Third Band Sample Clauses

Third Band. For the portion of gains greater than the upper limit of the second band, no payment will be made by the Contractor to the state and CMS. Figure 4-3 Risk Sharing Corridor Table (for illustrative purposes only) Risk Corridor Band Incremental Loss or Gain1 % Contractor Risk Sharing % the State & CMS Risk Sharing % CMS Risk Sharing % the State Risk Sharing2 Loss Band 1 All Losses in Excess of Underwriting Profit/Risk/ Contingency Load 33% 67% (up to maximum not exceeding Adjusted Final Capitation Rate Revenue - Adjusted Interim Capitation Rate Revenue) (67%) * (Medicare A/B Percent of Rate) (67%)*(Medi-Cal Percent of Rate) Gain Band 1 Gains ≤ (Adjusted Interim Capitation Rate Revenue – Adjusted Final Capitation Rate Revenue)3 100% 0% 0% 0% Gain Band 2 Gains ≤ Band equal to size of Gain Band 1 50% 50% (50%) * (Medicare A/B Percent of Rate) (50%)*(Medi-Cal Percent of Rate) Gain Band 3 Gains > Upper Limit of Gain Band 2 100% 0% 0% 0% 1 Loss and gain reflected on an incremental basis. Gains in Gain Bands 3 still results in risk sharing reconciliation for the gain in Gain Band 2. 2 All State Risk Sharing shall be treated as Medicaid expenditures eligible for FMAP.
Sample 1
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