No Credibility definition
No Credibility means the experience of a CCO is determined, under CMS guidance4, to be insufficient, measured in terms of member months, for the reliable calculation of a MLR. A CCO that is assigned No Credibility (or is Non-credible) will not be measured against any MLR requirements.
No Credibility. As defined in 42 CFR § 438.8, a standard for which the experience of an MCO is determined to be insufficient for the calculation of a Medical Loss Ratio (MLR). An MCO that is assigned no credibility (or is non-credible) will not be measured against any MLR requirements.
No Credibility means a standard for which the experience of a PAHP is determined to be insufficient for the calculation of a MLR. A PAHP that is assigned no credibility (or is non-credible) will not be measured against any MLR requirements.
Examples of No Credibility in a sentence
A Contractor that is assigned No Credibility (or is Non-Credible) will not be measured against any MLR requirements.
More Definitions of No Credibility
No Credibility means a standard for which the experience of an MCO is determined to be insufficient for the calculation of an MLR.