Common use of RATE DEVELOPMENT STANDARDS Clause in Contracts

RATE DEVELOPMENT STANDARDS. i. Capitation rate structure The MyCare rate structure for CY 2022 did not change from the 2021 rate structure. Rates continue to vary by region consistent with current geographic definitions. The NFLOC rate cell continues to reflect a composite of the Institutional, Community Waiver 18 – 44, Community Waiver 45 – 64 and Community Waiver 65+ population groups. The NFLOC rate cell will be adjusted by the MEMA on a semi-annual basis. The Community Well population groups includes three separate rate cells: Community Well 18 – 44, Community Well 45 – 64, and Community Well 65+ for a total of four MyCare rate cells.

Appears in 2 contracts

Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan

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RATE DEVELOPMENT STANDARDS. i. Capitation rate structure The MyCare rate structure for CY 2022 2024 did not change from the 2021 2023 rate structure. Rates continue to vary by region consistent with current geographic definitions. The NFLOC rate cell continues to reflect a composite of the Institutional, Community Waiver 18 – 44, Community Waiver 45 – 64 and Community Waiver 65+ population groups. The NFLOC rate cell will be adjusted by the MEMA on a semi-annual basis. The Community Well population groups includes three separate rate cells: Community Well 18 – 44, Community Well 45 – 64, and Community Well 65+ for a total of four MyCare rate cells.

Appears in 2 contracts

Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan

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RATE DEVELOPMENT STANDARDS. i. Capitation rate structure The MyCare rate structure for CY 2022 2021 did not change from the 2021 2020 rate structure. Rates continue to vary by region consistent with current geographic definitions. The NFLOC rate cell continues to reflect a composite of the Institutional, Community Waiver 18 – 44, Community Waiver 45 – 64 and Community Waiver 65+ population groups. The NFLOC rate cell will be adjusted by the MEMA on a semi-annual basis. The Community Well population groups includes three separate rate cells: Community Well 18 – 44, Community Well 45 – 64, and Community Well 65+ for a total of four MyCare rate cells.

Appears in 1 contract

Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan

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