Common use of Risk Adjustment Calculation Timeline Clause in Contracts

Risk Adjustment Calculation Timeline. ‌ For Contract Year 2021, the MCO’s aggregate risk scores will be calculated two times. 4.5.5.1 For Capitation Payments for January through June 2021, the MCO will receive aggregate risk scores calculated by the STATE, using:‌  Encounter claims and FFS claims for dates of service of July 2019 through June 2020 (the assessment period) that include a warrant date no later than October 13, 2020, and  The MCO’s enrollment as of October 2020 (the exposure month), for each population subject to risk adjustment. 4.5.5.2 For Capitation Payments for July through December 2021, the MCO will receive aggregate risk scores calculated by the STATE, using:‌  Encounter claims and FFS claims for dates of service of January 2020 through December 2020 (the assessment period) that include a warrant date no later than April 13, 2021 and  The MCO’s enrollment as of April 2021 (the exposure month), for each population subject to risk adjustment.

Risk Adjustment Calculation Timeline. ‌ For Contract Year 2021Year, the MCO’s aggregate risk scores score will be calculated two times. 4.5.5.1 (1) For Capitation Payments for January through June 20212017, the MCO will receive aggregate risk scores calculated by the STATE, using:‌  using: (a) Encounter claims and FFS claims for dates of service of July 2019 April 2015 through June 2020 March 2016 (the assessment period) that include a warrant date no later than October 13were received by August 17, 20202016, and  and (b) The MCO’s enrollment as of October 2020 August 2016 (the exposure month), for each population subject to risk adjustment. 4.5.5.2 (2) For Capitation Payments for July through December 20212017, the MCO will receive aggregate risk scores calculated by the STATE, using:‌  using: (a) Encounter claims and FFS claims for dates of service of January 2020 2016 through December 2020 2016 (the assessment period) that include a warrant date no later than were received by April 1312, 2021 and  2017 and (b) The MCO’s enrollment as of April 2021 2017 (the exposure month), for each population subject to risk adjustment.

Risk Adjustment Calculation Timeline. ‌ For Contract Year 20212020, the MCO’s aggregate risk scores score will be calculated two times. 4.5.5.1 For Capitation Payments for January through June 20212020, the MCO will receive aggregate risk scores calculated by the STATE, using:‌  Encounter claims and FFS claims for dates of service of July 2019 2018 through June 2020 2019 (the assessment period) that include a warrant date no later than were received by October 1323, 20202019, and  The MCO’s enrollment as of October 2020 2019 (the exposure month), for each population subject to risk adjustment. 4.5.5.2 For Capitation Payments for July through December 20212020, the MCO will receive aggregate risk scores calculated by the STATE, using:‌  Encounter claims and FFS claims for dates of service of January 2020 2019 through December 2020 2019 (the assessment period) that include a warrant date no later than were received by April 1322, 2021 2020 and  The MCO’s enrollment as of April 2021 2020 (the exposure month), for each population subject to risk adjustment.