No Credibility definition

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.
Sample 1Sample 2Sample 3
No Credibility means the experience of a CCO is determined, under CMS guidance3, 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.
Sample 1Sample 2
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.
Sample 1Sample 2

Examples of No Credibility in a sentence

  • The RUF - No Credibility or Legitimacy For the most part the RUF has agreed to negotiations when it faces military disadvantage and has then broken the resulting agreements after rearming.

  • Figure 5: No Credibility: Inflation Targeting Implemented as Exo.

  • See Mary Voboril, No Credibility: Kidnap Suspect Makes Dizzying Array of Bogus Claims, Newsday, Oct.

  • This expectation of different assumptions in later years means that senior management will need to look ahead to howResolution Planning in the United States 155 different resolution plan strategies might fare in a more stressed environment and possibly adjust resolution planning accordingly.– No Credibility Reviews of Initial Plans.

  • Signature: _ (Required) Chaplain Fellowship Ministries Holds all Members Accountable for Their Action - without Accountability There Is No Credibility The leadership and dedicated members of Chaplain Fellowship Ministries believe in honesty, integrity and accountability.

  • All documents submitted with application for membership become the property of Chaplain Fellowship Ministries.Chaplain Fellowship Ministries Holds all Members Accountable for Their Action Without Accountability There Is No Credibility Unscriptural conduct, failure to maintain membership requirements in good standing, or doctrinal departure from the tenets of faith, shall be considered sufficient grounds upon which any member may be disqualified and removed as a member of Chaplain Fellowship Ministries.

  • The WFH boom greatly aided MXL/IHG, but it has peaked – just ask NTGR’s shareholders• Management Has No Credibility When It Comes to Promises About Growtha.

  • In motivating the allocations made to and within the vote, the Assistant Director, Director, service or function concerned shall provide the relevant portfolio committee with appropriate quarterly performance indicators and service delivery targets pertaining to the budget.

  • Loss Ratio in BEP: Loss ratio is 61.34% Credibility of Data No Credibility Manual was used.

  • See for example Asylum Support Appeal Project, No Credibility: UKBA Decision Making and Section 4 Support, April 2011 and Citizens Advice Bureau, Supporting Justice briefing, June 2009.


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.
Sample 1

Related to No Credibility

  • Integrity means that personal data should be accurate and suitable for the purpose for which it is processed.

  • Vulnerability means a weakness of an asset or mitigation that can be exploited by one or more threats.

  • Impact means any effect caused by a proposed activity on the environment including human health and safety, flora, fauna, soil, air, water, climate, landscape and historical monuments or other physical structures or the interaction among these factors; it also includes effects on cultural heritage or socio-economic conditions resulting from alterations to those factors;

  • Visibility impairment means any humanly perceptible change in visual range, contrast, or coloration from that which would have existed under natural visibility conditions.

  • Profile means a building's cross-sectional shape or the shape of its outline.

  • Deafness means a hearing impairment that is so severe that the student is impaired in processing linguistic information through hearing, with or without amplification that adversely affects a student’s educational performance.

  • Outcomes means the Health and Wellbeing Outcomes prescribed by the Scottish Ministers in Regulations under section 5(1) of the Act;

  • Affordability means a housing unit that satisfies at least one of the following criteria:

  • materially shall, when used in this Agreement, be construed, measured or assessed on the basis of whether the matter would materially affect a party and its subsidiaries, taken as a whole; and

  • Reliability means the degree of performance of the bulk electric system that results in electricity being delivered within Reliability Standards and in the amount desired. Electric system Reliability can be addressed by considering two basic and functional aspects of electric systems, which are Adequacy and Security.

  • Discom(s) means one or more of the following distribution companies:

  • Ability refers to mental, and physical capability. The Employer, in making a decision with respect to determining which employees are to be retained and which employees are to be laid off, shall determine qualifications, and the ability of employees to perform the duties which the remaining employees will be required to perform, in a fair, reasonable, and non-discriminatory manner. The onus of proof rests with the Employer in any dispute over the application of qualifications and ability to perform the duties which the remaining employees will be required to perform.

  • durability means the ability of components and systems to last so that the environmental performance can still be met after a mileage set out in paragraph 2.4. and so that vehicle functional safety is ensured, if the vehicle is used under normal or intended circumstances and serviced in accordance with the manufacturer’s recommendations.

  • Endpoint means any Federal Reserve Bank, financial institution, local clearing house, courier or other entity or location for the delivery of cash letters or other presentment of Imaged Items or Substitute Checks.

  • Materially Impair means any amendment to the terms of the Award that materially adversely affects the Participant’s rights under the Award. A Participant’s rights under an Award will not be deemed to have been Materially Impaired by any such amendment if the Board, in its sole discretion, determines that the amendment, taken as a whole, does not materially impair the Participant’s rights. For example, the following types of amendments to the terms of an Award do not Materially Impair the Participant’s rights under the Award: (i) imposition of reasonable restrictions on the minimum number of shares subject to an Option that may be exercised, (ii) to maintain the qualified status of the Award as an Incentive Stock Option under Section 422 of the Code; (iii) to change the terms of an Incentive Stock Option in a manner that disqualifies, impairs or otherwise affects the qualified status of the Award as an Incentive Stock Option under Section 422 of the Code; (iv) to clarify the manner of exemption from, or to bring the Award into compliance with or qualify it for an exemption from, Section 409A; or (v) to comply with other Applicable Laws.

  • integrity violation means any act which violates the anticorruption policy including corrupt, fraudulent, coercive, or collusive practice, abuse, and obstructive practice;

  • Diversity means variety among individuals. Diversity includes, for example, variations in socio-economic status, race, developmental level, ethnicity, gender, language, learning styles, culture, abilities, age, interests, and/or personality.

  • Quality means the totality of features and characteristics of a product or service that bear on its ability to satisfy stated or implied needs;

  • Measurable means the amount of the transaction can be determined and “available” means collectible with the current period or soon enough thereafter to be used to pay liabilities of the current period. State equalization monies are recognized as revenue during the period in which they are appropriated. A one- year availability period is used for revenue recognition for all other governmental fund revenues.