Common use of Withhold Data from the STATE Clause in Contracts

Withhold Data from the STATE. ‌ The STATE shall provide data (number of tests/ visits/ admissions/ member months) and rates to the MCO on withhold measures in section 4.12.4.‌‌ (1) Data will be provided four (4) times per year in: (a) January preview, for the previous calendar year; (b) June final, for the previous calendar year; (c) July preview, for the first six months of the Contract Year; (d) October preview, for the first nine months of the Contract Year. (2) These preview reports contain measurement estimates and are not the final rates that will be used to determine if the MCO achieved its performance targets. The STATE provides these estimates only to aid the MCO’s compliance efforts. (3) The reports will be based on data in the STATE’s possession at the time of the report.

Withhold Data from the STATE. ‌ The STATE shall provide data (number of tests/ visits/ admissions/ member months) and rates to the MCO on withhold measures in section 4.12.4.‌‌4.12.4. (1) Data will be provided four (4) times per year in: (a) January preview, for the previous calendar year; (b) June final, for the previous calendar year; (c) July preview, for the first six months of the Contract Year; (d) October preview, for the first nine months of the Contract Year. (2) These preview reports contain measurement estimates and are not the final rates that will be used to determine if the MCO achieved its performance targets. The STATE provides these estimates only to aid the MCO’s compliance efforts. (3) The reports will be based on data in the STATE’s possession at the time of the report.

Withhold Data from the STATE. ‌ The STATE shall provide data (number of tests/ visits/ admissions/ member months) and rates to the MCO on withhold measures in section 4.12.4.‌‌4.13.4.‌‌ (1) Data will be provided four (4) times per year in: (a) January preview, for the previous calendar year; (b) June final, for the previous calendar year; (c) July preview, for the first six months of the Contract Year; (d) October preview, for the first nine months of the Contract Year. (2) These preview reports contain measurement estimates and are not the final rates that will be used to determine if the MCO achieved its performance targets. The STATE provides these estimates only to aid the MCO’s compliance efforts.efforts.‌‌‌‌ (3) The reports will be based on data in the STATE’s possession at the time of the report.