Medicaid HMO 2008-2009 Capitation Rates
AHCA uses the methodology 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.
The Summary by Age, Eligibility Category, and Area 2006-2009 provides general information about the September 1, 2008 through August 31, 2009 Medicaid HMO.
More detailed information will be posted in the
appendices listed below in Excel format for the State Fiscal Year 2008-2009 as it becomes available.
| TANF/AFDC (Appendix A) |
| SSI - No Medicare (Appendix B) |
| SSI - Medicare A & B (Appendix C) |
| SSI - Medicare B (Appendix D) |
| PrePaid Dental (Appendix E) |
