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Medicaid HMO 2002-2003 Capitation Rates
This year AHCA used the same methodology that was developed by Milliman and
Robertson in FY 00/01 to:
- Establish an upper payment limit as an estimate of the cost of providing
care for the HMO population in a fee-for-service setting;
- Set capitation rates less than the upper payment limit;
- Develop rates acceptable to HCFA;
- Provide fair reimbursement to the HMOs;
- Foster an increase in rural HMO participation; and
- Minimize the impact of year-to-year fluctuation.
A Summary by Age, Eligibility
Category, and Area (25 KB .pdf) provides general information about the 2002-2003
Medicaid HMO Capitation Rates. More detailed information is available in the
appendices listed below, posted in zipped files for your convenience.
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Zip File
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| TANF/AFDC (Appendix
A) |
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| SSI - No Medicare
(Appendix B) |
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| SSI - Medicare
A & B (Appendix C) |
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| SSI - Medicare
B (Appendix D) |
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For self-extracting archives:
Double-click on the file name and select "Save this program to disk" to save the
file on your hard drive. Double-click the file after download is complete to open
the WinZip self-extractor. Click the "browse" button to select a folder on your
hard drive in which to save the files, and then hit the "Unzip" button. The files
will then be automatically decompressed into Excel-formatted worksheets.
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