MCP delegated entities Sample Clauses

MCP delegated entities. In that MCPs are ultimately responsible for meeting program requirements, the BMHC will not discuss MCP issues with the MCPs’ delegated entities unless the applicable MCP is also participating in the discussion. MCP delegated entities, with the applicable MCP participating, should only communicate with the specific CA assigned to that MCP. Chase Center/Circle 100 Xxxxxxxx Xxxxxx Xxxxx 000 Xxxxxxxxxxxx, XX 00000-0000 XXX Tel +0 000 000 0000 Fax +0 000 000 0000 mxxxxxxx.xxx December 12,2007 Mx. Xxx Xxxxxx, Ph.D., Bureau Chief Bureau of Managed Health Care Ohio Department of Job and Family Services Lazarus Building 50 Xxxx Xxxx Xx., Xxxxx 000 Xxxxxxxx, XX 00000 Dear Jxx: Mxxxxxxx, Inc. (Milliman) was retained by the State of Ohio, Department of Job and Family Services (ODJFS) to develop the calendar year 2008 actuarially sound capitation rates for the Aged, Blind, or Disabled (ABD) Risk Based Managed Care (RBMC) program. This letter provides the documentation for the actuarially sound capitation rates.
Sample 1
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MCP delegated entities. In that MCPs are ultimately responsible for meeting program requirements, the BMHC will not discuss MCP issues Appendix D with the MCPs’ delegated entities unless the applicable MCP is also participating in the discussion. MCP delegated entities, with the applicable MCP participating, should only communicate with the specific CA assigned to that MCP. Appendix G Page 1 1. Basic Benefit Package
Sample 1
MCP delegated entities. In that MCPs are ultimately responsible for meeting program requirements, the BMHC will not discuss MCP issues with the MCPs’ delegated entities unless the applicable MCP is also participating in the discussion. MCP delegated entities, with the applicable MCP participating, should only communicate with the specific CA assigned to that MCP. 1. PREMIUM RATES WITHOUT THE AT-RISK PAYMENT AMOUNTS FOR 01/01/09 THROUGH 06/30/09 SHALL BE AS FOLLOWS: An at-risk amount of 1% is applied to the MCP rates. The status of the at-risk amount is determined in accordance with Appendix O, performance incentives. MCP: WellCare of Ohio, Inc. List of Eligible Assistance Groups (AGs) 2. AT-RISK AMOUNTS FOR 01/01/09 THROUGH 06/30/09 SHALL BE AS FOLLOWS: An at-risk amount of 1% is applied to the MCP rates. The status of the at-risk amount is determined in accordance with Appendix O, performance incentives. MCP: WellCare of Ohio, Inc. SERVICE ENROLLMENT AREA REGIONAL STATUS HF/HST Age < 1 HF/HST Age 1 HF/HST Age 2-13 HF/HST Age 14-18 Male HF/HST Age 14-18 Female HF Age 19-44 Male HF Age 19-44 Female HF Age 45 and over HST Age 19-64 Female Delivery Payment List of Eligible Assistance Groups (AGs) 3. PREMIUM RATES FOR 01/01/09 THROUGH 06/30/09 SHALL BE AS FOLLOWS: An at-risk amount of 1% is applied to the MCP rates. The status of the at-risk amount is determined in accordance with Appendix O, performance incentives. MCP: WellCare of Ohio, Inc. SERVICE ENROLLMENT AREA REGIONAL STATUS HF/HST Age < 1 HF/HST Age 1 HF/HST Age 2-13 HF/HST Age 14-18 Male HF/HST Age 14-18 Female HF Age 19-44 Male HF Age 19-44 Female HF Age 45 and over HST Age 19-64 Female Delivery Payment List of Eligible Assistance Groups (AGs) 1. Basic Benefit Package
Sample 1
MCP delegated entities. In that MCPs are ultimately responsible for meeting program requirements, the BMHC will not discuss MCP issues with the MCPs’ delegated entities unless the applicable MCP is also participating in the discussion. MCP delegated entities, with the applicable MCP participating, should only communicate with the specific CA assigned to that MCP. Xxxxxxxxxxxx, XX 00000-0000 December 12, 2007 Xx. Xxx Xxxxxx, Ph.D., Bureau Chief Bureau of Managed Health Care Ohio Department of Job and Family Services Lazarus Building 00 Xxxx Xxxx Xx., Xxxxx 000 Xxxxxxxx, XX 00000 RE: CY 2008 CAPITATION RATE DEVELOPMENT - AGED. BLIND, OR DISABLED Dear Xxx: Xxxxxxxx, Inc. (Milliman) was retained by the State of Ohio, Department of Job and Family Services (ODJFS) to develop the calendar year 2008 actuarially sound capitation rates for the Aged, Blind, or Disabled (ABD) Risk Based Managed Care (RBMC) program. This letter provides the documentation for the actuarially sound capitation rates.
Sample 1
MCP delegated entities 
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Related to MCP delegated entities

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