Actual MLR definition

Actual MLR means the actual result, at specific points in time, of MCO cost and revenue.
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Examples of Actual MLR in a sentence

  • In the event that the MCO does not meet or exceed the required score in each of the quality measures in section 7.13 and has realized an Actual MLR greater than the Target MLR, then no change will be made to the Maximum MLR previously outlined in this section.

  • Actual MLR Calculation For the purpose of risk corridor reporting, the actual MLR should be calculated consistent with 42 CFR § 438.87.

  • In the event that the MCO meets or exceeds the required score in each of the quality measures in section 7.13, and has also realized an Actual MLR greater than the Target MLR, then the Maximum MLR will be decreased by the proportion of points obtained by the MCO for meeting quality measures, not to exceed one-half percentage point from the value previously outlined in this section.

  • In the event that the MCO meets or exceeds the required score in each of the quality measures in section 7.13, and has realized an Actual MLR lower than the Target MLR, then the Minimum MLR will be decreased by the proportion of points obtained by the MCO for meeting quality measures, not to exceed one-half of a percentage point from the value previously outlined in this section.

  • In the event that the MCO does not meet or exceed the required score in each of the quality measures in section 7.13, and has realized an Actual MLR lower than the Target MLR, then no change will be made to the Minimum MLR previously outlined in this section.

  • If the MLR calculated as set forth below is less than the target MLR, the ICO shall refund to MDHHS and CMS an amount equal to the difference between the Actual MLR and the Target MLR (expressed as a percentage) multiplied by the coverage year revenue, as described below.

  • In the event that the MCO meets or exceeds the required score in each of the quality measures in section 7.16, and has also realized an Actual MLR greater than the Target MLR, then the Maximum MLR will be decreased by the proportion of points obtained by the MCO for meeting quality measures, not to exceed one-half percentage point from the value previously outlined in this section.

  • In the event that the MCO meets or exceeds the required score in each of the quality measures in section 7.16, and has realized an Actual MLR lower than the Target MLR, then the Minimum MLR will be decreased by the proportion of points obtained by the MCO for meeting quality measures, not to exceed one-half of a percentage point from the value previously outlined in this section.

  • Any member of the Committee absenting himself without explanation satisfactory to the Committee from three (3) consecutive meetings shall cease to be a member thereof.

  • In the event that the MCO does not meet or exceed the required score in each of the quality measures in section 7.16 and has realized an Actual MLR greater than the Target MLR, then no change will be made to the Maximum MLR previously outlined in this section.

Related to Actual MLR

  • Actual/360 means that interest is calculated on the basis of the actual number of days elapsed in a year of 360 days.

  • Actual Uptime means, of the Total Operation Hours, the aggregate number of hours in any month during which each equipment is actually available for use.

  • Actual/365 (Fixed) means that interest or any other relevant accrual factor shall be calculated on the basis of the actual number of days elapsed in a year of 365 days, regardless of whether accrual or payment occurs during a calendar leap year.

  • Actual weight means the actual unladen weight of a vehicle or combination of

  • Actual Minimum means, as of any date, the maximum aggregate number of shares of Common Stock then issued or potentially issuable in the future pursuant to the Transaction Documents, including any Underlying Shares issuable upon exercise in full of all Warrants, without giving effect to any limits on the number of shares of Common Stock that may be owned by a Holder at any one time.

  • Actual carrier means a person, other than the contracting carrier, who, by virtue of authority from the contracting carrier, performs the whole or part of the carriage contemplated in paragraph (b) but who is not with respect to such part a successive carrier within the meaning of the Warsaw Convention. Such authority is presumed in the absence of proof to the contrary.

  • Actual miles means the actual distance a vehicle has traveled while in operation.

  • Baseline actual emissions means the rate of emissions, in tons per year, of a regulated NSR pollutant, as determined in accordance with paragraphs (i) through (iv) of this definition.

  • Actual emissions means the actual rate of emissions in tpy of any regulated pollutant (for fee calculation) emitted from a Part 71 source over the preceding calendar year. Actual emissions shall be calculated using each emissions unit’s actual operating hours, production rates, in-place control equipment, and types of materials processed, stored, or combusted during the preceding calendar year.

  • Actual torso angle means the angle measured between a vertical line through the "H" point and the torso line using the back angle quadrant on the 3-D H machine. The actual torso angle corresponds theoretically to the design torso angle (for tolerances see paragraph 3.2.2. below):

  • Actual consumption means the measured consumption by a customer of a municipal service;

  • Actual/360 Basis The accrual of interest on the basis of the actual number of days elapsed during any relevant accrual period in a year assumed to consist of 360 days.

  • Actual/360 means the actual number of days in the relevant period divided by 360;

  • Actual Cash Value means purchase price less depreciation.

  • Actual Fraud means, with respect to a party to this Agreement, an actual and intentional fraud with respect to the making of the representations and warranties pursuant to Article IV or Article V (as applicable), provided, that such actual and intentional fraud of such Person shall only be deemed to exist if any of the individuals included on Section 1.3 of the Company Disclosure Letter (in the case of the Company) or Section 1.3 of the Acquiror Disclosure Letter (in the case of Acquiror) had actual knowledge (as opposed to imputed or constructive knowledge) that the representations and warranties made by such Person pursuant to, in the case of the Company, Article IV as qualified by the Company Disclosure Letter, or, in the case of Acquiror, Article V as qualified by the Acquiror Disclosure Letter, were actually breached when made, with the express intention that the other party to this Agreement rely thereon to its detriment.

  • own-source revenue means adjusted underlying revenue other than revenue that is not under the control of council (including government grants)

  • Projected actual emissions means the maximum annual rate, in tons per year, at which an existing emissions unit is projected to emit a regulated NSR pollutant in any one of the 5 years (12-month period) following the date the unit resumes regular operation after the project, or in any one of the 10 years following that date, if the project involves increasing the emissions unit’s design capacity or its potential to emit that regulated NSR pollutant, and full utilization of the unit would result in a significant emissions increase, or a significant net emissions increase at the major stationary source.

  • Actual/Actual means interest or any other relevant accrual factor shall be calculated in accordance with the definition of “Actual/Actual” adopted by the International Securities Market Association (“Actual/Actual (ISMA)”), which means a calculation on the basis of the following:

  • Actual Costs as used herein shall mean those costs that were reasonably incurred in order to protect the honesty and integrity of the gaming being operated by Tribe under, and to monitor the Tribe’s compliance with, the Compact. Costs incurred in common for more than one tribe shall be allocated among such tribes. For purposes of this Section 13, prior years’ actual costs shall be based on the actual costs incurred for the twelve months ending September 30. Regulatory Fees shall be paid as follows:

  • Actual service means the total straight-time pay hours accumulated in a title. The first 240 hours per year of authorized unpaid time off for non- disciplinary reasons shall not be deducted from actual service.

  • Summative evaluation means the comprehensive, end-of-cycle appraisal and shall incorporate the results of the minimum required observations, any additional observations, and required component-level data. At the discretion of the Evaluator, it may also include additional Announced, Unannounced, or Short observation data beyond the required observation data provided by other Credentialed Observers.

  • Actual Working Capital has the meaning set forth in Section 2.7(a).

  • Actual Tax Liability means, with respect to any Taxable Year, the liability for Covered Taxes of the Corporation (a) appearing on Tax Returns of the Corporation for such Taxable Year and (b) if applicable, determined in accordance with a Determination (including interest imposed in respect thereof under applicable law).

  • Actual Cost means the cost of depleted supplies, records storage media costs, actual mailing and alternative delivery costs, or other transmitting costs, and any direct equipment operating and maintenance costs, including actual costs paid to private contractors for copying services.

  • Actual Payment means, with respect to a Receivable and a Collection Period, all payments received by the Servicer from or for the account of the related Obligor on such Receivable during such Collection Period, net of any Supplemental Servicing Fees attributable to such Receivable.

  • Three-Month Term SOFR means the rate for Term SOFR for a tenor of three months that is published by the Term SOFR Administrator at the Reference Time for any interest period, as determined by the Calculation Agent after giving effect to the Three-Month Term SOFR Conventions. All percentages used in or resulting from any calculation of Three-Month Term SOFR shall be rounded, if necessary, to the nearest one-hundred-thousandth of a percentage point, with 0.000005% rounded up to 0.00001%.