Examples of MCO Plan in a sentence
The Department has provided the PH-MCO with a RAR MCO Plan Factor of 0.9710 for TANF Members in Philadelphia.
The Department and its actuaries will recalculate the RAR MCO Plan Factors monthly, or every six (6) months effective January 1 and July 1 of each year, or in accordance with another periodicity schedule determined by the Department.
The Department will multiply the Base Capitation Rate by a RAR MCO Plan Factor, as provided to the PH-MCO, to compute a Risk Adjusted Rate.
As each recalculation of the MCO Plan Factor occurs, the PH-MCO will be paid a revised Capitation Payment Rate in effect for each month that each TANF Philadelphia Member is enrolled in the PH-MCO’s program.
This amount will be the payment for each month the MCO Plan Factor remains at 0.971.
If Base Capitation Rates are risk adjusted, the Department and its actuarial consultant will develop each RAR MCO Plan Factor to reflect the health status and demographics of Members enrolled in the PH-MCO’s program within one Recipient Group and one County Group.
Concerned NRAs agreed that, for the sake of coherence with the MCO Plan request for amendments, no explicit reference to PCR and XBID shall be made in CRIDA proposal.
If Base Capitation Rates are risk adjusted, the Department and its actuarial consultant will develop each RAR MCO Plan Factor to reflect the health status of Members enrolled in the PH-MCO’s program within one Recipient Group and one County Group.
This will be paid for each month the MCO Plan Factor of 0.971 is in effect.
As each recalculation of the MCO Plan Factor occurs, the PH-MCO will be paid the revised Capitation Payment Rate in effect for each month that each TANF Philadelphia Member is enrolled in the PH-MCO’s program.