Base Experience. We used the projected claims data underlying the July 2021 MMC capitation rates, as outlined in the Original certification, as base experience for developing the amended capitation rates effective during the January through June 2022 period. These projected claims costs are inclusive of all retrospective, prospective, trend, managed care efficiency, and other claims cost adjustments made to the data as outlined in the Original certification.
Appears in 2 contracts
Sources: Provider Agreement, Provider Agreement