This unit provides advanced financial and statistical support for the Bureau relating to Capitation Rates, Risk Adjustment Models and Payment Methodologies.
Unit Responsibilities include:
For Institutional Reimbursement rates, please click here.
Managed Medical Assistance (MMA)
Long-Term Care (LTC)
Special Needs Plan Revenue and Expense Schedule Statement Template Tool [157KB Excel]
Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) Medicaid Covered Services [157KB PDF] Effective January 1, 2022
Fully Liable Medicare Advantage Plan Medicaid Covered Services [58KB PDF] Effective July 1