Medical Loss Ratio Calculation. Within ninety (90) days following the six (6) month claims run-out period following the Coverage Year, the Department shall calculate the Medical Loss Ratio by dividing the Benefit Expense by the Revenue. The Medical Loss Ratio shall be expressed as a percentage rounded to the second decimal point. Contractor shall have sixty (60) days to review the Department’s Medical Loss Ratio Calculation. Each Party shall have the right to review all data and methodologies used to calculate the Medical Loss Ratio.
Medical Loss Ratio Calculation. Within ninety (90) days following the six (6) month claims run-out period following the coverage year, CMS and NYSDOH shall calculate the MLR by dividing the benefit expense by the revenue. The MLR shall be expressed as a percentage rounded to the second decimal point. The FIDA Plan shall have sixty (60) days to review the Medical Loss Ratio Calculation. Each party shall have the right to review all data and methodologies used to calculate the Medical Loss Ratio.
Medical Loss Ratio Calculation. Following the submission of the MLR report, MDHHS and CMS will have sixty (60) days to review and finalize the MLR calculation. MDHHS and CMS shall calculate the MLR by dividing the benefit expense by the revenue. The MLR shall be expressed as a percentage rounded to the second decimal point. Subsequently, the ICO shall have sixty (60) calendar days to review the MLR calculation. Each party shall have the right to review all data and methodologies used to calculate the MLR.”
Medical Loss Ratio Calculation. Within ninety (90) days following the six
Medical Loss Ratio Calculation. Within ninety (90) days following the data submission, SCDHHS and CMS shall calculate the MLR by dividing the benefit expense by the revenue. The MLR shall be expressed as a percentage rounded to the second decimal point. The CICO shall have sixty (60) days to review the MLR calculation. Each party shall have the right to review all data and methodologies used to calculate the MLR.
