Premium Revenue. A Contractor must report to the Division the total Premium Revenue received from the Division for each MLR Reporting Year. Premium Revenue includes, but is not limited to, all monies paid by the Division to the Contractor for providing benefits and services as defined in the terms of the Contract and is inclusive of Capitation Payments, Capitation Premium Withhold amounts earned, Health Insurer Fee reimbursement, Risk Corridor adjustments, and any other Medicaid Managed Care Program Revenues, but is exclusive of any amounts received from DOM PBA. (Note: Other revenues may be inclusive of payments made for services such as high- cost drugs paid outside the capitation rate.)
Premium Revenue. Includes the following for the MLR Reporting Year:
Premium Revenue. Includes all capitation payments received from MDHHS plus additional cost settlement revenue less any lapse.
Premium Revenue. Premium revenue is as defined in 42 CFR § 438.8 (f) (2).
