Requested Data. As the actuary contracted by ODM to provide consulting services and associated financial analyses for many aspects of the MyCare program (and not limited to capitation rate development), Milliman intakes and summarizes eligibility and expenditure data on a monthly basis using vendor files provided by ODM. Additionally, we receive the cost report data in Microsoft Excel files that the MCOPs submit to ODM on a cumulative quarterly basis, as well as final calendar year versions at each year end that include three months of claims run-out. The remainder of this section details the base data and validation processes utilized in the CY 2024 capitation rate development.
Appears in 2 contracts
Sources: Provider Agreement, Provider Agreement