Material Adjustment. An adjustment that, using reasonable actuarial judgment, has a significant impact on the development of the capitation payment such that its omission or misstatement could impact a determination whether the development of the capitation rate is consistent with generally accepted actuarial principles and practices.
Appears in 16 contracts
Samples: Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco)
Material Adjustment. An adjustment that, using reasonable actuarial judgment, has a significant impact on the development of the capitation payment such that its omission or misstatement could impact affect a determination of whether the development of the capitation rate is consistent with generally accepted actuarial principles and practices.
Appears in 3 contracts
Samples: Contractual Agreement, Contractual Agreement, Contractual Agreement
Material Adjustment. An adjustment that, using reasonable actuarial judgment, has a significant impact on the development of the capitation payment Capitation Payment such that its omission or misstatement could impact a determination whether the development of the capitation rate Capitation Rate is consistent with generally accepted actuarial principles and practices.. [42 C.F.R. § 438.2]
Appears in 1 contract
