PMPM VERSUS PERCENTAGE. The non-benefit cost for MyCare was developed as a percentage of the capitation rate for administrative costs and risk margin. Care management costs were developed on a PMPM basis.
PMPM VERSUS PERCENTAGE. The non-benefit cost was developed as a percentage of the capitation rate before fees and taxes. The enhanced maternal program and MCP Hospital Incentive payments were allocated by region and rate cell on a PMPM basis. Fees and Taxes were developed as a percent of the total capitation rate.
PMPM VERSUS PERCENTAGE. The non-benefit cost was developed as a percentage of the capitation rate before fees and taxes. The enhanced maternal program and MCP Hospital Incentive payments were allocated by region and rate cell on a PMPM basis. Fees and Taxes were develop as a percent of the total capitation rate. Each of these items are illustrated on a PMPM and percentage basis, by region and rate cell in the certification titled “CY 2016 Medicaid Managed Care Certification” dated December 8, 2015. 12 Please see xxxx://xxx.xxx.xxxx.xxx/sales_and_use.aspx for additional information.