70 (5.14%) EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% 2,562 850.35 824.07 (3.09%) EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% 1,712 847.41 817.07 (3.58%) EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% 2,046 862.59 838.40 (2.80%) Subtotal EXT 28,355 - Extension 21,654 $ 775.11 585.33 $ 791.57 2.1% 574.62 (1.83%) ABD ABD <21 1,717 1,012 $ 852.44 728.54 $ 868.45 1.9% 650.72 (10.68%) ABD 21+ 4,617 1,592.24 1,632.60 2.5% 3,501 1,407.78 1,362.83 (3.19%) Subtotal - ABD 6,334 4,513 $ 1,391.70 1,255.53 $ 1,425.46 2.4% 1,203.21 (4.17%) AFK 1,081 892 $ 639.91 386.60 $ 657.12 2.7386.96 0.09% CFC & EXT Delivery 192 202 $ 5,975.47 5,197.25 $ 5,987.85 0.25,373.23 3.39% Total 111,307 96,067 $ 498.58 376.10 $ 505.55 1.4385.34 2.46% Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 17,597 17,670 $ 1,262.30 898.53 $ 1,265.69 0.3912.79 1.59% HF/HST 1 M+F 18,049 281.37 281.84 0.217,320 187.16 203.45 8.70% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6178,931 142.39 161.66 13.53% HF/HST 14-18 M 34,218 244.22 246.87 1.128,036 200.02 212.59 6.28% HF/HST 14-18 F 34,248 316.37 321.05 1.528,794 240.43 248.35 3.29% HF 19-44 M 25,453 345.00 351.93 2.023,911 240.61 251.21 4.41% HF 19-44 F 87,917 494.47 507.49 2.674,073 349.20 353.86 1.33% HF 45+ M+F 14,354 677.16 692.62 2.3% 12,502 566.27 552.38 (2.45%) HST 19-64 F 7,148 551.47 569.97 3.48,915 352.92 364.18 3.19% Subtotal - CFC 434,259 390,153 $ 352.82 253.68 $ 357.95 1.5266.72 5.14% EXT Extension EXT 19-34 M 42,323 31,978 $ 516.42 308.05 $ 528.92 2.4314.84 2.20% EXT 19-34 F 35,855 531.85 543.10 2.127,982 357.90 361.39 0.98% EXT 35-44 M 23,577 745.91 763.14 2.3% 16,499 502.11 494.04 (1.61%) EXT 35-44 F 18,522 790.64 810.28 2.5% 13,307 629.67 619.01 (1.69%) EXT 45-54 M 18,469 935.82 957.10 2.3% 16,256 742.21 716.53 (3.46%) EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% 16,605 790.93 769.27 (2.74%) EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% 11,743 864.31 838.06 (3.04%) EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% 13,660 876.70 850.55 (2.98%) Subtotal EXT 189,690 - Extension 148,029 $ 761.75 566.46 $ 779.48 2.3% 556.98 (1.67%) ABD ABD <21 12,397 8,415 $ 1,162.87 1,091.48 $ 1,186.20 2.0% 1,063.64 (2.55%) ABD 21+ 33,463 1,648.92 1,692.23 2.6% 25,517 1,530.27 1,438.83 (5.98%) Subtotal - ABD 45,860 33,932 $ 1,517.53 1,421.45 $ 1,555.44 2.5% 1,345.78 (5.32%) AFK 9,246 7,249 $ 790.87 403.66 $ 820.32 3.7406.07 0.60% CFC & EXT Delivery 1,095 1,042 $ 5,936.74 5,200.66 $ 5,936.04 4,971.70 (0.04.40%) Total 679,055 579,363 $ 561.25 413.22 $ 572.44 2.0414.77 0.38% Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 14,934 15,675 $ 1,631.73 1,109.37 $ 1,629.98 (0.1%) 1,139.78 2.74% HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) 15,314 200.53 220.22 9.82% HF/HST 2-13 M+F 169,110 208.57 208.76 0.1153,344 148.50 169.42 14.09% HF/HST 14-18 M 28,913 254.04 256.54 1.024,107 186.30 197.29 5.90% HF/HST 14-18 F 29,231 318.77 322.18 1.124,300 235.59 242.48 2.92% HF 19-44 M 23,665 349.19 356.00 2.023,509 261.50 267.67 2.36% HF 19-44 F 71,281 563.74 580.36 2.9% 61,530 384.62 383.36 (0.33%) HF 45+ M+F 14,148 708.47 725.94 2.5% 11,524 577.08 558.52 (3.22%) HST 19-64 F 5,883 586.12 608.58 3.87,394 376.44 384.76 2.21% Subtotal - CFC 372,537 336,697 $ 382.93 275.31 $ 387.98 1.3288.18 4.67% EXT Extension EXT 19-34 M 33,504 24,461 $ 601.51 331.98 $ 615.92 2.4333.40 0.43% EXT 19-34 F 29,214 603.11 616.40 2.222,528 381.91 382.06 0.04% EXT 35-44 M 18,111 880.49 903.51 2.6% 12,279 568.63 558.03 (1.86%) EXT 35-44 F 14,846 877.94 899.88 2.5% 10,758 639.73 617.61 (3.46%) EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% 11,994 824.51 786.65 (4.59%) EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% 12,797 814.04 783.41 (3.76%) EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% 8,432 926.65 900.00 (2.88%) EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% 10,049 859.37 829.74 (3.45%) Subtotal EXT 148,262 - Extension 113,298 $ 853.39 594.40 $ 874.95 2.5% 579.41 (2.52%) ABD ABD <21 9,842 6,348 $ 1,232.54 1,326.77 $ 1,259.01 2.1% 1,237.29 (6.74%) ABD 21+ 29,961 1,752.05 1,804.35 3.0% 25,104 1,476.86 1,382.19 (6.41%) Subtotal - ABD 39,803 31,451 $ 1,623.59 1,446.57 $ 1,669.50 2.8% 1,352.95 (6.47%) AFK 6,613 5,657 $ 783.43 367.49 $ 815.49 4.1370.72 0.88% CFC & EXT Delivery 957 924 $ 5,783.26 4,825.52 $ 5,965.09 3.1% 4,543.92 (5.84%) Total 567,215 487,103 $ 607.39 435.38 $ 620.24 2.1% 434.25 (0.26%) Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,722 5,136 $ 1,225.57 875.72 $ 1,221.70 (0.3%) 912.39 4.19% HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) 4,792 194.41 208.18 7.08% HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) 52,033 149.57 168.37 12.57% HF/HST 14-18 M 9,872 264.29 265.91 0.69,112 198.51 213.39 7.50% HF/HST 14-18 F 9,973 315.68 318.51 0.99,072 235.88 243.65 3.29% HF 19-44 M 9,424 361.81 368.52 1.99,800 265.97 277.62 4.38% HF 19-44 F 25,116 514.02 527.35 2.623,088 373.95 377.23 0.88% HF 45+ M+F 4,614 799.91 820.48 2.6% 4,064 563.13 550.65 (2.22%) HST 19-64 F 1,786 561.24 583.02 3.92,551 474.67 484.24 2.02% Subtotal - CFC 124,122 119,648 $ 355.77 266.62 $ 359.96 1.2280.01 5.02% EXT Extension EXT 19-34 M 12,036 9,937 $ 500.88 277.70 $ 511.86 2.2292.16 5.21% EXT 19-34 F 10,527 567.53 580.47 2.38,503 358.50 364.69 1.73% EXT 35-44 M 6,721 683.18 705.15 3.2% 4,859 551.12 537.38 (2.49%) EXT 35-44 F 5,793 810.55 830.53 2.5% 4,336 581.18 566.30 (2.56%) EXT 45-54 M 5,528 880.19 898.79 2.1% 4,853 702.30 675.71 (3.79%) EXT 45-54 F 6,208 971.78 996.97 2.6% 5,532 752.47 731.29 (2.81%) EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% 3,764 818.89 784.24 (4.23%) EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% 4,463 820.93 793.53 (3.34%) Subtotal EXT 57,335 - Extension 46,247 $ 760.97 547.56 $ 780.09 2.5% 538.18 (1.71%) ABD ABD <21 3,162 2,060 $ 1,223.04 1,036.06 $ 1,246.28 1.91,040.69 0.45% ABD 21+ 11,894 1,549.61 1,593.82 2.9% 9,581 1,352.36 1,282.59 (5.16%) Subtotal - ABD 15,056 11,641 $ 1,481.03 1,296.39 $ 1,520.83 2.7% 1,239.78 (4.37%) AFK 2,996 2,168 $ 756.53 333.37 $ 782.86 3.5343.65 3.08% CFC & EXT Delivery 303 322 $ 5,102.70 4,282.91 $ 5,152.12 1.0% 4,218.61 (1.50%) Total 199,509 179,705 $ 570.90 414.11 $ 582.48 2.0416.95 0.69% Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 18,881 18,988 $ 1,375.64 979.40 $ 1,362.27 (1.0%) 1,016.10 3.75% HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) 19,190 198.09 217.53 9.81% HF/HST 2-13 M+F 224,655 212.38 213.43 0.5204,259 133.27 152.51 14.44% HF/HST 14-18 M 40,560 248.78 251.88 1.235,455 173.09 189.50 9.48% HF/HST 14-18 F 40,839 304.53 309.14 1.536,337 207.12 219.46 5.96% HF 19-44 M 32,969 322.73 327.89 1.629,997 231.97 242.73 4.64% HF 19-44 F 112,237 490.07 501.31 2.394,508 345.96 351.90 1.72% HF 45+ M+F 20,522 675.31 691.25 2.4% 17,329 543.87 530.27 (2.50%) HST 19-64 F 7,105 638.81 659.09 3.28,307 396.58 415.22 4.70% Subtotal - CFC 517,246 464,369 $ 358.13 249.06 $ 362.35 1.2263.78 5.91% EXT Extension EXT 19-34 M 62,187 44,680 $ 474.15 291.11 $ 482.33 1.7297.86 2.32% EXT 19-34 F 50,610 473.53 481.26 1.638,620 346.76 352.99 1.80% EXT 35-44 M 31,273 671.62 684.60 1.9% 21,557 464.71 459.39 (1.14%) EXT 35-44 F 23,623 695.39 708.63 1.9% 17,219 552.52 544.00 (1.54%) EXT 45-54 M 26,371 869.64 885.73 1.9% 22,615 726.31 696.72 (4.07%) EXT 45-54 F 26,643 904.61 924.19 2.2% 23,281 744.03 718.70 (3.40%) EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% 18,318 866.85 834.65 (3.71%) EXT 55-64 F 25,852 970.77 989.78 2.0% 20,897 795.47 766.80 (3.60%) Subtotal EXT 269,525 - Extension 207,189 $ 695.99 541.44 $ 708.86 1.8% 530.98 (1.93%) ABD ABD <21 17,875 12,671 $ 1,102.71 767.27 $ 1,127.93 2.3% 751.54 (2.05%) ABD 21+ 50,902 1,677.75 1,716.97 2.3% 40,838 1,514.95 1,419.71 (6.29%) Subtotal - ABD 68,777 53,509 $ 1,528.30 1,337.90 $ 1,563.88 2.3% 1,261.49 (5.71%) AFK 9,167 7,921 $ 780.44 392.90 $ 811.71 4.0392.92 0.01% CFC & EXT Delivery 1,299 1,279 $ 6,068.35 5,146.84 $ 6,079.32 0.2% 4,852.69 (5.72%) Total 864,715 732,987 $ 570.10 421.73 $ 579.81 1.7422.01 0.07% Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,852 5,122 $ 943.93 719.61 $ 930.70 (1.4%) 761.52 5.82% HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) 4,907 168.34 191.65 13.85% HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) 50,487 124.90 149.31 19.54% HF/HST 14-18 M 9,435 232.90 234.29 0.68,345 196.23 211.01 7.53% HF/HST 14-18 F 9,558 286.31 289.76 1.28,487 203.89 220.22 8.01% HF 19-44 M 7,730 320.29 325.64 1.77,375 212.42 226.17 6.47% HF 19-44 F 24,818 459.17 470.62 2.521,153 331.49 340.73 2.79% HF 45+ M+F 3,897 666.61 681.52 2.2% 3,431 548.42 537.54 (1.98%) HST 19-64 F 1,881 509.02 531.96 4.52,754 405.22 423.96 4.62% Subtotal - CFC 121,062 112,061 $ 318.20 229.89 $ 321.41 1.0248.94 8.29% EXT Extension EXT 19-34 M 11,012 8,104 $ 477.49 269.22 $ 486.84 2.0282.55 4.95% EXT 19-34 F 9,978 489.01 497.61 1.87,853 322.68 329.75 2.19% EXT 35-44 M 6,119 674.86 688.08 2.0% 4,181 427.62 414.66 (3.03%) EXT 35-44 F 5,416 753.87 770.48 2.2% 3,998 555.29 549.56 (1.03%) EXT 45-54 M 5,062 909.71 927.27 1.9% 4,226 669.44 647.29 (3.31%) EXT 45-54 F 5,664 935.40 955.98 2.2% 4,913 693.71 679.99 (1.98%) EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% 3,354 843.76 810.76 (3.91%) EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% 4,068 795.06 759.76 (4.44%) Subtotal EXT 52,807 - Extension 40,697 $ 723.63 516.63 $ 738.12 2.0% 508.55 (1.56%) ABD ABD <21 3,413 2,213 $ 1,161.76 829.32 $ 1,180.81 1.6832.16 0.34% ABD 21+ 9,197 1,581.29 1,624.62 2.7% 7,083 1,360.87 1,291.39 (5.11%) Subtotal - ABD 12,610 9,296 $ 1,467.74 1,234.31 $ 1,504.50 2.5% 1,182.05 (4.23%) AFK 2,444 2,051 $ 642.07 358.10 $ 661.42 3.0370.08 3.35% CFC & EXT Delivery 310 315 $ 4,983.35 4,693.50 $ 5,059.90 1.5% 4,508.93 (3.93%) Total 188,923 164,106 $ 520.62 368.50 $ 529.55 1.7376.34 2.13% Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 68,698 70,925 $ 1,315.48 933.41 $ 1,311.11 (0.3%) 960.51 2.90% HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) 69,206 186.86 206.09 10.29% HF/HST 2-13 M+F 780,446 204.79 205.11 0.2718,010 138.10 158.83 15.01% HF/HST 14-18 M 137,992 247.24 249.51 0.9117,504 187.60 201.94 7.64% HF/HST 14-18 F 138,541 306.84 310.53 1.2119,660 222.79 233.18 4.66% HF 19-44 M 110,930 342.11 348.14 1.8105,740 246.22 256.32 4.10% HF 19-44 F 360,856 507.19 519.91 2.5307,700 359.03 363.17 1.15% HF 45+ M+F 63,557 696.97 713.12 2.3% 54,076 564.64 549.63 (2.66%) HST 19-64 F 26,968 576.45 596.43 3.534,019 391.40 404.23 3.28% Subtotal - CFC 1,758,510 1,596,839 $ 356.04 255.10 $ 360.30 1.2269.52 5.65% EXT Extension EXT 19-34 M 178,709 132,541 $ 519.67 302.31 $ 530.45 2.1309.29 2.31% EXT 19-34 F 151,571 524.77 534.79 1.9118,316 356.57 360.95 1.23% EXT 35-44 M 94,931 744.24 760.84 2.2% 65,992 504.94 497.13 (1.55%) EXT 35-44 F 75,729 781.14 798.61 2.2% 55,396 598.39 585.16 (2.21%) EXT 45-54 M 77,168 947.09 967.23 2.1% 66,475 749.19 718.73 (4.07%) EXT 45-54 F 80,589 972.03 995.00 2.4% 70,182 774.96 750.09 (3.21%) EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% 50,509 874.10 843.79 (3.47%) EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% 58,714 833.51 804.58 (3.47%) Subtotal EXT 795,695 - Extension 618,124 $ 757.45 559.77 $ 773.79 2.2% 548.76 (1.97%) ABD ABD <21 52,254 35,579 $ 1,132.61 963.46 $ 1,156.23 2.1% 927.45 (3.74%) ABD 21+ 150,389 1,677.90 1,721.10 2.6% 120,358 1,490.96 1,401.88 (5.97%) Subtotal - ABD 202,643 155,937 $ 1,537.29 1,370.60 $ 1,575.44 2.5% 1,293.63 (5.62%) AFK 33,781 27,585 $ 753.17 381.83 $ 781.25 3.7385.49 0.96% CFC & EXT Delivery 4,442 4,391 $ 5,852.24 5,070.22 $ 5,907.29 0.9% 4,835.46 (4.63%) Total 2,790,629 2,398,485 $ 570.39 416.88 $ 580.94 1.8418.25 0.33% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP Managed Care Plan’s (MCP’s) responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall will provide both members and eligible individuals with a copy of their practice guidelines.

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 the July 1, 2016 amendment to the certified calendar year (CY) 2021 2016 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates 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 appendicesenclosures, 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 in the development of the July 1, 2016 amendment to the certified CY 2016 capitation rates. Milliman has relied upon ODM and the MCPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development would need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: North Central APPENDIX 1 Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,552 4,706 4,706 $ 999.86 585.91 $ 1,004.70 0.5% 584.57 (0.23%) HF/HST 1 M+F 4,570 206.06 201.25 4,852 4,845 147.00 138.61 (2.35.71%) HF/HST 2-13 M+F 49,838 194.74 192.69 47,789 47,600 116.15 113.81 (1.12.02%) HF/HST 14-18 M 8,846 230.65 230.14 7,419 7,382 166.95 163.98 (0.21.78%) HF/HST 14-18 F 8,683 289.81 290.04 0.17,558 7,533 217.95 219.79 0.84% HF 19-44 M 6,999 383.79 388.01 1.1% 7,434 7,415 292.22 290.65 (0.54%) HF 19-44 F 24,684 527.73 537.14 1.822,300 22,245 382.96 384.17 0.32% HF 45+ M+F 3,791 764.60 777.49 1.7% 3,519 3,488 721.29 716.19 (0.71%) HST 19-64 F 1,784 597.62 614.09 2.82,127 2,125 398.99 401.30 0.58% Subtotal - CFC 113,747 107,706 107,341 $ 346.67 241.47 $ 348.74 0.6% EXT 239.97 (0.62%) Extension EXT 19-34 M 11,813 9,411 9,353 $ 582.92 317.04 $ 591.19 1.4% 312.46 (1.45%) EXT 19-34 F 9,772 535.82 542.74 1.3% 8,476 8,438 363.59 356.64 (1.91%) EXT 35-44 M 5,909 865.18 878.33 1.5% 4,382 4,343 526.07 521.69 (0.83%) EXT 35-44 F 4,531 912.74 928.83 1.8% 3,539 3,510 613.99 605.74 (1.34%) EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% 4,472 4,390 740.07 722.84 (2.33%) EXT 45-54 F 5,059 991.99 1,010.62 1.9% 4,752 4,684 825.04 812.64 (1.50%) EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% 3,317 3,247 921.54 912.70 (0.96%) EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% 3,802 3,735 813.90 800.65 (1.63%) Subtotal EXT 49,721 - Extension 42,151 41,701 $ 809.82 567.59 $ 822.93 1.6% 557.72 (1.74%) ABD ABD <21 3,848 2,511 2,784 $ 943.34 519.12 $ 960.93 1.9556.86 7.27% ABD 2121 + 10,355 1,829.06 1,865.11 2.0% 7,591 8,132 1,587.89 1,582.67 (0.33%) Subtotal - ABD 14,203 10,101 10,916 $ 1,589.09 1,322.26 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% 1,321.02 (0.09%) CFC & EXT Delivery 287 304 304 $ 6,429.01 6,406.05 $ 6,484.66 0.96,406.05 0.00% Total 179,905 159,958 159,958 $ 585.76 407.81 $ 593.41 1.3408.74 0.23% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northwest North Central Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 3,160 3,350 3,350 $ 917.12 582.28 $ 910.53 580.94 (0.70.23%) HF/HST 1 M+F 3,252 216.22 213.31 3,282 3,280 148.11 139.94 (1.35.51%) HF/HST 2-13 M+F 33,863 160.73 157.34 33,281 33,186 117.78 115.35 (2.12.07%) HF/HST 14-18 M 6,148 240.46 240.31 5,383 5,350 161.31 158.53 (0.11.73%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% 5,362 5,345 188.65 186.73 (1.02%) HF 19-44 M 4,690 361.17 366.83 1.6% 4,750 4,738 256.99 256.25 (0.29%) HF 19-44 F 14,803 474.99 484.86 2.1% 13,470 13,434 365.37 362.27 (0.85%) HF 45+ M+F 2,231 676.02 688.62 1.9% 1,995 1,981 684.10 675.24 (1.29%) HST 19-64 F 1,381 427.98 441.58 3.2% 1,713 1,711 334.73 333.30 (0.43%) Subtotal - CFC 75,537 72,587 72,375 $ 302.70 224.80 $ 303.69 0.3% EXT 222.01 (1.24%) Extension EXT 19-34 M 5,834 4,529 4,510 $ 548.84 290.01 $ 561.41 2.3% 287.05 (1.02%) EXT 19-34 F 5,615 497.91 506.20 1.7% 4,756 4,739 347.79 346.14 (0.47%) EXT 35-44 M 3,221 708.29 720.92 1.8% 2,208 2,200 543.91 533.59 (1.90%) EXT 35-44 F 2,998 712.36 726.39 2.0% 2,227 2,212 676.49 671.65 (0.72%) EXT 45-54 M 2,600 989.46 1,014.67 2.5% 2,302 2,285 837.91 834.52 (0.40%) EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% 2,801 2,782 799.12 786.77 (1.55%) EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% 1,895 1,880 862.61 861.73 (0.10%) EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% 2,188 2,170 878.24 843.66 (3.94%) Subtotal EXT 28,355 - Extension 22,904 22,778 $ 775.11 584.94 $ 791.57 2.1% 576.92 (1.37%) ABD ABD <21 1,717 526 685 $ 852.44 518.96 $ 868.45 1.9555.37 7.02% ABD 2121 + 4,617 1,592.24 1,632.60 2.52,927 3,107 1,411.81 1,430.40 1.32% Subtotal - ABD 6,334 3,453 3,792 $ 1,391.70 1,275.86 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% 1,272.34 (0.28%) CFC & EXT Delivery 192 209 209 $ 5,975.47 5,666.79 $ 5,987.85 0.2% 5,666.79 (0.00%) Total 111,307 98,945 98,945 $ 498.58 356.83 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary 355.95 (0.25%) Region: Southwest Northwest Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 17,597 17,085 17,085 $ 1,262.30 851.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 850.66 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.10.08%) HF/HST 1 M+F 15,372 288.51 287.04 17,283 17,262 184.05 173.43 (0.55.77%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% 182,585 181,991 142.04 138.86 (2.24%) HF/HST 14-18 M 28,913 254.04 256.54 1.0% 28,339 28,192 210.22 206.37 (1.83%) HF/HST 14-18 F 29,231 318.77 322.18 1.1% 29,181 29,088 235.85 234.67 (0.50%) HF 19-44 M 23,665 349.19 356.00 2.0% 25,968 25,900 267.83 265.20 (0.98%) HF 19-44 F 71,281 563.74 580.36 2.9% 80,251 80,071 363.93 362.90 (0.28%) HF 45+ M+F 14,148 708.47 725.94 2.5% 13,279 13,197 653.26 646.41 (1.05%) HST 19-64 F 5,883 586.12 608.58 3.88,341 8,332 358.09 358.41 0.09% Subtotal - CFC 372,537 402,313 401,118 $ 382.93 259.31 $ 387.98 1.3% EXT 256.50 (1.08%) Extension EXT 19-34 M 33,504 33,129 32,993 $ 601.51 313.38 $ 615.92 2.4% 308.95 (1.41%) EXT 19-34 F 29,214 603.11 616.40 2.2% 28,527 28,429 367.33 362.40 (1.34%) EXT 35-44 M 18,111 880.49 903.51 2.6% 16,512 16,428 505.59 500.26 (1.05%) EXT 35-44 F 14,846 877.94 899.88 2.5% 13,087 13,001 573.36 565.23 (1.42%) EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% 17,023 16,862 746.30 738.25 (1.08%) EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% 17,687 17,515 761.36 753.47 (1.04%) EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% 12,213 12,008 831.05 819.30 (1.41%) EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% 14,338 14,154 777.16 769.32 (1.01%) Subtotal EXT 148,262 - Extension 152,516 151,390 $ 853.39 551.91 $ 874.95 2.5% 544.52 (1.34%) ABD ABD <21 9,842 6,453 7,377 $ 1,232.54 892.80 $ 1,259.01 2.1960.76 7.61% ABD 2121 + 29,961 1,752.05 1,804.35 3.0% 22,721 24,119 1,455.42 1,453.10 (0.16%) Subtotal - ABD 39,803 29,175 31,496 $ 1,623.59 1,330.97 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.11,337.78 0.51% CFC & EXT Delivery 957 1,066 1,066 $ 5,783.26 6,012.13 $ 5,965.09 3.16,012.13 (0.00%) Total 584,004 584,004 $ 400.23 $ 400.46 0.06% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Southwest Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,722 15,277 15,277 $ 1,225.57 904.99 $ 1,221.70 904.97 (0.30.00%) HF/HST 1 M+F 4,784 233.22 229.74 15,582 15,567 181.44 170.55 (1.56.00%) HF/HST 2-13 M+F 53,831 194.79 194.39 155,070 154,565 129.57 127.01 (0.21.98%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% 24,158 24,038 159.89 157.15 (1.72%) HF/HST 14-18 F 9,973 315.68 318.51 0.924,411 24,332 211.02 212.82 0.85% HF 19-44 M 9,424 361.81 368.52 1.9% 25,329 25,237 292.13 289.17 (1.01%) HF 19-44 F 25,116 514.02 527.35 2.667,032 66,822 394.54 395.02 0.12% HF 45+ M+F 4,614 799.91 820.48 2.6% 12,199 12,064 667.64 658.67 (1.34%) HST 19-64 F 1,786 561.24 583.02 3.97,101 7,088 399.97 402.86 0.72% Subtotal - CFC 124,122 346,159 344,989 $ 355.77 261.70 $ 359.96 1.2% EXT 259.61 (0.80%) Extension EXT 19-34 M 12,036 26,592 26,458 $ 500.88 334.60 $ 511.86 2.2% 329.20 (1.61%) EXT 19-34 F 10,527 567.53 580.47 2.3% 23,655 23,562 361.33 354.28 (1.95%) EXT 35-44 M 6,721 683.18 705.15 3.2% 12,793 12,678 546.03 538.07 (1.46%) EXT 35-44 F 5,793 810.55 830.53 2.5% 10,669 10,579 616.05 605.54 (1.71%) EXT 45-54 M 5,528 880.19 898.79 2.1% 12,506 12,328 794.03 775.04 (2.39%) EXT 45-54 F 6,208 971.78 996.97 2.6% 13,314 13,110 726.03 712.35 (1.88%) EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% 8,719 8,528 768.78 757.36 (1.48%) EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% 10,633 10,434 791.46 776.91 (1.84%) Subtotal EXT 57,335 - Extension 118,881 117,676 $ 760.97 552.81 $ 780.09 2.5% 541.68 (2.01%) ABD ABD <21 3,162 5,164 5,948 $ 1,223.04 836.02 $ 1,246.28 1.9890.52 6.52% ABD 2121 + 11,894 1,549.61 1,593.82 2.923,148 24,739 1,432.56 1,442.24 0.68% Subtotal - ABD 15,056 28,313 30,688 $ 1,481.03 1,323.75 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.51,335.30 0.87% CFC & EXT Delivery 303 887 887 $ 5,102.70 5,428.51 $ 5,152.12 1.05,428.51 0.00% Total 199,509 493,353 493,353 $ 570.90 402.56 $ 582.48 2.0403.56 0.25% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast South Central Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 18,881 5,154 5,154 $ 1,375.64 868.00 $ 1,362.27 (1.0%) 868.04 0.00% HF/HST 1 M+F 19,478 256.11 255.01 4,886 4,881 167.27 157.35 (0.45.93%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% 52,997 52,850 141.70 138.83 (2.02%) HF/HST 14-18 M 40,560 248.78 251.88 1.2% 9,413 9,371 185.69 182.35 (1.80%) HF/HST 14-18 F 40,839 304.53 309.14 1.5% 9,336 9,312 215.88 213.66 (1.03%) HF 19-44 M 32,969 322.73 327.89 1.6% 10,495 10,469 253.45 251.62 (0.72%) HF 19-44 F 112,237 490.07 501.31 2.3% 24,143 24,078 372.72 369.63 (0.83%) HF 45+ M+F 20,522 675.31 691.25 2.4% 4,234 4,205 610.19 606.80 (0.56%) HST 19-64 F 7,105 638.81 659.09 3.2% 2,607 2,605 368.91 368.23 (0.18%) Subtotal - CFC 517,246 123,265 122,924 $ 358.13 257.72 $ 362.35 1.2% EXT 254.81 (1.13%) Extension EXT 19-34 M 62,187 10,825 10,788 $ 474.15 233.97 $ 482.33 1.7% 232.27 (0.73%) EXT 19-34 F 50,610 473.53 481.26 1.6% 9,391 9,369 347.84 346.71 (0.33%) EXT 35-44 M 31,273 671.62 684.60 1.9% 4,890 4,869 466.32 462.13 (0.90%) EXT 35-44 F 23,623 695.39 708.63 1.9% 4,654 4,621 582.39 576.43 (1.02%) EXT 45-54 M 26,371 869.64 885.73 1.9% 5,204 5,149 654.70 648.19 (0.99%) EXT 45-54 F 26,643 904.61 924.19 2.2% 6,017 5,960 669.49 662.54 (1.04%) EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% 3,815 3,771 797.37 788.16 (1.16%) EXT 55-64 F 25,852 970.77 989.78 2.0% 4,791 4,745 752.04 748.86 (0.42%) Subtotal EXT 269,525 - Extension 49,586 49,272 $ 695.99 501.55 $ 708.86 1.8% 496.83 (0.94%) ABD ABD <21 17,875 1,390 1,623 $ 1,102.71 708.15 $ 1,127.93 2.3759.97 7.32% ABD 2121 + 50,902 1,677.75 1,716.97 2.3% 8,632 9,055 1,306.30 1,302.64 (0.28%) Subtotal - ABD 68,777 10,022 10,678 $ 1,528.30 1,223.32 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% 1,220.17 (0.26%) CFC & EXT Delivery 1,299 325 325 $ 6,068.35 4,806.59 $ 6,079.32 0.24,806.59 0.00% Total 864,715 182,874 182,874 $ 570.10 385.28 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary 384.91 (0.10%) Region: Northeast Central Southeast Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,852 18,046 18,046 $ 943.93 946.10 $ 930.70 (1.4%) 946.28 0.02% HF/HST 1 M+F 5,017 236.24 235.11 19,496 19,463 192.72 181.39 (0.55.88%) HF/HST 2-13 M+F 53,874 192.98 192.70 205,245 204,331 130.69 127.91 (0.12.12%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% 35,916 35,661 171.62 168.73 (1.69%) HF/HST 14-18 F 9,558 286.31 289.76 1.2% 36,369 36,222 204.81 204.56 (0.13%) HF 19-44 M 7,730 320.29 325.64 1.7% 31,710 31,607 261.77 257.44 (1.65%) HF 19-44 F 24,818 459.17 470.62 2.5% 99,378 99,043 357.47 355.80 (0.47%) HF 45+ M+F 3,897 666.61 681.52 2.2% 18,593 18,439 619.51 608.57 (1.77%) HST 19-64 F 1,881 509.02 531.96 4.57,767 7,751 395.36 395.94 0.15% Subtotal - CFC 121,062 472,521 470,565 $ 318.20 253.28 $ 321.41 1.0% EXT 250.42 (1.13%) Extension EXT 19-34 M 11,012 45,330 45,120 $ 477.49 287.12 $ 486.84 2.0% 282.23 (1.70%) EXT 19-34 F 9,978 489.01 497.61 1.8% 40,117 39,990 320.18 317.88 (0.72%) EXT 35-44 M 6,119 674.86 688.08 2.0% 21,546 21,401 435.73 429.72 (1.38%) EXT 35-44 F 5,416 753.87 770.48 2.2% 17,327 17,233 518.25 513.01 (1.01%) EXT 45-54 M 5,062 909.71 927.27 1.9% 23,563 23,312 644.99 633.01 (1.86%) EXT 45-54 F 5,664 935.40 955.98 2.2% 24,511 24,225 683.85 673.53 (1.51%) EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% 18,876 18,552 784.41 774.72 (1.24%) EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% 22,266 21,926 668.90 660.44 (1.26%) Subtotal EXT 52,807 - Extension 213,537 211,759 $ 723.63 495.88 $ 738.12 2.0% 488.34 (1.52%) ABD ABD <21 3,413 10,698 12,142 $ 1,161.76 675.51 $ 1,180.81 1.6726.01 7.48% ABD 2121 + 9,197 1,581.29 1,624.62 2.7% 35,887 38,176 1,489.12 1,488.95 (0.01%) Subtotal - ABD 12,610 46,584 50,318 $ 1,467.74 1,302.28 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.01,304.84 0.20% CFC & EXT Delivery 310 1,283 1,283 $ 4,983.35 5,759.83 $ 5,059.90 1.55,759.83 (0.00%) Total 732,642 732,642 $ 400.78 $ 401.69 0.23% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Northeast Rate Cell Jan - Jun 2022 Avg CY 2016 Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate Jan July 2016 - Jun 2022 December 2016 Capitation Rate % Total Change CFC HF/HST <1 M+F 68,698 5,081 5,081 $ 1,315.48 654.66 $ 1,311.11 654.51 (0.30.02%) HF/HST 1 M+F 70,522 261.59 260.32 5,061 5,058 177.88 168.51 (0.55.27%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.2% 51,192 51,052 125.13 122.77 (1.88%) HF/HST 14-18 M 137,992 247.24 249.51 0.9% 8,625 8,586 165.40 162.60 (1.69%) HF/HST 14-18 F 138,541 306.84 310.53 1.28,624 8,601 202.22 203.83 0.79% HF 19-44 M 110,930 342.11 348.14 1.8% 8,311 8,295 226.77 225.56 (0.53%) HF 19-44 F 360,856 507.19 519.91 2.522,669 22,627 344.04 344.34 0.09% HF 45+ M+F 63,557 696.97 713.12 2.3% 3,892 3,874 546.04 542.75 (0.60%) HST 19-64 F 26,968 576.45 596.43 3.52,549 2,547 362.29 363.78 0.41% Subtotal - CFC 1,758,510 116,003 115,720 $ 356.04 228.74 $ 360.30 1.2% EXT 227.15 (0.70%) Extension EXT 19-34 M 178,709 8,355 8,325 $ 519.67 249.59 $ 530.45 2.1% 247.29 (0.92%) EXT 19-34 F 151,571 524.77 534.79 1.9% 8,107 8,088 371.60 368.30 (0.89%) EXT 35-44 M 94,931 744.24 760.84 2.2% 4,152 4,133 420.87 418.07 (0.67%) EXT 35-44 F 75,729 781.14 798.61 2.2% 3,934 3,917 580.23 576.54 (0.64%) EXT 45-54 M 77,168 947.09 967.23 2.1% 4,333 4,315 709.46 703.88 (0.79%) EXT 45-54 F 80,589 972.03 995.00 2.4% 5,069 5,035 625.36 620.16 (0.83%) EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% 3,373 3,344 757.92 748.47 (1.25%) EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% 4,383 4,348 723.43 715.12 (1.15%) Subtotal EXT 795,695 - Extension 41,705 41,505 $ 757.45 505.90 $ 773.79 2.2% 501.04 (0.96%) ABD ABD <21 52,254 1,602 1,819 $ 1,132.61 666.17 $ 1,156.23 2.1713.44 7.10% ABD 2121 + 150,389 1,677.90 1,721.10 2.66,219 6,484 1,288.62 1,294.02 0.42% Subtotal - ABD 202,643 7,821 8,304 $ 1,537.29 1,161.13 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.71,166.80 0.49% CFC & EXT Delivery 4,442 314 314 $ 5,852.24 4,988.51 $ 5,907.29 0.94,988.51 (0.00%) Total 165,529 165,529 $ 352.08 $ 352.42 0.10% Region: Northeast Central Rate Cell CY 2016 Average Monthly Enrollment/Deliveries July 2016 Average Monthly Enrollment/Deliveries CY 2016 Capitation Rate July 2016 - December 2016 Capitation Rate Total Change CFC HF/HST <1 M+F 68,700 68,700 $ 843.55 $ 843.27 (0.03%) HF/HST 1 M+F 70,443 70,357 180.04 169.57 (5.82%) HF/HST 2-13 M+F 728,159 725,576 132.16 129.40 (2.09%) HF/HST 14-18 M 119,253 118,579 178.32 175.21 (1.75%) HF/HST 14-18 F 120,841 120,433 214.34 214.31 (0.01%) HF 19-44 M 113,997 113,662 268.37 265.51 (1.06%) HF 19-44 F 329,244 328,320 368.84 367.93 (0.25%) HF 45+ M+F 57,712 57,247 640.25 632.13 (1.27%) HST 19-64 F 32,206 32,157 378.98 379.97 0.26% Subtotal - CFC 1,640,555 1,635,032 $ 253.10 $ 250.59 (0.99%) Extension EXT 19-34 M 138,170 137,547 $ 298.25 $ 293.86 (1.47%) EXT 19-34 F 123,029 122,615 348.58 344.48 (1.18%) EXT 35-44 M 66,483 66,052 485.18 479.23 (1.23%) EXT 35-44 F 55,436 55,073 572.33 565.23 (1.24%) EXT 45-54 M 69,402 68,642 713.97 702.42 (1.62%) EXT 45-54 F 74,151 73,310 718.15 708.20 (1.39%) EXT 55-64 M 52,208 51,330 803.50 793.46 (1.25%) EXT 55-64 F 62,401 61,513 741.05 730.91 (1.37%) Subtotal - Extension 641,281 636,082 $ 528.74 $ 520.79 (1.50%) ABD ABD <21 28,344 32,380 $ 738.55 $ 792.56 7.31% ABD 21 + 107,126 113,812 1,448.26 1,450.37 0.15% Subtotal - ABD 135,469 146,192 $ 1,299.77 $ 1,304.67 0.38% CFC & EXT Delivery 4,388 4,388 $ 5,668.77 $ 5,668.77 0.00% Total 2,790,629 2,417,305 2,417,305 $ 570.39 395.17 $ 580.94 1.8395.73 0.14% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall provide both members and eligible individuals with a copy Region: Statewide Table of their practice guidelines.Contents INTRODUCTION 1 Background 1

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 the July 1, 2017 amendment to the certified calendar year (CY) 2021 2017 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates 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 appendicesenclosures, 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 in the development of the July 1, 2017 amendment to the certified CY 2017 capitation rates. Milliman has relied upon ODM and the MCPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development would need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX ODM dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 Rate Change Summaries APPENDIX 1 Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: North Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,552 4,928 $ 999.86 759.57 $ 1,004.70 0.5760.51 0.12% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) 4,626 144.72 169.33 17.01% HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) 47,074 121.37 147.96 21.91% HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) 7,367 173.57 192.25 10.76% HF/HST 14-18 F 8,683 289.81 290.04 0.17,492 213.59 228.21 6.84% HF 19-44 M 6,999 383.79 388.01 1.16,853 269.75 283.03 4.92% HF 19-44 F 24,684 527.73 537.14 1.820,977 383.77 387.59 1.00% HF 45+ M+F 3,791 764.60 777.49 1.7% 3,353 614.04 591.01 (3.75%) HST 19-64 F 1,784 597.62 614.09 2.82,232 449.10 453.50 0.98% Subtotal - CFC 113,747 104,902 $ 346.67 247.52 $ 348.74 0.6263.92 6.63% EXT Extension EXT 19-34 M 11,813 9,139 $ 582.92 317.20 $ 591.19 1.4323.82 2.09% EXT 19-34 F 9,772 535.82 542.74 1.38,286 358.38 363.63 1.46% EXT 35-44 M 5,909 865.18 878.33 1.5% 4,423 547.27 544.12 (0.58%) EXT 35-44 F 4,531 912.74 928.83 1.8% 3,621 602.59 584.09 (3.07%) EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% 4,334 780.77 741.87 (4.98%) EXT 45-54 F 5,059 991.99 1,010.62 1.9% 4,492 838.45 804.61 (4.04%) EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% 3,186 924.23 888.17 (3.90%) EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% 3,530 861.33 824.77 (4.24%) Subtotal EXT 49,721 - Extension 41,011 $ 809.82 575.61 $ 822.93 1.6% 562.41 (2.29%) ABD ABD <21 3,848 2,860 $ 943.34 784.33 $ 960.93 1.9% 708.54 (9.66%) ABD 21+ 10,355 1,829.06 1,865.11 2.0% 8,734 1,595.30 1,503.21 (5.77%) Subtotal - ABD 14,203 11,594 $ 1,589.09 1,395.23 $ 1,620.14 2.0% 1,307.16 (6.31%) AFK 2,234 1,647 $ 567.53 372.47 $ 582.26 2.6383.32 2.91% CFC & EXT Delivery 287 307 $ 6,429.01 6,174.32 $ 6,484.66 0.9% 5,808.28 (5.93%) Total 179,905 159,154 $ 585.76 428.87 $ 593.41 1.3429.26 0.09% Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 3,160 3,406 $ 917.12 708.33 $ 910.53 (0.7%) 734.43 3.68% HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) 3,057 127.87 154.09 20.51% HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) 31,881 121.80 148.03 21.54% HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) 5,083 213.03 230.68 8.29% HF/HST 14-18 F 6,009 252.71 252.85 0.15,178 196.00 211.51 7.91% HF 19-44 M 4,690 361.17 366.83 1.64,295 268.71 277.99 3.45% HF 19-44 F 14,803 474.99 484.86 2.112,371 367.72 375.29 2.06% HF 45+ M+F 2,231 676.02 688.62 1.9% 1,872 613.86 601.49 (2.02%) HST 19-64 F 1,381 427.98 441.58 3.21,865 408.17 426.33 4.45% Subtotal - CFC 75,537 69,008 $ 302.70 237.63 $ 303.69 0.3256.75 8.05% EXT Extension EXT 19-34 M 5,834 4,242 $ 548.84 294.72 $ 561.41 2.3308.77 4.77% EXT 19-34 F 5,615 497.91 506.20 1.74,543 357.88 363.29 1.51% EXT 35-44 M 3,221 708.29 720.92 1.8% 2,195 524.91 523.52 (0.26%) EXT 35-44 F 2,998 712.36 726.39 2.0% 2,158 672.82 648.84 (3.56%) EXT 45-54 M 2,600 989.46 1,014.67 2.5% 2,197 819.85 777.70 (5.14%) EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% 2,562 850.35 824.07 (3.09%) EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% 1,712 847.41 817.07 (3.58%) EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% 2,046 862.59 838.40 (2.80%) Subtotal EXT 28,355 - Extension 21,654 $ 775.11 585.33 $ 791.57 2.1% 574.62 (1.83%) ABD ABD <21 1,717 1,012 $ 852.44 728.54 $ 868.45 1.9% 650.72 (10.68%) ABD 21+ 4,617 1,592.24 1,632.60 2.5% 3,501 1,407.78 1,362.83 (3.19%) Subtotal - ABD 6,334 4,513 $ 1,391.70 1,255.53 $ 1,425.46 2.4% 1,203.21 (4.17%) AFK 1,081 892 $ 639.91 386.60 $ 657.12 2.7386.96 0.09% CFC & EXT Delivery 192 202 $ 5,975.47 5,197.25 $ 5,987.85 0.25,373.23 3.39% Total 111,307 96,067 $ 498.58 376.10 $ 505.55 1.4385.34 2.46% Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 17,597 17,670 $ 1,262.30 898.53 $ 1,265.69 0.3912.79 1.59% HF/HST 1 M+F 18,049 281.37 281.84 0.217,320 187.16 203.45 8.70% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6178,931 142.39 161.66 13.53% HF/HST 14-18 M 34,218 244.22 246.87 1.128,036 200.02 212.59 6.28% HF/HST 14-18 F 34,248 316.37 321.05 1.528,794 240.43 248.35 3.29% HF 19-44 M 25,453 345.00 351.93 2.023,911 240.61 251.21 4.41% HF 19-44 F 87,917 494.47 507.49 2.674,073 349.20 353.86 1.33% HF 45+ M+F 14,354 677.16 692.62 2.3% 12,502 566.27 552.38 (2.45%) HST 19-64 F 7,148 551.47 569.97 3.48,915 352.92 364.18 3.19% Subtotal - CFC 434,259 390,153 $ 352.82 253.68 $ 357.95 1.5266.72 5.14% EXT Extension EXT 19-34 M 42,323 31,978 $ 516.42 308.05 $ 528.92 2.4314.84 2.20% EXT 19-34 F 35,855 531.85 543.10 2.127,982 357.90 361.39 0.98% EXT 35-44 M 23,577 745.91 763.14 2.3% 16,499 502.11 494.04 (1.61%) EXT 35-44 F 18,522 790.64 810.28 2.5% 13,307 629.67 619.01 (1.69%) EXT 45-54 M 18,469 935.82 957.10 2.3% 16,256 742.21 716.53 (3.46%) EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% 16,605 790.93 769.27 (2.74%) EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% 11,743 864.31 838.06 (3.04%) EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% 13,660 876.70 850.55 (2.98%) Subtotal EXT 189,690 - Extension 148,029 $ 761.75 566.46 $ 779.48 2.3% 556.98 (1.67%) ABD ABD <21 12,397 8,415 $ 1,162.87 1,091.48 $ 1,186.20 2.0% 1,063.64 (2.55%) ABD 21+ 33,463 1,648.92 1,692.23 2.6% 25,517 1,530.27 1,438.83 (5.98%) Subtotal - ABD 45,860 33,932 $ 1,517.53 1,421.45 $ 1,555.44 2.5% 1,345.78 (5.32%) AFK 9,246 7,249 $ 790.87 403.66 $ 820.32 3.7406.07 0.60% CFC & EXT Delivery 1,095 1,042 $ 5,936.74 5,200.66 $ 5,936.04 4,971.70 (0.04.40%) Total 679,055 579,363 $ 561.25 413.22 $ 572.44 2.0414.77 0.38% Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 14,934 15,675 $ 1,631.73 1,109.37 $ 1,629.98 (0.1%) 1,139.78 2.74% HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) 15,314 200.53 220.22 9.82% HF/HST 2-13 M+F 169,110 208.57 208.76 0.1153,344 148.50 169.42 14.09% HF/HST 14-18 M 28,913 254.04 256.54 1.024,107 186.30 197.29 5.90% HF/HST 14-18 F 29,231 318.77 322.18 1.124,300 235.59 242.48 2.92% HF 19-44 M 23,665 349.19 356.00 2.023,509 261.50 267.67 2.36% HF 19-44 F 71,281 563.74 580.36 2.9% 61,530 384.62 383.36 (0.33%) HF 45+ M+F 14,148 708.47 725.94 2.5% 11,524 577.08 558.52 (3.22%) HST 19-64 F 5,883 586.12 608.58 3.87,394 376.44 384.76 2.21% Subtotal - CFC 372,537 336,697 $ 382.93 275.31 $ 387.98 1.3288.18 4.67% EXT Extension EXT 19-34 M 33,504 24,461 $ 601.51 331.98 $ 615.92 2.4333.40 0.43% EXT 19-34 F 29,214 603.11 616.40 2.222,528 381.91 382.06 0.04% EXT 35-44 M 18,111 880.49 903.51 2.6% 12,279 568.63 558.03 (1.86%) EXT 35-44 F 14,846 877.94 899.88 2.5% 10,758 639.73 617.61 (3.46%) EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% 11,994 824.51 786.65 (4.59%) EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% 12,797 814.04 783.41 (3.76%) EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% 8,432 926.65 900.00 (2.88%) EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% 10,049 859.37 829.74 (3.45%) Subtotal EXT 148,262 - Extension 113,298 $ 853.39 594.40 $ 874.95 2.5% 579.41 (2.52%) ABD ABD <21 9,842 6,348 $ 1,232.54 1,326.77 $ 1,259.01 2.1% 1,237.29 (6.74%) ABD 21+ 29,961 1,752.05 1,804.35 3.0% 25,104 1,476.86 1,382.19 (6.41%) Subtotal - ABD 39,803 31,451 $ 1,623.59 1,446.57 $ 1,669.50 2.8% 1,352.95 (6.47%) AFK 6,613 5,657 $ 783.43 367.49 $ 815.49 4.1370.72 0.88% CFC & EXT Delivery 957 924 $ 5,783.26 4,825.52 $ 5,965.09 3.1% 4,543.92 (5.84%) Total 567,215 487,103 $ 607.39 435.38 $ 620.24 2.1% 434.25 (0.26%) Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,722 5,136 $ 1,225.57 875.72 $ 1,221.70 (0.3%) 912.39 4.19% HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) 4,792 194.41 208.18 7.08% HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) 52,033 149.57 168.37 12.57% HF/HST 14-18 M 9,872 264.29 265.91 0.69,112 198.51 213.39 7.50% HF/HST 14-18 F 9,973 315.68 318.51 0.99,072 235.88 243.65 3.29% HF 19-44 M 9,424 361.81 368.52 1.99,800 265.97 277.62 4.38% HF 19-44 F 25,116 514.02 527.35 2.623,088 373.95 377.23 0.88% HF 45+ M+F 4,614 799.91 820.48 2.6% 4,064 563.13 550.65 (2.22%) HST 19-64 F 1,786 561.24 583.02 3.92,551 474.67 484.24 2.02% Subtotal - CFC 124,122 119,648 $ 355.77 266.62 $ 359.96 1.2280.01 5.02% EXT Extension EXT 19-34 M 12,036 9,937 $ 500.88 277.70 $ 511.86 2.2292.16 5.21% EXT 19-34 F 10,527 567.53 580.47 2.38,503 358.50 364.69 1.73% EXT 35-44 M 6,721 683.18 705.15 3.2% 4,859 551.12 537.38 (2.49%) EXT 35-44 F 5,793 810.55 830.53 2.5% 4,336 581.18 566.30 (2.56%) EXT 45-54 M 5,528 880.19 898.79 2.1% 4,853 702.30 675.71 (3.79%) EXT 45-54 F 6,208 971.78 996.97 2.6% 5,532 752.47 731.29 (2.81%) EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% 3,764 818.89 784.24 (4.23%) EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% 4,463 820.93 793.53 (3.34%) Subtotal EXT 57,335 - Extension 46,247 $ 760.97 547.56 $ 780.09 2.5% 538.18 (1.71%) ABD ABD <21 3,162 2,060 $ 1,223.04 1,036.06 $ 1,246.28 1.91,040.69 0.45% ABD 21+ 11,894 1,549.61 1,593.82 2.9% 9,581 1,352.36 1,282.59 (5.16%) Subtotal - ABD 15,056 11,641 $ 1,481.03 1,296.39 $ 1,520.83 2.7% 1,239.78 (4.37%) AFK 2,996 2,168 $ 756.53 333.37 $ 782.86 3.5343.65 3.08% CFC & EXT Delivery 303 322 $ 5,102.70 4,282.91 $ 5,152.12 1.0% 4,218.61 (1.50%) Total 199,509 179,705 $ 570.90 414.11 $ 582.48 2.0416.95 0.69% Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 18,881 18,988 $ 1,375.64 979.40 $ 1,362.27 (1.0%) 1,016.10 3.75% HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) 19,190 198.09 217.53 9.81% HF/HST 2-13 M+F 224,655 212.38 213.43 0.5204,259 133.27 152.51 14.44% HF/HST 14-18 M 40,560 248.78 251.88 1.235,455 173.09 189.50 9.48% HF/HST 14-18 F 40,839 304.53 309.14 1.536,337 207.12 219.46 5.96% HF 19-44 M 32,969 322.73 327.89 1.629,997 231.97 242.73 4.64% HF 19-44 F 112,237 490.07 501.31 2.394,508 345.96 351.90 1.72% HF 45+ M+F 20,522 675.31 691.25 2.4% 17,329 543.87 530.27 (2.50%) HST 19-64 F 7,105 638.81 659.09 3.28,307 396.58 415.22 4.70% Subtotal - CFC 517,246 464,369 $ 358.13 249.06 $ 362.35 1.2263.78 5.91% EXT Extension EXT 19-34 M 62,187 44,680 $ 474.15 291.11 $ 482.33 1.7297.86 2.32% EXT 19-34 F 50,610 473.53 481.26 1.638,620 346.76 352.99 1.80% EXT 35-44 M 31,273 671.62 684.60 1.9% 21,557 464.71 459.39 (1.14%) EXT 35-44 F 23,623 695.39 708.63 1.9% 17,219 552.52 544.00 (1.54%) EXT 45-54 M 26,371 869.64 885.73 1.9% 22,615 726.31 696.72 (4.07%) EXT 45-54 F 26,643 904.61 924.19 2.2% 23,281 744.03 718.70 (3.40%) EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% 18,318 866.85 834.65 (3.71%) EXT 55-64 F 25,852 970.77 989.78 2.0% 20,897 795.47 766.80 (3.60%) Subtotal EXT 269,525 - Extension 207,189 $ 695.99 541.44 $ 708.86 1.8% 530.98 (1.93%) ABD ABD <21 17,875 12,671 $ 1,102.71 767.27 $ 1,127.93 2.3% 751.54 (2.05%) ABD 21+ 50,902 1,677.75 1,716.97 2.3% 40,838 1,514.95 1,419.71 (6.29%) Subtotal - ABD 68,777 53,509 $ 1,528.30 1,337.90 $ 1,563.88 2.3% 1,261.49 (5.71%) AFK 9,167 7,921 $ 780.44 392.90 $ 811.71 4.0392.92 0.01% CFC & EXT Delivery 1,299 1,279 $ 6,068.35 5,146.84 $ 6,079.32 0.2% 4,852.69 (5.72%) Total 864,715 732,987 $ 570.10 421.73 $ 579.81 1.7422.01 0.07% Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 4,852 5,122 $ 943.93 719.61 $ 930.70 (1.4%) 761.52 5.82% HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) 4,907 168.34 191.65 13.85% HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) 50,487 124.90 149.31 19.54% HF/HST 14-18 M 9,435 232.90 234.29 0.68,345 196.23 211.01 7.53% HF/HST 14-18 F 9,558 286.31 289.76 1.28,487 203.89 220.22 8.01% HF 19-44 M 7,730 320.29 325.64 1.77,375 212.42 226.17 6.47% HF 19-44 F 24,818 459.17 470.62 2.521,153 331.49 340.73 2.79% HF 45+ M+F 3,897 666.61 681.52 2.2% 3,431 548.42 537.54 (1.98%) HST 19-64 F 1,881 509.02 531.96 4.52,754 405.22 423.96 4.62% Subtotal - CFC 121,062 112,061 $ 318.20 229.89 $ 321.41 1.0248.94 8.29% EXT Extension EXT 19-34 M 11,012 8,104 $ 477.49 269.22 $ 486.84 2.0282.55 4.95% EXT 19-34 F 9,978 489.01 497.61 1.87,853 322.68 329.75 2.19% EXT 35-44 M 6,119 674.86 688.08 2.0% 4,181 427.62 414.66 (3.03%) EXT 35-44 F 5,416 753.87 770.48 2.2% 3,998 555.29 549.56 (1.03%) EXT 45-54 M 5,062 909.71 927.27 1.9% 4,226 669.44 647.29 (3.31%) EXT 45-54 F 5,664 935.40 955.98 2.2% 4,913 693.71 679.99 (1.98%) EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% 3,354 843.76 810.76 (3.91%) EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% 4,068 795.06 759.76 (4.44%) Subtotal EXT 52,807 - Extension 40,697 $ 723.63 516.63 $ 738.12 2.0% 508.55 (1.56%) ABD ABD <21 3,413 2,213 $ 1,161.76 829.32 $ 1,180.81 1.6832.16 0.34% ABD 21+ 9,197 1,581.29 1,624.62 2.7% 7,083 1,360.87 1,291.39 (5.11%) Subtotal - ABD 12,610 9,296 $ 1,467.74 1,234.31 $ 1,504.50 2.5% 1,182.05 (4.23%) AFK 2,444 2,051 $ 642.07 358.10 $ 661.42 3.0370.08 3.35% CFC & EXT Delivery 310 315 $ 4,983.35 4,693.50 $ 5,059.90 1.5% 4,508.93 (3.93%) Total 188,923 164,106 $ 520.62 368.50 $ 529.55 1.7376.34 2.13% Ohio Department of Medicaid July 2017 Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Amendmen Rate Change Summary Region: Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Enrollment/Deliveries Jul - Dec 2021 CY 2017 Capitation Rate Jan July 2017 - Jun 2022 December 2017 Capitation Rate % Total Change CFC HF/HST <1 M+F 68,698 70,925 $ 1,315.48 933.41 $ 1,311.11 (0.3%) 960.51 2.90% HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) 69,206 186.86 206.09 10.29% HF/HST 2-13 M+F 780,446 204.79 205.11 0.2718,010 138.10 158.83 15.01% HF/HST 14-18 M 137,992 247.24 249.51 0.9117,504 187.60 201.94 7.64% HF/HST 14-18 F 138,541 306.84 310.53 1.2119,660 222.79 233.18 4.66% HF 19-44 M 110,930 342.11 348.14 1.8105,740 246.22 256.32 4.10% HF 19-44 F 360,856 507.19 519.91 2.5307,700 359.03 363.17 1.15% HF 45+ M+F 63,557 696.97 713.12 2.3% 54,076 564.64 549.63 (2.66%) HST 19-64 F 26,968 576.45 596.43 3.534,019 391.40 404.23 3.28% Subtotal - CFC 1,758,510 1,596,839 $ 356.04 255.10 $ 360.30 1.2269.52 5.65% EXT Extension EXT 19-34 M 178,709 132,541 $ 519.67 302.31 $ 530.45 2.1309.29 2.31% EXT 19-34 F 151,571 524.77 534.79 1.9118,316 356.57 360.95 1.23% EXT 35-44 M 94,931 744.24 760.84 2.2% 65,992 504.94 497.13 (1.55%) EXT 35-44 F 75,729 781.14 798.61 2.2% 55,396 598.39 585.16 (2.21%) EXT 45-54 M 77,168 947.09 967.23 2.1% 66,475 749.19 718.73 (4.07%) EXT 45-54 F 80,589 972.03 995.00 2.4% 70,182 774.96 750.09 (3.21%) EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% 50,509 874.10 843.79 (3.47%) EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% 58,714 833.51 804.58 (3.47%) Subtotal EXT 795,695 - Extension 618,124 $ 757.45 559.77 $ 773.79 2.2% 548.76 (1.97%) ABD ABD <21 52,254 35,579 $ 1,132.61 963.46 $ 1,156.23 2.1% 927.45 (3.74%) ABD 21+ 150,389 1,677.90 1,721.10 2.6% 120,358 1,490.96 1,401.88 (5.97%) Subtotal - ABD 202,643 155,937 $ 1,537.29 1,370.60 $ 1,575.44 2.5% 1,293.63 (5.62%) AFK 33,781 27,585 $ 753.17 381.83 $ 781.25 3.7385.49 0.96% CFC & EXT Delivery 4,442 4,391 $ 5,852.24 5,070.22 $ 5,907.29 0.9% 4,835.46 (4.63%) Total 2,790,629 2,398,485 $ 570.39 416.88 $ 580.94 1.8418.25 0.33% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP Managed Care Plan’s (MCP’s) responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall will provide both members and eligible individuals with a copy of their practice guidelines.

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 the July 1, 2019 amendment to the certified calendar year (CY) 2021 2019 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 appendicesenclosures, 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 MCOPs in the development of the July 1, 2019 amendment to the certified CY 2019 capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development may likewise need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 July 2019 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Capitation Rates Effective January July 1, 2022 2019 Rate Change Summary Region: North Central Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Members Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 NFLOC 19,898 $ 999.86 3,991.69 $ 1,004.70 0.54,076.09 2.1% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19Community Well 18-44 M 6,999 383.79 388.01 1.14,113 351.16 $ 356.34 1.5% HF 19Community Well 45-64 8,727 402.14 $ 408.90 1.7% Community Well 65+ 7,739 533.22 $ 545.65 2.3% Total 40,477 $ 2,186.60 $ 2,232.45 2.1% Region: Central / Southeast Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 2,228 $ 4,412.37 $ 4,495.10 1.9% Community Well 18-44 F 24,684 527.73 537.14 524 418.89 423.94 1.2% Community Well 45-64 1,050 525.81 532.04 1.2% Community Well 65+ 1,048 750.48 762.84 1.6% Total 4,850 $ 2,348.22 $ 2,390.79 1.8% HF 45+ M+F 3,791 764.60 777.49 Region: East Central Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 3,246 $ 3,621.70 $ 3,710.99 2.5% Community Well 18-44 570 334.29 340.08 1.7% HST 19Community Well 45-64 F 1,784 597.62 614.09 2.81,239 413.06 422.57 2.3% Subtotal CFC 113,747 Community Well 65+ 1,023 562.80 580.86 3.2% Total 6,078 $ 346.67 2,144.47 $ 348.74 0.62,197.68 2.5% EXT EXT 19Region: Northeast Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 5,220 $ 4,274.13 $ 4,343.90 1.6% Community Well 18-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 44 973 360.51 365.25 1.3% EXT 35Community Well 45-44 M 5,909 865.18 878.33 64 2,147 408.29 414.26 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21Community Well 65+ 10,355 1,829.06 1,865.11 2,473 473.90 483.19 2.0% Subtotal ABD 14,203 Total 10,813 $ 1,589.09 2,285.24 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.32,322.66 1.6% Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Capitation Rates Effective January July 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 2019 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Members Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 NFLOC 1,158 $ 943.93 3,803.53 $ 930.70 (1.4%) HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 0.63,901.20 2.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19Community Well 18-44 M 7,730 320.29 325.64 1.7386 312.63 317.05 1.4% HF 19Community Well 45-44 F 24,818 459.17 470.62 64 734 366.58 373.03 1.8% Community Well 65+ 603 555.23 570.06 2.7% Total 2,881 $ 1,780.30 $ 1,824.89 2.5% HF 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Northwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Members Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 NFLOC 1,190 $ 1,315.48 3,997.92 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.24,049.17 1.3% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19Community Well 18-44 M 110,930 342.11 348.14 1.8383 398.84 403.29 1.1% HF 19Community Well 45-64 756 402.86 407.40 1.1% Community Well 65+ 535 412.77 419.05 1.5% Total 2,864 $ 1,897.93 $ 1,922.19 1.3% Region: Southwest Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 3,617 $ 4,256.08 $ 4,361.03 2.5% Community Well 18-44 F 360,856 507.19 519.91 2.5763 321.73 326.72 1.6% HF Community Well 45-64 1,565 376.75 383.29 1.7% Community Well 65+ M+F 63,557 696.97 713.12 1,271 521.08 532.80 2.2% Total 7,216 $ 2,340.86 $ 2,397.47 2.4% Region: West Central Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 3,239 $ 3,387.69 $ 3,476.37 2.6% Community Well 18-44 514 320.24 327.11 2.1% Community Well 45-64 1,236 328.29 335.90 2.3% HST 19-64 F 26,968 576.45 596.43 3.5Community Well 65+ 786 476.42 495.00 3.9% Subtotal CFC 1,758,510 Total 5,775 $ 356.04 2,063.65 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2,118.15 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC Milliman is among the world’s largest providers of actuarial and related products and services. The firm has consulting practices in life insurance and financial services, property & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% casualty insurance, healthcare, and employee benefits. Founded in 1947, Milliman is an independent firm with offices in major cities around the globe. xxxxxxxx.xxx APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP MCOP’s responsibilities related to communicating with eligible individuals pre-enrollment and MCP MCOP members post-enrollment. Upon request, the MCP shall MCOP will provide both members and eligible individuals with a copy of their practice guidelines.

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 the November 1, 2021 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 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 appendicesenclosures, 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 existing participating Medicaid MCPs MyCare Ohio Plans (MCOPs) 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 will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12, 2019. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: North Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 $ 999.86 $ 1,004.70 0.5% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19-44 M 6,999 383.79 388.01 1.1% HF 19-44 F 24,684 527.73 537.14 1.8% HF 45+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8% Subtotal CFC 113,747 $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 35-44 M 5,909 865.18 878.33 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.3% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 $ 943.93 $ 930.70 (1.4%) HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19-44 M 7,730 320.29 325.64 1.7% HF 19-44 F 24,818 459.17 470.62 2.5% HF 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 $ 1,315.48 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.2% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19-44 M 110,930 342.11 348.14 1.8% HF 19-44 F 360,856 507.19 519.91 2.5% HF 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.5% Subtotal CFC 1,758,510 $ 356.04 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall provide both members and eligible individuals with a copy of their practice guidelines.

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 the July 1, 2017 amendment to the certified calendar year (CY) 2021 2017 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Opt-In Program (MMCMyCare). 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 appendicesenclosures, 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 MCOPs in the development of the July 1, 2017 amendment to the certified CY 2017 capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development would need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 Rate Change Summaries Ohio Department of Medicaid Medicaid MyCare Ohio Managed Care Program Capitation July 2017 - December 2017 Opt-In Certified Rates Effective January 1, 2022 Rate Change Summary Region: North Central / Southeast Projected AverageRate Cell Monthly Members January - December 2017 Capitation Rate July - December 2017 Capitation Rate Total Change NFLOC Total 3,777 1,214 2,034 2,060 9,085 Projected Average Monthly Members $ 4,321.59 464.67 645.92 799.20 $ 2,184.58 January - December 2017 Capitation Rate $ 4,072.49 (5.76%) Community Well 18-44 472.26 1.63% Community Well 45-64 640.73 (0.80%) Community Well 65+ 789.92 (1.16%) All Populations $ 2,078.77 (4.84%) Region: East Central July - December 2017 Total Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan Change NFLOC Total 4,177 1,199 1,907 1,674 8,957 Projected Average Monthly Members $ 3,294.91 292.58 349.28 643.27 $ 1,770.30 January - Jun 2022 December 2017 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 $ 999.86 $ 1,004.70 0.5% HF/HST 1 M+F 4,570 206.06 201.25 3,110.44 (2.35.60%) HF/HST 2Community Well 18-13 M+F 49,838 194.74 192.69 44 298.25 1.94% Community Well 45-64 351.81 0.72% Community Well 65+ 634.17 (1.11.41%) HF/HST 14-18 M 8,846 230.65 230.14 All Populations $ 1,683.87 (0.24.88%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19Region: Northeast July - December 2017 Total Rate Cell Capitation Rate Change NFLOC Total 6,193 Community Well 18-44 M 6,999 383.79 388.01 1.1% HF 192,754 Community Well 45-64 4,447 Community Well 65+ 4,584 All Populations 17,978 Region: Northeast Central Projected AverageRate Cell Monthly Members $ 3,922.00 360.49 426.71 565.83 $ 1,656.08 January - December 2017 Capitation Rate $ 3,667.79 (6.48%) 358.50 (0.55%) 420.72 (1.40%) 555.67 (1.80%) $ 1,564.14 (5.55%) July - December 2017 Total Capitation Rate Change NFLOC Total 1,900 946 1,426 1,149 5,421 Projected Average Monthly Members $ 3,598.30 264.43 311.10 614.03 $ 1,519.29 January - December 2017 Capitation Rate $ 3,385.37 (5.92%) Community Well 18-44 F 24,684 527.73 537.14 1.8270.23 2.19% HF Community Well 45+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8314.07 0.95% Subtotal CFC 113,747 Community Well 65+ 605.85 (1.33%) All Populations $ 346.67 1,444.72 (4.91%) Region: Northwest July - December 2017 Total Rate Cell Capitation Rate Change NFLOC Total 2,336 1,018 1,469 1,162 5,985 Projected Average Monthly Members $ 348.74 0.6% EXT EXT 19-34 M 11,813 3,764.89 415.29 461.25 511.02 $ 582.92 1,752.54 January - December 2017 Capitation Rate $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 353,554.30 (5.59%) Community Well 18-44 M 5,909 865.18 878.33 1.5423.40 1.95% EXT 35Community Well 45-64 466.57 1.15% Community Well 65+ 520.40 1.84% All Populations $ 1,674.85 (4.43%) Region: Southwest July - December 2017 Total Rate Cell Capitation Rate Change NFLOC Total 3,750 1,551 2,406 1,810 9,517 Projected Average Monthly Members $ 4,031.71 325.35 402.82 731.36 $ 1,882.58 January - December 2017 Capitation Rate $ 3,838.78 (4.79%) Community Well 18-44 F 4,531 912.74 928.83 1.8350.36 7.69% EXT Community Well 45-54 M 4,670 1,036.30 1,054.49 1.864 424.31 5.33% EXT Community Well 65+ 741.67 1.41% All Populations $ 1,818.03 (3.43%) Region: West Central July - December 2017 Total Rate Cell Capitation Rate Change NFLOC Total 3,208 897 1,243 702 6,050 Projected Average Monthly Members $ 3,521.75 366.31 433.69 671.08 $ 2,088.68 January - December 2017 Capitation Rate $ 3,294.49 (6.45%) Community Well 18-44 371.91 1.53% Community Well 45-54 F 5,059 991.99 1,010.62 1.964 435.10 0.33% EXT 55Community Well 65+ 662.84 (1.23%) All Populations $ 1,968.34 (5.76%) Region: Statewide Total July - December 2017 Total Rate Cell Capitation Rate Change NFLOC Total 25,341 $ 3,805.01 $ 3,582.65 (5.84%) Community Well 18-44 9,579 356.39 363.49 1.99% Community Well 45-64 M 3,741 1,209.84 1,229.68 1.614,932 435.77 437.99 0.51% EXT 55Community Well 65+ 13,141 640.07 635.00 (0.79%) All Populations 62,993 $ 1,821.71 $ 1,732.80 (4.88%) Appendix 01 - Rate Change Milliman, Inc. Page 1 of 1 Milliman Client Report July 2017 MyCare Ohio Capitation Provider Agreement Rate Amendment Summary Opt-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.3% Out Capitation Rates July 1, 2017 through December 31, 2017 Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Prepared for: Xx Xxxxxxxxx Deputy Director Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Setting Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1Prepared by: Xxxx X. Xxxxxxxx FSA, 2022 Rate Change MAAA Principal and Consulting Actuary Xxxxx X. Xxxxxx ASA, MAAA Associate Actuary Chase Center/Circle 000 Xxxxxxxx Xxxxxx Suite 601 Indianapolis, IN 46204 USA Tel +0 000 000 0000 Fax +0 000 000 0000 xxxxxxxx.xxx June 12, 2017 Table of Contents I. BACKGROUND 2 II. EXECUTIVE SUMMARY 3 Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 $ 943.93 $ 930.70 (1.4%) HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19-44 M 7,730 320.29 325.64 1.7% HF 19-44 F 24,818 459.17 470.62 2.5% HF 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 $ 1,315.48 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.2% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19-44 M 110,930 342.11 348.14 1.8% HF 19-44 F 360,856 507.19 519.91 2.5% HF 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.5% Subtotal CFC 1,758,510 $ 356.04 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall provide both members and eligible individuals with a copy of their practice guidelines.Methodology 3

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 2020 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 appendicesenclosures, 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 MCOPs in the development of this amendment to the certified CY 2020 capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development may likewise need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. At the time of this report, we acknowledge there is substantial uncertainty regarding the impact of the COVID-19 pandemic on future projections. It is possible that the COVID-19 pandemic could have a material impact on the projected enrollment and capitation rates presented in this report. The impact of COVID-19 has been excluded from this analysis. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX ODM dated July 12, 2019. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 through June 2020 Rate Change Summaries Summary Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Calendar Year 2020 Rate Amendment January through June 2020 Capitation Rates Effective January 1, 2022 Rate Change Summary Region: North Statewide Rate Cell Average Monthly Enrollment January to June 2020Capitation Rate NFLOC 22,557 $ 4,099.22 Community Well 18-44 4,878 $ 303.11 Community Well 45-64 10,554 $ 365.42 Community Well 65+ 9,917 $ 435.98 Total 47,906 $ 2,131.78 Region: Central / Southeast Rate Cell Average Monthly Enrollment January to June 2020Capitation Rate NFLOC 2,462 $ 4,744.90 Community Well 18-44 643 336.86 Community Well 45-64 1,250 455.96 Community Well 65+ 1,261 582.25 Total 5,616 $ 2,350.91 Region: East Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation January to June 2020Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 NFLOC 3,898 $ 999.86 $ 1,004.70 0.5% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 193,623.66 Community Well 18-44 M 6,999 383.79 388.01 1.1% HF 19-44 F 24,684 527.73 537.14 1.8% HF 656 277.18 Community Well 45+ M+F 3,791 764.60 777.49 1.7% HST 19-64 F 1,784 597.62 614.09 2.8% Subtotal CFC 113,747 1,497 345.67 Community Well 65+ 1,384 452.22 Total 7,435 $ 346.67 $ 348.74 0.6% EXT EXT 19-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 1.3% EXT 35-44 M 5,909 865.18 878.33 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21+ 10,355 1,829.06 1,865.11 2.0% Subtotal ABD 14,203 $ 1,589.09 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.3% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary 2,078.04 Region: Northeast Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation January to June 2020Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 NFLOC 5,946 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 194,266.90 Community Well 18-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 1,179 308.90 Community Well 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 2,634 371.28 Community Well 65+ 3,268 434.30 Total 13,027 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% 2,159.55 Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Calendar Year 2020 Rate Amendment January through June 2020 Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation January to June 2020Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 NFLOC 1,340 $ 943.93 $ 930.70 (1.4%) HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 193,772.36 Community Well 18-44 M 7,730 320.29 325.64 1.7% HF 19434 265.47 Community Well 45-64 925 321.03 Community Well 65+ 813 378.38 Total 3,512 $ 1,644.29 Region: Northwest Rate Cell Average Monthly Enrollment January to June 2020Capitation Rate NFLOC 1,367 $ 4,123.12 Community Well 18-44 F 24,818 459.17 470.62 2.5% HF 446 328.42 Community Well 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 950 373.29 Community Well 65+ 665 345.83 Total 3,428 $ 318.20 1,857.46 Region: Southwest Rate Cell Average Monthly Enrollment January to June 2020Capitation Rate NFLOC 4,104 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 354,518.99 Community Well 18-44 M 6,119 674.86 688.08 2.0% EXT 35913 302.42 Community Well 45-64 1,881 356.57 Community Well 65+ 1,534 422.74 Total 8,432 $ 2,388.67 Region: West Central Rate Cell Average Monthly Enrollment January to June 2020Capitation Rate NFLOC 3,440 $ 3,503.17 Community Well 18-44 F 5,416 753.87 770.48 2.2% EXT 607 293.46 Community Well 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 1,417 330.94 Community Well 65+ 992 361.08 Total 6,456 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% 2,022.33 MILLIMAN CLIENT REPORT Appendix 2: July through December 2020 Rate Summary Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Calendar Year 2020 Rate Amendment July through December 2020 Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 22,557 $ 4,127.24 Community Well 18-44 4,878 308.14 Community Well 45-64 10,554 371.05 Community Well 65+ 9,917 442.91 Total 47,906 $ 2,148.16 Region: Central / Deliveries Jul - Dec 2021 Southeast Rate Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 2,462 $ 4,763.98 Community Well 18-44 643 342.46 Community Well 45-64 1,250 461.72 Community Well 65+ 1,261 588.14 Total 5,616 $ 2,362.52 Region: East Central Rate Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 3,898 $ 3,641.62 Community Well 18-44 656 281.75 Community Well 45-64 1,497 351.24 Community Well 65+ 1,384 460.01 Total 7,435 $ 2,090.43 Region: Northeast Rate Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 5,946 $ 4,296.53 Community Well 18-44 1,179 313.11 Community Well 45-64 2,634 376.18 Community Well 65+ 3,268 440.84 Total 13,027 $ 2,176.09 Ohio Department of Medicaid MyCare Ohio Opt-Out Program Calendar Year 2020 Rate Amendment July through December 2020 Capitation Rate Jan - Jun 2022 Capitation Summary Region: Northeast Central Rate % Change CFC HF/HST <1 M+F 68,698 Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 1,340 $ 1,315.48 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.2% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 193,795.52 Community Well 18-44 M 110,930 342.11 348.14 1.8% HF 19434 269.55 Community Well 45-64 925 325.22 Community Well 65+ 813 383.54 Total 3,512 $ 1,655.93 Region: Northwest Rate Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 1,367 $ 4,102.09 Community Well 18-44 F 360,856 507.19 519.91 2.5% HF 446 333.55 Community Well 45+ M+F 63,557 696.97 713.12 2.3% HST 19-64 F 26,968 576.45 596.43 3.5% Subtotal CFC 1,758,510 950 378.30 Community Well 65+ 665 350.35 Total 3,428 $ 356.04 1,852.01 Region: Southwest Rate Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 4,104 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 354,583.16 Community Well 18-44 M 94,931 744.24 760.84 2.2% EXT 35913 308.41 Community Well 45-64 1,881 363.73 Community Well 65+ 1,534 432.11 Total 8,432 $ 2,423.85 Region: West Central Rate Cell Average Monthly Enrollment July to December 2020Capitation Rate NFLOC 3,440 $ 3,524.44 Community Well 18-44 F 75,729 781.14 798.61 2.2% EXT 607 299.17 Community Well 45-54 M 77,168 947.09 967.23 2.1% EXT 4564 1,417 337.22 Community Well 65+ 992 368.70 Total 6,456 $ 2,036.75 MILLIMAN CLIENT REPORT July 2020 MyCare Ohio Capitation Provider Agreement Rate Amendment Summary Opt-54 F 80,589 972.03 995.00 2.4% EXT 55In Capitation Rates July 1, 2020 through December 31, 2020 Ohio Department of Medicaid June 17, 2020 Xxxxxx X. Xxxxxx, FSA, MAAA Xxxxx X. Xxxxx, FSA, MAAA Principal and Consulting Actuary Consulting Actuary Xxxxxxx X. Xxxxxx, FSA, MAAA Principal and Consulting Actuary Table of Contents I. INTRODUCTION & EXECUTIVE SUMMARY 2 BACKGROUND 2 SUMMARY OF METHODOLOGY 3 II. PROSPECTIVE DATA ADJUSTMENTS 4 PROGRAM ADJUSTMENTS: JULY THROUGH DECEMBER 2020 4 NURSING FACILITY REIMBURSEMENT CHANGES 4 VENTILATOR-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55DEPENDENT NURSING FACILITY RATE CHANGE 4 OTHER NON-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% FACILITY REIMBURSEMENT CHANGES 4 IMMATERIAL PROGRAM ADJUSTMENTS 4 III. NON-BENEFIT EXPENSES 5 CARE MANAGEMENT COSTS 5 ADMINISTRATIVE EXPENSE COST ALLOWANCE 5 STATE TAXES AND FEES 5 HEALTH INSURANCE PROVIDERS FEE (HIF) 5 IV. OTHER ITEMS 6 INCENTIVES AND WITHHOLDS 6 V. MEMBER ENROLLMENT MIX ADJUSTMENT (MEMA) 7 VI. LIMITATIONS AND DATA RELIANCE 8 APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall provide both members and eligible individuals with a copy of their practice guidelines.1: JULY 2020 RATE CHANGE SUMMARIES

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 the July 1, 2019 amendment to the certified calendar year (CY) 2021 2019 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates for the Medicaid Managed Care MyCare Ohio Program (MMCMyCare). 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 appendicesenclosures, 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 MCOPs in the development of the July 1, 2019 amendment to the certified CY 2019 capitation rates. Milliman has relied upon ODM and the MCOPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development may likewise need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX ODM dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 July 2019 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Capitation Rates Effective January July 1, 2022 2019 Rate Change Summary Region: North Central Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Members Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 NFLOC 19,898 $ 999.86 3,991.69 $ 1,004.70 0.54,076.09 2.1% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) HF/HST 14-18 F 8,683 289.81 290.04 0.1% HF 19Community Well 18-44 M 6,999 383.79 388.01 1.14,113 351.16 $ 356.34 1.5% HF 19Community Well 45-64 8,727 402.14 $ 408.90 1.7% Community Well 65+ 7,739 533.22 $ 545.65 2.3% Total 40,477 $ 2,186.60 $ 2,232.45 2.1% Region: Central / Southeast Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 2,228 $ 4,412.37 $ 4,495.10 1.9% Community Well 18-44 F 24,684 527.73 537.14 524 418.89 423.94 1.2% Community Well 45-64 1,050 525.81 532.04 1.2% Community Well 65+ 1,048 750.48 762.84 1.6% Total 4,850 $ 2,348.22 $ 2,390.79 1.8% HF 45+ M+F 3,791 764.60 777.49 Region: East Central Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 3,246 $ 3,621.70 $ 3,710.99 2.5% Community Well 18-44 570 334.29 340.08 1.7% HST 19Community Well 45-64 F 1,784 597.62 614.09 2.81,239 413.06 422.57 2.3% Subtotal CFC 113,747 Community Well 65+ 1,023 562.80 580.86 3.2% Total 6,078 $ 346.67 2,144.47 $ 348.74 0.62,197.68 2.5% EXT EXT 19Region: Northeast Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 5,220 $ 4,274.13 $ 4,343.90 1.6% Community Well 18-34 M 11,813 $ 582.92 $ 591.19 1.4% EXT 19-34 F 9,772 535.82 542.74 44 973 360.51 365.25 1.3% EXT 35Community Well 45-44 M 5,909 865.18 878.33 64 2,147 408.29 414.26 1.5% EXT 35-44 F 4,531 912.74 928.83 1.8% EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% EXT 45-54 F 5,059 991.99 1,010.62 1.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% Subtotal EXT 49,721 $ 809.82 $ 822.93 1.6% ABD ABD <21 3,848 $ 943.34 $ 960.93 1.9% ABD 21Community Well 65+ 10,355 1,829.06 1,865.11 2,473 473.90 483.19 2.0% Subtotal ABD 14,203 Total 10,813 $ 1,589.09 2,285.24 $ 1,620.14 2.0% AFK 2,234 $ 567.53 $ 582.26 2.6% CFC & EXT Delivery 287 $ 6,429.01 $ 6,484.66 0.9% Total 179,905 $ 585.76 $ 593.41 1.32,322.66 1.6% Ohio Department of Medicaid Medicaid Managed Care MyCare Ohio Opt-Out Program Capitation Rates Effective January July 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 $ 1,262.30 $ 1,265.69 0.3% HF/HST 1 M+F 18,049 281.37 281.84 0.2% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% HF/HST 14-18 M 34,218 244.22 246.87 1.1% HF/HST 14-18 F 34,248 316.37 321.05 1.5% HF 19-44 M 25,453 345.00 351.93 2.0% HF 19-44 F 87,917 494.47 507.49 2.6% HF 45+ M+F 14,354 677.16 692.62 2.3% HST 19-64 F 7,148 551.47 569.97 3.4% Subtotal CFC 434,259 $ 352.82 $ 357.95 1.5% EXT EXT 19-34 M 42,323 $ 516.42 $ 528.92 2.4% EXT 19-34 F 35,855 531.85 543.10 2.1% EXT 35-44 M 23,577 745.91 763.14 2.3% EXT 35-44 F 18,522 790.64 810.28 2.5% EXT 45-54 M 18,469 935.82 957.10 2.3% EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% Subtotal EXT 189,690 $ 761.75 $ 779.48 2.3% ABD ABD <21 12,397 $ 1,162.87 $ 1,186.20 2.0% ABD 21+ 33,463 1,648.92 1,692.23 2.6% Subtotal ABD 45,860 $ 1,517.53 $ 1,555.44 2.5% AFK 9,246 $ 790.87 $ 820.32 3.7% CFC & EXT Delivery 1,095 $ 5,936.74 $ 5,936.04 (0.0%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 $ 1,631.73 $ 1,629.98 (0.1%) HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% HF/HST 14-18 M 28,913 254.04 256.54 1.0% HF/HST 14-18 F 29,231 318.77 322.18 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.9% HF 45+ M+F 14,148 708.47 725.94 2.5% HST 19-64 F 5,883 586.12 608.58 3.8% Subtotal CFC 372,537 $ 382.93 $ 387.98 1.3% EXT EXT 19-34 M 33,504 $ 601.51 $ 615.92 2.4% EXT 19-34 F 29,214 603.11 616.40 2.2% EXT 35-44 M 18,111 880.49 903.51 2.6% EXT 35-44 F 14,846 877.94 899.88 2.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% Subtotal EXT 148,262 $ 853.39 $ 874.95 2.5% ABD ABD <21 9,842 $ 1,232.54 $ 1,259.01 2.1% ABD 21+ 29,961 1,752.05 1,804.35 3.0% Subtotal ABD 39,803 $ 1,623.59 $ 1,669.50 2.8% AFK 6,613 $ 783.43 $ 815.49 4.1% CFC & EXT Delivery 957 $ 5,783.26 $ 5,965.09 3.1% Total 567,215 $ 607.39 $ 620.24 2.1% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 $ 1,225.57 $ 1,221.70 (0.3%) HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% HF/HST 14-18 F 9,973 315.68 318.51 0.9% HF 19-44 M 9,424 361.81 368.52 1.9% HF 19-44 F 25,116 514.02 527.35 2.6% HF 45+ M+F 4,614 799.91 820.48 2.6% HST 19-64 F 1,786 561.24 583.02 3.9% Subtotal CFC 124,122 $ 355.77 $ 359.96 1.2% EXT EXT 19-34 M 12,036 $ 500.88 $ 511.86 2.2% EXT 19-34 F 10,527 567.53 580.47 2.3% EXT 35-44 M 6,721 683.18 705.15 3.2% EXT 35-44 F 5,793 810.55 830.53 2.5% EXT 45-54 M 5,528 880.19 898.79 2.1% EXT 45-54 F 6,208 971.78 996.97 2.6% EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% Subtotal EXT 57,335 $ 760.97 $ 780.09 2.5% ABD ABD <21 3,162 $ 1,223.04 $ 1,246.28 1.9% ABD 21+ 11,894 1,549.61 1,593.82 2.9% Subtotal ABD 15,056 $ 1,481.03 $ 1,520.83 2.7% AFK 2,996 $ 756.53 $ 782.86 3.5% CFC & EXT Delivery 303 $ 5,102.70 $ 5,152.12 1.0% Total 199,509 $ 570.90 $ 582.48 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 $ 1,375.64 $ 1,362.27 (1.0%) HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% HF/HST 14-18 M 40,560 248.78 251.88 1.2% HF/HST 14-18 F 40,839 304.53 309.14 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.3% HF 45+ M+F 20,522 675.31 691.25 2.4% HST 19-64 F 7,105 638.81 659.09 3.2% Subtotal CFC 517,246 $ 358.13 $ 362.35 1.2% EXT EXT 19-34 M 62,187 $ 474.15 $ 482.33 1.7% EXT 19-34 F 50,610 473.53 481.26 1.6% EXT 35-44 M 31,273 671.62 684.60 1.9% EXT 35-44 F 23,623 695.39 708.63 1.9% EXT 45-54 M 26,371 869.64 885.73 1.9% EXT 45-54 F 26,643 904.61 924.19 2.2% EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% EXT 55-64 F 25,852 970.77 989.78 2.0% Subtotal EXT 269,525 $ 695.99 $ 708.86 1.8% ABD ABD <21 17,875 $ 1,102.71 $ 1,127.93 2.3% ABD 21+ 50,902 1,677.75 1,716.97 2.3% Subtotal ABD 68,777 $ 1,528.30 $ 1,563.88 2.3% AFK 9,167 $ 780.44 $ 811.71 4.0% CFC & EXT Delivery 1,299 $ 6,068.35 $ 6,079.32 0.2% Total 864,715 $ 570.10 $ 579.81 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 2019 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Members Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 NFLOC 1,158 $ 943.93 3,803.53 $ 930.70 (1.4%) HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) HF/HST 14-18 M 9,435 232.90 234.29 0.63,901.20 2.6% HF/HST 14-18 F 9,558 286.31 289.76 1.2% HF 19Community Well 18-44 M 7,730 320.29 325.64 1.7386 312.63 317.05 1.4% HF 19Community Well 45-44 F 24,818 459.17 470.62 64 734 366.58 373.03 1.8% Community Well 65+ 603 555.23 570.06 2.7% Total 2,881 $ 1,780.30 $ 1,824.89 2.5% HF 45+ M+F 3,897 666.61 681.52 2.2% HST 19-64 F 1,881 509.02 531.96 4.5% Subtotal CFC 121,062 $ 318.20 $ 321.41 1.0% EXT EXT 19-34 M 11,012 $ 477.49 $ 486.84 2.0% EXT 19-34 F 9,978 489.01 497.61 1.8% EXT 35-44 M 6,119 674.86 688.08 2.0% EXT 35-44 F 5,416 753.87 770.48 2.2% EXT 45-54 M 5,062 909.71 927.27 1.9% EXT 45-54 F 5,664 935.40 955.98 2.2% EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% Subtotal EXT 52,807 $ 723.63 $ 738.12 2.0% ABD ABD <21 3,413 $ 1,161.76 $ 1,180.81 1.6% ABD 21+ 9,197 1,581.29 1,624.62 2.7% Subtotal ABD 12,610 $ 1,467.74 $ 1,504.50 2.5% AFK 2,444 $ 642.07 $ 661.42 3.0% CFC & EXT Delivery 310 $ 4,983.35 $ 5,059.90 1.5% Total 188,923 $ 520.62 $ 529.55 1.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Statewide Northwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Members Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 NFLOC 1,190 $ 1,315.48 3,997.92 $ 1,311.11 (0.3%) HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.24,049.17 1.3% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% HF 19Community Well 18-44 M 110,930 342.11 348.14 1.8383 398.84 403.29 1.1% HF 19Community Well 45-64 756 402.86 407.40 1.1% Community Well 65+ 535 412.77 419.05 1.5% Total 2,864 $ 1,897.93 $ 1,922.19 1.3% Region: Southwest Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 3,617 $ 4,256.08 $ 4,361.03 2.5% Community Well 18-44 F 360,856 507.19 519.91 2.5763 321.73 326.72 1.6% HF Community Well 45-64 1,565 376.75 383.29 1.7% Community Well 65+ M+F 63,557 696.97 713.12 1,271 521.08 532.80 2.2% Total 7,216 $ 2,340.86 $ 2,397.47 2.4% Region: West Central Rate Cell Average Monthly Members Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change NFLOC 3,239 $ 3,387.69 $ 3,476.37 2.6% Community Well 18-44 514 320.24 327.11 2.1% Community Well 45-64 1,236 328.29 335.90 2.3% HST 19-64 F 26,968 576.45 596.43 3.5Community Well 65+ 786 476.42 495.00 3.9% Subtotal CFC 1,758,510 Total 5,775 $ 356.04 2,063.65 $ 360.30 1.2% EXT EXT 19-34 M 178,709 $ 519.67 $ 530.45 2.1% EXT 19-34 F 151,571 524.77 534.79 1.9% EXT 35-44 M 94,931 744.24 760.84 2.2% EXT 35-44 F 75,729 781.14 798.61 2.2% EXT 45-54 M 77,168 947.09 967.23 2.1% EXT 45-54 F 80,589 972.03 995.00 2.4% EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% Subtotal EXT 795,695 $ 757.45 $ 773.79 2.2% ABD ABD <21 52,254 $ 1,132.61 $ 1,156.23 2.1% ABD 21+ 150,389 1,677.90 1,721.10 2,118.15 2.6% Subtotal ABD 202,643 $ 1,537.29 $ 1,575.44 2.5% AFK 33,781 $ 753.17 $ 781.25 3.7% CFC Milliman is among the world’s largest providers of actuarial and related products and services. The firm has consulting practices in life insurance and financial services, property & EXT Delivery 4,442 $ 5,852.24 $ 5,907.29 0.9% Total 2,790,629 $ 570.39 $ 580.94 1.8% casualty insurance, healthcare, and employee benefits. Founded in 1947, Milliman is an independent firm with offices in major cities around the globe. xxxxxxxx.xxx APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP MCOP’s responsibilities related to communicating with eligible individuals pre-enrollment and MCP MCOP members post-enrollment. Upon request, the MCP shall MCOP will provide both members and eligible individuals with a copy of their practice guidelines.

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 the July 1, 2020 amendment to the certified calendar year (CY) 2021 2020 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates 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 appendicesenclosures, 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 in the development of the July 1, 2020 amendment to the certified CY 2020 capitation rates. Milliman has relied upon ODM and the MCPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development may likewise need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. At the time of this report, we acknowledge there is substantial uncertainty regarding the impact of the COVID-19 pandemic on future projections. It is possible that the COVID-19 pandemic could have a material impact on the capitation rates presented in this report. With the exception of the morbidity impact of increased caseload expected to be enrolled in July through December 2020, the impact of COVID-19 has been excluded from this analysis. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12, 2019. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 July 2020 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: North Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 4,779 $ 999.86 1,023.28 $ 1,004.70 0.51,031.60 0.8% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) 4,200 192.11 199.21 3.7% HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) 49,823 178.83 181.45 1.5% HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) 7,870 235.22 238.09 1.2% HF/HST 14-18 F 8,683 289.81 290.04 0.17,969 304.85 306.11 0.4% HF 19-44 M 6,999 383.79 388.01 1.1% 6,189 427.78 409.99 (4.2%) HF 19-44 F 24,684 527.73 537.14 1.8% 21,343 577.38 565.45 (2.1%) HF 45+ M+F 3,791 764.60 777.49 1.7% 3,356 897.67 872.26 (2.8%) HST 19-64 F 1,784 597.62 614.09 2.8% 1,285 826.07 740.91 (10.3%) Subtotal CFC 113,747 106,814 $ 346.67 355.12 $ 348.74 0.6% EXT 352.06 (0.9%) Extension EXT 19-34 M 11,813 8,560 $ 582.92 624.90 $ 591.19 1.4% 593.85 (5.0%) EXT 19-34 F 9,772 535.82 542.74 1.3% 8,358 591.81 566.81 (4.2%) EXT 35-44 M 5,909 865.18 878.33 1.5% 4,161 907.14 865.11 (4.6%) EXT 35-44 F 4,531 912.74 928.83 1.8% 3,922 993.14 951.14 (4.2%) EXT 45-54 M 4,670 1,036.30 1,054.49 1.8% 4,107 1,057.64 1,009.02 (4.6%) EXT 45-54 F 5,059 991.99 1,010.62 1.9% 4,493 1,043.51 999.85 (4.2%) EXT 55-64 M 3,741 1,209.84 1,229.68 1.6% 3,826 1,178.91 1,134.78 (3.7%) EXT 55-64 F 4,226 1,067.44 1,087.00 1.8% 4,277 1,145.34 1,105.30 (3.5%) Subtotal EXT 49,721 41,705 $ 809.82 872.98 $ 822.93 1.6% 835.81 (4.3%) ABD ABD <21 3,848 3,897 $ 943.34 851.86 $ 960.93 1.9859.57 0.9% ABD 21+ 10,355 1,829.06 1,865.11 2.010,631 1,821.16 1,822.30 0.1% Subtotal ABD 14,203 14,528 $ 1,589.09 1,561.15 $ 1,620.14 2.01,564.05 0.2% AFK 2,234 2,255 $ 567.53 573.24 $ 582.26 2.6580.03 1.2% CFC & EXT Delivery 287 304 $ 6,429.01 6,226.12 $ 6,484.66 0.96,226.12 0.0% Total 179,905 165,301 $ 585.76 606.20 $ 593.41 1.3% 595.19 (1.8%) Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 3,342 $ 917.12 871.70 $ 910.53 (0.7%) 880.76 1.0% HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) 2,901 180.98 186.81 3.2% HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) 33,461 153.00 155.20 1.4% HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) 5,403 263.16 264.11 0.4% HF/HST 14-18 F 6,009 252.71 252.85 0.15,544 256.55 257.95 0.5% HF 19-44 M 4,690 361.17 366.83 1.6% 4,098 403.01 385.55 (4.3%) HF 19-44 F 14,803 474.99 484.86 12,497 514.15 503.57 (2.1% %) HF 45+ M+F 2,231 676.02 688.62 1.9% 1,992 862.44 837.72 (2.9%) HST 19-64 F 1,381 427.98 441.58 3.2% 1,014 586.33 529.42 (9.7%) Subtotal CFC 75,537 70,252 $ 302.70 310.19 $ 303.69 0.3% EXT 307.67 (0.8%) Extension EXT 19-34 M 5,834 4,325 $ 548.84 638.82 $ 561.41 2.3% 606.56 (5.0%) EXT 19-34 F 5,615 497.91 506.20 1.7% 5,074 552.52 528.33 (4.4%) EXT 35-44 M 3,221 708.29 720.92 1.8% 2,354 794.95 758.47 (4.6%) EXT 35-44 F 2,998 712.36 726.39 2.0% 2,551 814.66 780.80 (4.2%) EXT 45-54 M 2,600 989.46 1,014.67 2.5% 2,274 1,071.22 1,018.46 (4.9%) EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% 2,844 1,130.75 1,081.99 (4.3%) EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% 1,284.29 1,233.93 (3.9%) EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% 2,752 1,082.93 1,045.28 (3.5%) Subtotal EXT 28,355 24,439 $ 775.11 861.62 $ 791.57 2.1% 824.35 (4.3%) ABD ABD <21 1,717 1,668 $ 852.44 814.06 $ 868.45 1.9819.88 0.7% ABD 21+ 4,617 1,592.24 1,632.60 2.54,580 1,632.09 1,633.30 0.1% Subtotal ABD 6,334 6,247 $ 1,391.70 1,413.75 $ 1,425.46 2.41,416.19 0.2% AFK 1,081 1,083 $ 639.91 608.93 $ 657.12 2.7614.38 0.9% CFC & EXT Delivery 192 187 $ 5,975.47 5,719.85 $ 5,987.85 0.25,719.85 0.0% Total 111,307 102,021 $ 498.58 523.51 $ 505.55 1.4% 513.05 (2.0%) Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: Southwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 18,540 $ 1,262.30 1,202.89 $ 1,265.69 0.31,207.81 0.4% HF/HST 1 M+F 18,049 281.37 281.84 0.216,608 240.65 243.66 1.3% HF/HST 2-13 M+F 195,275 209.02 210.22 0.6% 193,305 192.88 190.89 (1.0%) HF/HST 14-18 M 34,218 244.22 246.87 1.1% 29,917 257.45 255.31 (0.8%) HF/HST 14-18 F 34,248 316.37 321.05 1.5% 31,001 311.00 307.83 (1.0%) HF 19-44 M 25,453 345.00 351.93 2.0% 22,152 400.38 379.44 (5.2%) HF 19-44 F 87,917 494.47 507.49 2.6% 76,386 529.76 515.57 (2.7%) HF 45+ M+F 14,354 677.16 692.62 2.3% 12,545 780.18 755.00 (3.2%) HST 19-64 F 7,148 551.47 569.97 3.4% 4,958 743.93 669.93 (9.9%) Subtotal CFC 434,259 405,413 $ 352.82 354.55 $ 357.95 1.5% EXT 348.05 (1.8%) Extension EXT 19-34 M 42,323 31,931 $ 516.42 578.67 $ 528.92 2.4% 546.29 (5.6%) EXT 19-34 F 35,855 531.85 543.10 2.1% 30,900 583.14 554.61 (4.9%) EXT 35-44 M 23,577 745.91 763.14 2.3% 17,533 796.19 756.22 (5.0%) EXT 35-44 F 18,522 790.64 810.28 2.5% 15,565 864.65 825.15 (4.6%) EXT 45-54 M 18,469 935.82 957.10 2.3% 16,114 1,012.54 960.10 (5.2%) EXT 45-54 F 18,972 1,005.41 1,030.53 2.5% 17,024 1,066.21 1,017.32 (4.6%) EXT 55-64 M 15,046 1,153.35 1,179.15 2.2% 14,711 1,187.94 1,139.20 (4.1%) EXT 55-64 F 16,926 1,041.51 1,065.35 2.3% 16,269 1,108.08 1,067.28 (3.7%) Subtotal EXT 189,690 160,047 $ 761.75 836.53 $ 779.48 2.3% 797.24 (4.7%) ABD ABD <21 12,397 12,450 $ 1,162.87 1,125.95 $ 1,186.20 2.01,129.43 0.3% ABD 21+ 33,463 1,648.92 1,692.23 2.6% 33,847 1,725.47 1,723.18 (0.1%) Subtotal ABD 45,860 46,297 $ 1,517.53 1,564.25 $ 1,555.44 2.5% 1,563.51 (0.0%) AFK 9,246 9,326 $ 790.87 772.64 $ 820.32 3.7775.08 0.3% CFC & EXT Delivery 1,095 1,112 $ 5,936.74 5,953.57 $ 5,936.04 5,953.57 0.0% Total 621,082 $ 585.86 $ 571.47 (0.02.5%) Total 679,055 $ 561.25 $ 572.44 2.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: South Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 15,710 $ 1,631.73 1,475.83 $ 1,629.98 (0.1%) 1,482.60 0.5% HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) 14,208 262.42 264.82 0.9% HF/HST 2-13 M+F 169,110 208.57 208.76 0.1% 166,896 197.56 195.74 (0.9%) HF/HST 14-18 M 28,913 254.04 256.54 1.0% 25,723 269.80 267.74 (0.8%) HF/HST 14-18 F 29,231 318.77 322.18 1.1% 26,119 335.97 332.70 (1.0%) HF 19-44 M 23,665 349.19 356.00 2.0% 21,432 405.72 385.44 (5.0%) HF 19-44 F 71,281 563.74 580.36 2.9% 61,624 600.34 584.40 (2.7%) HF 45+ M+F 14,148 708.47 725.94 2.5% 12,378 795.65 771.01 (3.1%) HST 19-64 F 5,883 586.12 608.58 3.8% 4,044 751.06 677.40 (9.8%) Subtotal CFC 372,537 348,133 $ 382.93 385.42 $ 387.98 1.3% EXT 378.75 (1.7%) Extension EXT 19-34 M 33,504 25,789 $ 601.51 670.37 $ 615.92 2.4% 632.64 (5.6%) EXT 19-34 F 29,214 603.11 616.40 2.2% 25,111 659.17 626.69 (4.9%) EXT 35-44 M 18,111 880.49 903.51 2.6% 13,599 980.70 931.04 (5.1%) EXT 35-44 F 14,846 877.94 899.88 2.5% 12,554 966.49 922.92 (4.5%) EXT 45-54 M 14,468 1,104.90 1,132.14 2.5% 12,821 1,201.03 1,138.65 (5.2%) EXT 45-54 F 14,970 1,041.40 1,068.72 2.6% 13,713 1,111.36 1,061.06 (4.5%) EXT 55-64 M 10,764 1,286.32 1,322.63 2.8% 10,752 1,351.68 1,296.19 (4.1%) EXT 55-64 F 12,385 1,158.77 1,190.11 2.7% 12,264 1,208.12 1,161.72 (3.8%) Subtotal EXT 148,262 126,603 $ 853.39 942.31 $ 874.95 2.5% 897.55 (4.7%) ABD ABD <21 9,842 9,712 $ 1,232.54 1,203.28 $ 1,259.01 2.11,207.20 0.3% ABD 21+ 29,961 1,752.05 1,804.35 3.0% 30,651 1,814.90 1,813.17 (0.1%) Subtotal ABD 39,803 40,364 $ 1,623.59 1,667.73 $ 1,669.50 2.8% 1,667.36 (0.0%) AFK 6,613 7,042 $ 783.43 778.11 $ 815.49 4.1781.31 0.4% CFC & EXT Delivery 957 955 $ 5,783.26 5,768.18 $ 5,965.09 3.15,768.18 0.0% Total 567,215 522,141 $ 607.39 635.42 $ 620.24 2.1% 620.13 (2.4%) Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: Southeast Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 5,014 $ 1,225.57 1,190.27 $ 1,221.70 (0.3%) 1,194.97 0.4% HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) 4,473 261.24 264.74 1.3% HF/HST 2-13 M+F 53,831 194.79 194.39 54,654 190.72 189.56 (0.20.6%) HF/HST 14-18 M 9,872 264.29 265.91 0.6% 9,176 275.22 273.38 (0.7%) HF/HST 14-18 F 9,973 315.68 318.51 0.9% 9,302 317.92 315.78 (0.7%) HF 19-44 M 9,424 361.81 368.52 1.9% 8,950 442.05 419.18 (5.2%) HF 19-44 F 25,116 514.02 527.35 22,848 562.21 547.87 (2.6% %) HF 45+ M+F 4,614 799.91 820.48 2.6% 4,142 844.10 817.04 (3.2%) HST 19-64 F 1,786 561.24 583.02 3.9% 1,494 693.20 621.57 (10.3%) Subtotal CFC 124,122 120,051 $ 355.77 369.64 $ 359.96 1.2% EXT 362.87 (1.8%) Extension EXT 19-34 M 12,036 9,955 $ 500.88 587.28 $ 511.86 2.2% 554.77 (5.5%) EXT 19-34 F 10,527 567.53 580.47 2.3% 9,543 593.60 565.16 (4.8%) EXT 35-44 M 6,721 683.18 705.15 3.2% 5,316 772.44 735.83 (4.7%) EXT 35-44 F 5,793 810.55 830.53 2.5% 5,045 871.15 832.72 (4.4%) EXT 45-54 M 5,528 880.19 898.79 2.1% 5,151 1,012.96 961.77 (5.1%) EXT 45-54 F 6,208 971.78 996.97 2.6% 5,941 1,000.44 956.17 (4.4%) EXT 55-64 M 4,889 1,100.09 1,132.22 2.9% 4,891 1,196.43 1,148.53 (4.0%) EXT 55-64 F 5,633 1,076.35 1,102.72 2.4% 5,695 1,128.96 1,086.82 (3.7%) Subtotal EXT 57,335 51,537 $ 760.97 843.18 $ 780.09 2.5% 804.67 (4.6%) ABD ABD <21 3,162 3,116 $ 1,223.04 1,136.21 $ 1,246.28 1.91,141.11 0.4% ABD 21+ 11,894 1,549.61 1,593.82 2.9% 12,168 1,603.59 1,602.22 (0.1%) Subtotal ABD 15,056 15,283 $ 1,481.03 1,508.31 $ 1,520.83 2.7% 1,508.22 (0.0%) AFK 2,996 3,025 $ 756.53 798.95 $ 782.86 3.5803.30 0.5% CFC & EXT Delivery 303 316 $ 5,102.70 5,001.74 $ 5,152.12 1.05,002.01 0.0% Total 199,509 189,896 $ 570.90 604.96 $ 582.48 2.0% 590.30 (2.4%) Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: Northeast Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 20,391 $ 1,375.64 1,308.30 $ 1,362.27 (1.0%) 1,309.35 0.1% HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) 18,714 245.23 248.29 1.2% HF/HST 2-13 M+F 224,655 212.38 213.43 0.5% 229,076 199.81 198.15 (0.8%) HF/HST 14-18 M 40,560 248.78 251.88 1.2% 37,192 253.24 251.86 (0.5%) HF/HST 14-18 F 40,839 304.53 309.14 1.5% 38,584 302.54 300.33 (0.7%) HF 19-44 M 32,969 322.73 327.89 1.6% 30,284 363.38 345.89 (4.8%) HF 19-44 F 112,237 490.07 501.31 2.3% 100,984 519.68 506.81 (2.5%) HF 45+ M+F 20,522 675.31 691.25 2.4% 18,885 738.70 716.49 (3.0%) HST 19-64 F 7,105 638.81 659.09 3.2% 5,149 823.87 740.51 (10.1%) Subtotal CFC 517,246 499,259 $ 358.13 360.15 $ 362.35 1.2% EXT 353.90 (1.7%) Extension EXT 19-34 M 62,187 49,370 $ 474.15 538.47 $ 482.33 1.7% 509.69 (5.3%) EXT 19-34 F 50,610 473.53 481.26 1.6% 45,315 531.19 506.54 (4.6%) EXT 35-44 M 31,273 671.62 684.60 1.9% 24,482 725.21 690.08 (4.8%) EXT 35-44 F 23,623 695.39 708.63 1.9% 21,055 752.76 719.99 (4.4%) EXT 45-54 M 26,371 869.64 885.73 1.9% 24,253 954.82 907.20 (5.0%) EXT 45-54 F 26,643 904.61 924.19 2.2% 25,228 962.73 920.25 (4.4%) EXT 55-64 M 22,966 1,070.04 1,087.93 1.7% 23,518 1,120.57 1,076.68 (3.9%) EXT 55-64 F 25,852 970.77 989.78 2.0% 26,356 987.06 950.91 (3.7%) Subtotal EXT 269,525 239,578 $ 695.99 768.32 $ 708.86 1.8% 733.68 (4.5%) ABD ABD <21 17,875 17,881 $ 1,102.71 1,069.38 $ 1,127.93 2.31,073.55 0.4% ABD 21+ 50,902 1,677.75 1,716.97 2.351,605 1,712.51 1,713.42 0.1% Subtotal ABD 68,777 69,486 $ 1,528.30 1,547.01 $ 1,563.88 2.31,548.76 0.1% AFK 9,167 9,890 $ 780.44 749.74 $ 811.71 4.0752.78 0.4% CFC & EXT Delivery 1,299 1,288 $ 6,068.35 6,110.76 $ 6,079.32 0.26,110.76 0.0% Total 864,715 818,213 $ 570.10 594.78 $ 579.81 1.7% 581.02 (2.3%) Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 5,264 $ 943.93 978.15 $ 930.70 (1.4%) 982.35 0.4% HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) 4,589 216.86 220.51 1.7% HF/HST 2-13 M+F 53,874 192.98 192.70 54,515 181.13 180.39 (0.10.4%) HF/HST 14-18 M 9,435 232.90 234.29 0.6% 8,562 242.26 241.45 (0.3%) HF/HST 14-18 F 9,558 286.31 289.76 1.2% 8,878 291.79 289.86 (0.7%) HF 19-44 M 7,730 320.29 325.64 1.7% 6,892 392.86 373.57 (4.9%) HF 19-44 F 24,818 459.17 470.62 22,074 490.54 478.32 (2.5% %) HF 45+ M+F 3,897 666.61 681.52 2.2% 3,521 720.43 698.14 (3.1%) HST 19-64 F 1,881 509.02 531.96 4.5% 1,498 632.94 566.47 (10.5%) Subtotal CFC 121,062 115,793 $ 318.20 325.61 $ 321.41 1.0% EXT 320.38 (1.6%) Extension EXT 19-34 M 11,012 8,517 $ 477.49 554.21 $ 486.84 2.0% 524.13 (5.4%) EXT 19-34 F 9,978 489.01 497.61 1.8% 9,179 530.38 505.43 (4.7%) EXT 35-44 M 6,119 674.86 688.08 2.0% 4,520 740.77 704.66 (4.9%) EXT 35-44 F 5,416 753.87 770.48 2.2% 4,703 805.78 769.75 (4.5%) EXT 45-54 M 5,062 909.71 927.27 1.9% 4,496 930.40 883.60 (5.0%) EXT 45-54 F 5,664 935.40 955.98 2.2% 5,235 943.49 901.98 (4.4%) EXT 55-64 M 4,312 1,064.55 1,085.81 2.0% 4,337 1,154.40 1,107.24 (4.1%) EXT 55-64 F 5,244 1,023.93 1,044.55 2.0% 5,270 998.07 960.08 (3.8%) Subtotal EXT 52,807 46,255 $ 723.63 780.75 $ 738.12 2.0% 745.07 (4.6%) ABD ABD <21 3,413 3,374 $ 1,161.76 1,145.96 $ 1,180.81 1.61,150.70 0.4% ABD 21+ 9,197 1,581.29 1,624.62 2.7% 9,138 1,539.66 1,538.52 (0.1%) Subtotal ABD 12,610 12,511 $ 1,467.74 1,433.49 $ 1,504.50 2.51,433.94 0.0% AFK 2,444 2,492 $ 642.07 632.70 $ 661.42 3.0636.17 0.5% CFC & EXT Delivery 310 308 $ 4,983.35 5,090.07 $ 5,059.90 1.55,090.07 0.0% Total 188,923 177,051 $ 520.62 535.99 $ 529.55 1.7% 523.32 (2.4%) Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2020 July 2020 Rate Change Summary Region: Statewide Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Deliveries Jul - Dec 2021 Calendar Year 2020 Capitation Rate Jan - Jun 2022 July 2020 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 73,040 $ 1,315.48 1,247.06 $ 1,311.11 1,251.64 0.4% HF/HST 1 M+F 65,692 240.66 244.02 1.4% HF/HST 2-13 M+F 781,730 192.34 191.10 (0.30.6%) HF/HST 1 M+F 70,522 261.59 260.32 14-18 M 123,842 257.85 256.53 (0.5%) HF/HST 2-13 M+F 780,446 204.79 205.11 0.2% HF/HST 14-18 M 137,992 247.24 249.51 0.9% HF/HST 14-18 F 138,541 306.84 310.53 1.2% 127,397 309.97 307.71 (0.7%) HF 19-44 M 110,930 342.11 348.14 1.8% 99,996 395.33 375.86 (4.9%) HF 19-44 F 360,856 507.19 519.91 317,756 542.44 528.75 (2.5% %) HF 45+ M+F 63,557 696.97 713.12 2.3% 56,818 780.54 756.51 (3.1%) HST 19-64 F 26,968 576.45 596.43 3.5% 19,442 751.34 675.85 (10.0%) Subtotal CFC 1,758,510 1,665,713 $ 356.04 359.92 $ 360.30 1.2% EXT 353.92 (1.7%) Extension EXT 19-34 M 178,709 138,447 $ 519.67 585.27 $ 530.45 2.1% 553.39 (5.4%) EXT 19-34 F 151,571 524.77 534.79 1.9% 133,480 576.31 548.99 (4.7%) EXT 35-44 M 94,931 744.24 760.84 2.2% 71,964 808.05 768.38 (4.9%) EXT 35-44 F 75,729 781.14 798.61 2.2% 65,394 850.20 812.49 (4.4%) EXT 45-54 M 77,168 947.09 967.23 2.1% 69,215 1,026.53 974.61 (5.1%) EXT 45-54 F 80,589 972.03 995.00 2.4% 74,477 1,026.69 980.92 (4.5%) EXT 55-64 M 63,984 1,142.70 1,167.37 2.2% 64,302 1,191.92 1,144.21 (4.0%) EXT 55-64 F 73,014 1,040.15 1,063.13 2.2% 72,884 1,076.06 1,036.27 (3.7%) Subtotal EXT 795,695 690,164 $ 757.45 832.11 $ 773.79 2.2% 793.93 (4.6%) ABD ABD <21 52,254 52,097 $ 1,132.61 1,092.37 $ 1,156.23 2.11,096.73 0.4% ABD 21+ 150,389 1,677.90 1,721.10 2.6% 152,619 1,722.07 1,721.46 (0.0%) Subtotal ABD 202,643 204,716 $ 1,537.29 1,561.82 $ 1,575.44 2.51,562.48 0.0% AFK 33,781 35,112 $ 753.17 741.77 $ 781.25 3.7745.14 0.5% CFC & EXT Delivery 4,442 4,470 $ 5,852.24 5,841.17 $ 5,907.29 0.95,841.19 0.0% Total 2,790,629 2,595,705 $ 570.39 595.48 $ 580.94 1.8% 581.58 (2.3%) APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall provide both members and eligible individuals with a copy of their practice guidelines.

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 the July 1, 2019 amendment to the certified calendar year (CY) 2021 2019 capitation rates, to extend the rating period to the 18 months spanning January 1, 2021 to June 30, 2022 rates 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 appendicesenclosures, 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 in the development of the July 1, 2019 amendment to the certified CY 2019 capitation rates. Milliman has relied upon ODM and the MCPs for this purpose the accuracy of the data and accepted accept 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 capitation rate development may likewise need to be inaccurate or incomplete. The models, including all input, calculations, and output may not be appropriate for any other purposemodified to reflect revised information. It should be emphasized that capitation rates are a projection of future costs based on a set of assumptions. Results will differ if actual experience is different from the assumptions contained in this report. The services provided by Milliman to ODM were performed under the signed contract agreement between Milliman and XXX dated July 12June 11, 20192015. Guidelines issued by the American Academy of Actuaries require actuaries to include their professional qualifications in all actuarial communications. The authors of this report are members of the American Academy of Actuaries and meet the qualification standards for performing the analyses contained herein. Appendix 1: January 2022 July 2019 Rate Change Summaries Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2019 July 2019 Rate Change Summary Region: North Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Members/Deliveries Jul - Dec 2021 Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 4,552 4,841 $ 999.86 918.53 $ 1,004.70 0.5925.85 0.8% HF/HST 1 M+F 4,570 206.06 201.25 (2.3%) 4,167 153.78 161.10 4.8% HF/HST 2-13 M+F 49,838 194.74 192.69 (1.1%) 44,702 164.01 171.33 4.5% HF/HST 14-18 M 8,846 230.65 230.14 (0.2%) 7,107 217.67 224.99 3.4% HF/HST 14-18 F 8,683 289.81 290.04 0.17,326 273.57 280.89 2.7% HF 19-44 M 6,999 383.79 388.01 1.14,531 341.78 349.10 2.1% HF 19-44 F 24,684 527.73 537.14 1.819,304 444.31 451.64 1.6% HF 45+ M+F 3,791 764.60 777.49 1.72,891 615.97 623.31 1.2% HST 19-64 F 1,784 597.62 614.09 2.8834 605.75 613.07 1.2% Subtotal CFC 113,747 95,703 $ 346.67 296.56 $ 348.74 0.6303.88 2.5% EXT Extension EXT 19-34 M 11,813 6,398 $ 582.92 454.09 $ 591.19 1.4461.42 1.6% EXT 19-34 F 9,772 535.82 542.74 1.36,837 482.09 489.41 1.5% EXT 35-44 M 5,909 865.18 878.33 1.53,336 641.91 649.27 1.1% EXT 35-44 F 4,531 912.74 928.83 1.83,335 760.33 767.69 1.0% EXT 45-54 M 4,670 1,036.30 1,054.49 1.83,369 809.97 817.42 0.9% EXT 45-54 F 5,059 991.99 1,010.62 1.93,774 864.68 872.08 0.9% EXT 55-64 M 3,741 1,209.84 1,229.68 1.63,057 927.51 935.14 0.8% EXT 55-64 F 4,226 1,067.44 1,087.00 1.83,563 893.48 900.98 0.8% Subtotal EXT 49,721 33,669 $ 809.82 679.84 $ 822.93 1.6687.23 1.1% ABD ABD <21 3,848 4,081 $ 943.34 823.93 $ 960.93 1.9831.25 0.9% ABD 21+ 10,355 1,829.06 1,865.11 2.010,874 1,657.57 1,665.17 0.5% Subtotal ABD 14,203 14,955 $ 1,589.09 1,430.08 $ 1,620.14 2.01,437.61 0.5% AFK 2,234 2,345 $ 567.53 456.87 $ 582.26 2.6464.19 1.6% CFC & EXT Delivery 287 303 $ 6,429.01 5,648.30 $ 6,484.66 0.95,648.30 0.0% Total 179,905 146,672 $ 585.76 514.35 $ 593.41 1.3% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January 1, 2022 Rate Change Summary Region: Northwest Rate Cell Jan - Jun 2022 Avg Monthly Enrollment / Deliveries Jul - Dec 2021 Capitation Rate Jan - Jun 2022 Capitation Rate % Change CFC HF/HST <1 M+F 3,160 $ 917.12 $ 910.53 (0.7%) HF/HST 1 M+F 3,252 216.22 213.31 (1.3%) HF/HST 2-13 M+F 33,863 160.73 157.34 (2.1%) HF/HST 14-18 M 6,148 240.46 240.31 (0.1%) HF/HST 14-18 F 6,009 252.71 252.85 0.1% HF 19-44 M 4,690 361.17 366.83 1.6% HF 19-44 F 14,803 474.99 484.86 2.1% HF 45+ M+F 2,231 676.02 688.62 1.9% HST 19-64 F 1,381 427.98 441.58 3.2% Subtotal CFC 75,537 $ 302.70 $ 303.69 0.3% EXT EXT 19-34 M 5,834 $ 548.84 $ 561.41 2.3% EXT 19-34 F 5,615 497.91 506.20 1.7% EXT 35-44 M 3,221 708.29 720.92 1.8% EXT 35-44 F 2,998 712.36 726.39 2.0% EXT 45-54 M 2,600 989.46 1,014.67 2.5% EXT 45-54 F 3,073 1,047.63 1,072.64 2.4% EXT 55-64 M 2,266 1,255.99 1,285.03 2.3% EXT 55-64 F 2,748 1,064.59 1,084.91 1.9% Subtotal EXT 28,355 $ 775.11 $ 791.57 2.1% ABD ABD <21 1,717 $ 852.44 $ 868.45 1.9% ABD 21+ 4,617 1,592.24 1,632.60 2.5% Subtotal ABD 6,334 $ 1,391.70 $ 1,425.46 2.4% AFK 1,081 $ 639.91 $ 657.12 2.7% CFC & EXT Delivery 192 $ 5,975.47 $ 5,987.85 0.2% Total 111,307 $ 498.58 $ 505.55 521.71 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2019 July 2019 Rate Change Summary Region: Southwest Northwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Members/Deliveries Jul - Dec 2021 Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 17,597 3,346 $ 1,262.30 915.82 $ 1,265.69 0.3922.28 0.7% HF/HST 1 M+F 18,049 281.37 281.84 0.22,830 167.45 173.92 3.9% HF/HST 2-13 M+F 195,275 209.02 210.22 0.629,872 141.86 148.32 4.6% HF/HST 14-18 M 34,218 244.22 246.87 1.14,879 221.52 227.98 2.9% HF/HST 14-18 F 34,248 316.37 321.05 1.55,073 237.34 243.81 2.7% HF 19-44 M 25,453 345.00 351.93 2,944 325.84 332.30 2.0% HF 19-44 F 87,917 494.47 507.49 2.611,081 431.74 438.22 1.5% HF 45+ M+F 14,354 677.16 692.62 2.31,647 589.49 596.00 1.1% HST 19-64 F 7,148 551.47 569.97 3.4825 520.42 526.89 1.2% Subtotal CFC 434,259 62,497 $ 352.82 275.28 $ 357.95 1.5281.75 2.3% EXT Extension EXT 19-34 M 42,323 3,357 $ 516.42 453.18 $ 528.92 2.4459.69 1.4% EXT 19-34 F 35,855 531.85 543.10 2.13,974 471.03 477.52 1.4% EXT 35-44 M 23,577 745.91 763.14 2.31,823 617.35 623.93 1.1% EXT 35-44 F 18,522 790.64 810.28 2.52,093 708.79 715.28 0.9% EXT 45-54 M 18,469 935.82 957.10 2.31,763 883.71 890.45 0.8% EXT 45-54 F 18,972 1,005.41 1,030.53 2.52,303 957.30 964.00 0.7% EXT 55-64 M 15,046 1,153.35 1,179.15 2.21,692 1,045.09 1,052.39 0.7% EXT 55-64 F 16,926 1,041.51 1,065.35 2.32,218 931.91 938.91 0.8% Subtotal EXT 189,690 19,223 $ 761.75 707.49 $ 779.48 2.3714.17 0.9% ABD ABD <21 12,397 1,682 $ 1,162.87 846.94 $ 1,186.20 2.0853.40 0.8% ABD 21+ 33,463 1,648.92 1,692.23 2.64,634 1,467.63 1,474.84 0.5% Subtotal ABD 45,860 6,316 $ 1,517.53 1,302.34 $ 1,555.44 2.51,309.35 0.5% AFK 9,246 1,055 $ 790.87 483.56 $ 820.32 3.7490.02 1.3% CFC & EXT Delivery 1,095 195 $ 5,936.74 5,339.99 $ 5,936.04 (5,339.99 0.0%) % Total 679,055 89,091 $ 561.25 455.50 $ 572.44 2.0462.06 1.4% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2019 July 2019 Rate Change Summary Region: South Central Southwest Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Members/Deliveries Jul - Dec 2021 Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 14,934 18,856 $ 1,631.73 1,019.64 $ 1,629.98 (0.1%) 1,022.97 0.3% HF/HST 1 M+F 15,372 288.51 287.04 (0.5%) 15,925 195.33 198.67 1.7% HF/HST 2-13 M+F 169,110 208.57 208.76 0.1173,198 175.94 179.27 1.9% HF/HST 14-18 M 28,913 254.04 256.54 1.027,330 240.74 244.07 1.4% HF/HST 14-18 F 29,231 318.77 322.18 28,224 281.42 284.76 1.2% HF 19-44 M 16,537 318.03 321.39 1.1% HF 19-44 M 23,665 349.19 356.00 2.0% HF 19-44 F 71,281 563.74 580.36 2.968,747 420.80 424.14 0.8% HF 45+ M+F 14,148 708.47 725.94 2.510,836 610.30 613.70 0.6% HST 19-64 F 5,883 586.12 608.58 3.83,823 523.30 526.64 0.6% Subtotal CFC 372,537 363,476 $ 382.93 303.00 $ 387.98 1.3306.34 1.1% EXT Extension EXT 19-34 M 33,504 24,464 $ 601.51 447.74 $ 615.92 2.4451.16 0.8% EXT 19-34 F 29,214 603.11 616.40 2.224,831 467.25 470.64 0.7% EXT 35-44 M 18,111 880.49 903.51 2.613,885 664.53 668.06 0.5% EXT 35-44 F 14,846 877.94 899.88 2.512,771 718.58 722.06 0.5% EXT 45-54 M 14,468 1,104.90 1,132.14 2.513,048 829.40 833.26 0.5% EXT 45-54 F 14,970 1,041.40 1,068.72 2.614,307 889.03 892.75 0.4% EXT 55-64 M 10,764 1,286.32 1,322.63 2.811,829 921.08 925.51 0.5% EXT 55-64 F 12,385 1,158.77 1,190.11 2.713,308 930.11 934.18 0.4% Subtotal EXT 148,262 128,443 $ 853.39 683.37 $ 874.95 2.5687.04 0.5% ABD ABD <21 9,842 12,600 $ 1,232.54 1,149.65 $ 1,259.01 2.11,152.98 0.3% ABD 21+ 29,961 1,752.05 1,804.35 3.033,759 1,618.71 1,623.21 0.3% Subtotal ABD 39,803 46,359 $ 1,623.59 1,491.22 $ 1,669.50 2.81,495.41 0.3% AFK 6,613 9,136 $ 783.43 616.80 $ 815.49 4.1620.13 0.5% CFC & EXT Delivery 957 1,070 $ 5,783.26 5,350.43 $ 5,965.09 3.15,350.43 0.0% Total 567,215 547,414 $ 607.39 508.57 $ 620.24 2.1512.06 0.7% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2019 July 2019 Rate Change Summary Region: Southeast South Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Members/Deliveries Jul - Dec 2021 Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 4,722 16,055 $ 1,225.57 1,246.14 $ 1,221.70 (1,250.23 0.3%) % HF/HST 1 M+F 4,784 233.22 229.74 (1.5%) 14,160 215.76 219.85 1.9% HF/HST 2-13 M+F 53,831 194.79 194.39 (0.2%) 150,870 184.01 188.10 2.2% HF/HST 14-18 M 9,872 264.29 265.91 0.623,762 269.46 273.56 1.5% HF/HST 14-18 F 9,973 315.68 318.51 0.924,146 307.29 311.38 1.3% HF 19-44 M 9,424 361.81 368.52 1.916,795 327.98 332.08 1.3% HF 19-44 F 25,116 514.02 527.35 2.656,757 483.09 487.19 0.8% HF 45+ M+F 4,614 799.91 820.48 2.610,844 611.03 615.20 0.7% HST 19-64 F 1,786 561.24 583.02 3.93,540 532.79 536.88 0.8% Subtotal CFC 124,122 316,929 $ 355.77 334.73 $ 359.96 338.83 1.2% EXT Extension EXT 19-34 M 12,036 20,673 $ 500.88 497.68 $ 511.86 2.2501.82 0.8% EXT 19-34 F 10,527 567.53 580.47 2.320,967 535.32 539.47 0.8% EXT 35-44 M 6,721 683.18 705.15 3.211,241 726.74 731.05 0.6% EXT 35-44 F 5,793 810.55 830.53 2.510,842 761.65 765.92 0.6% EXT 45-54 M 5,528 880.19 898.79 2.110,468 910.51 915.19 0.5% EXT 45-54 F 6,208 971.78 996.97 2.611,843 949.18 953.71 0.5% EXT 55-64 M 4,889 1,100.09 1,132.22 2.98,755 1,008.55 1,014.05 0.5% EXT 55-64 F 5,633 1,076.35 1,102.72 2.410,151 987.37 992.31 0.5% Subtotal EXT 57,335 104,940 $ 760.97 739.13 $ 780.09 2.5743.60 0.6% ABD ABD <21 3,162 9,870 $ 1,223.04 1,250.41 $ 1,246.28 1.91,254.51 0.3% ABD 21+ 11,894 1,549.61 1,593.82 2.931,481 1,645.89 1,651.13 0.3% Subtotal ABD 15,056 41,351 $ 1,481.03 1,551.49 $ 1,520.83 2.71,556.46 0.3% AFK 2,996 6,880 $ 756.53 617.59 $ 782.86 3.5621.68 0.7% CFC & EXT Delivery 303 943 $ 5,102.70 4,935.64 $ 5,152.12 1.05,069.39 2.7% Total 199,509 470,100 $ 570.90 546.07 $ 582.48 2.0550.60 0.8% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2019 July 2019 Rate Change Summary Region: Northeast Southeast Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Members/Deliveries Jul - Dec 2021 Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 18,881 5,108 $ 1,375.64 927.00 $ 1,362.27 (1.0%) 931.91 0.5% HF/HST 1 M+F 19,478 256.11 255.01 (0.4%) 4,370 166.81 171.66 2.9% HF/HST 2-13 M+F 224,655 212.38 213.43 0.549,651 166.61 171.45 2.9% HF/HST 14-18 M 40,560 248.78 251.88 1.28,581 236.69 241.54 2.0% HF/HST 14-18 F 40,839 304.53 309.14 8,703 271.64 276.52 1.8% HF 19-44 M 6,841 329.43 334.27 1.5% HF 19-44 M 32,969 322.73 327.89 1.6% HF 19-44 F 112,237 490.07 501.31 2.320,978 445.99 450.84 1.1% HF 45+ M+F 20,522 675.31 691.25 2.43,582 581.20 586.12 0.8% HST 19-64 F 7,105 638.81 659.09 3.21,276 546.19 551.03 0.9% Subtotal CFC 517,246 109,090 $ 358.13 298.10 $ 362.35 1.2302.95 1.6% EXT Extension EXT 19-34 M 62,187 7,970 $ 474.15 409.17 $ 482.33 1.7414.05 1.2% EXT 19-34 F 50,610 473.53 481.26 1.67,893 483.24 488.15 1.0% EXT 35-44 M 31,273 671.62 684.60 1.94,456 653.89 658.82 0.8% EXT 35-44 F 23,623 695.39 708.63 1.94,232 715.12 720.04 0.7% EXT 45-54 M 26,371 869.64 885.73 1.94,304 824.84 829.99 0.6% EXT 45-54 F 26,643 904.61 924.19 2.25,057 827.32 832.42 0.6% EXT 55-64 M 22,966 1,070.04 1,087.93 1.73,987 913.03 918.59 0.6% EXT 55-64 F 25,852 970.77 989.78 2.04,590 919.10 924.56 0.6% Subtotal EXT 269,525 42,489 $ 695.99 673.31 $ 708.86 1.8678.38 0.8% ABD ABD <21 17,875 3,210 $ 1,102.71 987.56 $ 1,127.93 2.3992.40 0.5% ABD 21+ 50,902 1,677.75 1,716.97 2.312,335 1,396.19 1,401.86 0.4% Subtotal ABD 68,777 15,545 $ 1,528.30 1,311.81 $ 1,563.88 2.31,317.31 0.4% AFK 9,167 2,935 $ 780.44 570.01 $ 811.71 4.0574.85 0.8% CFC & EXT Delivery 1,299 313 $ 6,068.35 4,705.16 $ 6,079.32 0.24,705.16 0.0% Total 864,715 170,059 $ 570.10 497.86 $ 579.81 1.7502.83 1.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2019 July 2019 Rate Change Summary Region: Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Members/Deliveries Jul - Dec 2021 Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 4,852 20,755 $ 943.93 1,161.90 $ 930.70 (1.4%) 1,165.92 0.3% HF/HST 1 M+F 5,017 236.24 235.11 (0.5%) 18,331 195.56 199.58 2.1% HF/HST 2-13 M+F 53,874 192.98 192.70 (0.1%) 204,365 176.41 180.43 2.3% HF/HST 14-18 M 9,435 232.90 234.29 0.634,132 232.95 236.97 1.7% HF/HST 14-18 F 9,558 286.31 289.76 1.235,392 268.30 272.32 1.5% HF 19-44 M 7,730 320.29 325.64 1.722,496 280.87 284.91 1.4% HF 19-44 F 24,818 459.17 470.62 2.591,458 409.89 413.93 1.0% HF 45+ M+F 3,897 666.61 681.52 2.215,983 573.84 577.95 0.7% HST 19-64 F 1,881 509.02 531.96 4.53,796 601.72 605.74 0.7% Subtotal CFC 121,062 446,708 $ 318.20 305.48 $ 321.41 1.0309.51 1.3% EXT Extension EXT 19-34 M 11,012 36,771 $ 477.49 423.56 $ 486.84 2.0427.63 1.0% EXT 19-34 F 9,978 489.01 497.61 1.835,623 427.74 431.79 0.9% EXT 35-44 M 6,119 674.86 688.08 2.019,298 571.00 575.17 0.7% EXT 35-44 F 5,416 753.87 770.48 2.216,997 621.88 626.02 0.7% EXT 45-54 M 5,062 909.71 927.27 1.918,947 780.26 784.69 0.6% EXT 45-54 F 5,664 935.40 955.98 2.220,907 801.31 805.63 0.5% EXT 55-64 M 4,312 1,064.55 1,085.81 2.018,705 851.00 856.03 0.6% EXT 55-64 F 5,244 1,023.93 1,044.55 2.021,031 829.05 833.61 0.6% Subtotal EXT 52,807 188,279 $ 723.63 622.97 $ 738.12 2.0627.26 0.7% ABD ABD <21 3,413 18,292 $ 1,161.76 982.66 $ 1,180.81 1.6986.69 0.4% ABD 21+ 9,197 1,581.29 1,624.62 2.751,383 1,537.61 1,542.78 0.3% Subtotal ABD 12,610 69,675 $ 1,467.74 1,391.92 $ 1,504.50 2.51,396.79 0.3% AFK 2,444 9,212 $ 642.07 599.36 $ 661.42 3.0603.38 0.7% CFC & EXT Delivery 310 1,267 $ 4,983.35 5,411.77 $ 5,059.90 1.55,411.77 0.0% Total 188,923 713,874 $ 520.62 508.65 $ 529.55 1.7512.83 0.8% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective January July 1, 2022 2019 July 2019 Rate Change Summary Region: Statewide Northeast Central Rate Cell Jan - Jun 2022 Avg Average Monthly Enrollment / Members/Deliveries Jul - Dec 2021 Calendar Year 2019 Capitation Rate Jan - Jun 2022 July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 68,698 5,213 $ 1,315.48 828.55 $ 1,311.11 (0.3%) 833.07 0.5% HF/HST 1 M+F 70,522 261.59 260.32 (0.5%) 4,465 164.74 169.26 2.7% HF/HST 2-13 M+F 780,446 204.79 205.11 0.249,204 164.27 168.80 2.8% HF/HST 14-18 M 137,992 247.24 249.51 0.97,936 230.13 234.67 2.0% HF/HST 14-18 F 138,541 306.84 310.53 1.28,217 251.16 255.69 1.8% HF 19-44 M 110,930 342.11 348.14 1.85,161 287.51 292.05 1.6% HF 19-44 F 360,856 507.19 519.91 2.520,312 392.83 397.37 1.2% HF 45+ M+F 63,557 696.97 713.12 2.33,076 584.84 589.44 0.8% HST 19-64 F 26,968 576.45 596.43 3.51,169 502.98 507.51 0.9% Subtotal CFC 1,758,510 104,753 $ 356.04 275.67 $ 360.30 1.2280.21 1.6% EXT Extension EXT 19-34 M 178,709 6,860 $ 519.67 410.84 $ 530.45 2.1415.40 1.1% EXT 19-34 F 151,571 524.77 534.79 1.97,533 417.44 421.99 1.1% EXT 35-44 M 94,931 744.24 760.84 2.23,814 582.46 587.18 0.8% EXT 35-44 F 75,729 781.14 798.61 2.24,018 618.68 623.32 0.7% EXT 45-54 M 77,168 947.09 967.23 2.13,720 709.96 714.84 0.7% EXT 45-54 F 80,589 972.03 995.00 2.44,434 795.49 800.26 0.6% EXT 55-64 M 63,984 1,142.70 1,167.37 2.23,585 914.69 920.58 0.6% EXT 55-64 F 73,014 1,040.15 1,063.13 2.24,253 828.04 833.12 0.6% Subtotal EXT 795,695 38,217 $ 757.45 618.56 $ 773.79 2.2623.38 0.8% ABD ABD <21 52,254 3,293 $ 1,132.61 1,057.92 $ 1,156.23 2.11,062.45 0.4% ABD 21+ 150,389 1,677.90 1,721.10 2.68,992 1,403.14 1,408.67 0.4% Subtotal ABD 202,643 12,285 $ 1,537.29 1,310.60 $ 1,575.44 2.51,315.87 0.4% AFK 33,781 2,392 $ 753.17 499.08 $ 781.25 3.7503.61 0.9% CFC & EXT Delivery 4,442 312 $ 5,852.24 4,430.78 $ 5,907.29 4,430.78 0.0% Total 157,647 $ 451.60 $ 456.26 1.0% Ohio Department of Medicaid Medicaid Managed Care Program Capitation Rates Effective July 1, 2019 July 2019 Rate Change Summary Region: Statewide Rate Cell Average Monthly Members/Deliveries Calendar Year 2019 Capitation Rate July 2019 Capitation Rate % Change CFC HF/HST <1 M+F 74,174 $ 1,077.38 $ 1,081.66 0.4% HF/HST 1 M+F 64,248 191.91 196.19 2.2% HF/HST 2-13 M+F 701,862 174.12 178.40 2.5% HF/HST 14-18 M 113,727 241.09 245.37 1.8% HF/HST 14-18 F 117,081 277.54 281.82 1.5% HF 19-44 M 75,305 309.83 314.13 1.4% HF 19-44 F 288,637 431.45 435.74 1.0% HF 45+ M+F 48,859 594.43 598.76 0.7% HST 19-64 F 15,263 549.71 554.00 0.8% Subtotal CFC 1,499,156 $ 306.61 $ 310.90 1.4% Extension EXT 19-34 M 106,493 $ 444.37 $ 448.67 1.0% EXT 19-34 F 107,658 466.20 470.52 0.9% EXT 35-44 M 57,853 636.40 640.80 0.7% EXT 35-44 F 54,288 691.43 695.83 0.6% EXT 45-54 M 55,619 820.13 824.81 0.6% EXT 45-54 F 62,625 860.56 865.15 0.5% EXT 55-64 M 51,610 913.90 919.20 0.6% EXT 55-64 F 59,114 893.65 898.54 0.5% Subtotal EXT 555,260 $ 668.82 $ 673.37 0.7% ABD ABD <21 53,028 $ 1,060.62 $ 1,064.91 0.4% ABD 21+ 153,458 1,564.80 1,570.14 0.3% Subtotal ABD 206,486 $ 1,435.33 $ 1,440.39 0.4% AFK 33,955 $ 584.71 $ 588.97 0.7% CFC & EXT Delivery 4,403 $ 5,188.24 $ 5,216.89 0.6% Total 2,790,629 2,294,857 $ 570.39 509.88 $ 580.94 1.8514.35 0.9% Milliman is among the world’s largest providers of actuarial and related products and services. The firm has consulting practices in life insurance and financial services, property & casualty insurance, healthcare, and employee benefits. Founded in 1947, Milliman is an independent firm with offices in major cities around the globe. xxxxxxxx.xxx APPENDIX F MARKETING AND MEMBER COMMUNICATIONS The following are the MCP responsibilities related to communicating with eligible individuals pre-enrollment and MCP members post-enrollment. Upon request, the MCP shall provide both members and eligible individuals with a copy of their practice guidelines.F