Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 10. Maryland Department of Health |
Part 5. |
Subtitle 67. MARYLAND HEALTHCHOICE PROGRAM |
Chapter 10.67.04. Maryland Medicaid Managed Care Program: Managed Care Organizations |
Sec. 10.67.04.19-2. MCO Supplemental Payment for Transitional Encounter Data Adjustment
Latest version.
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A. The Department may grant an adjustment to those MCOs for whom the uniform encounter data adjustment results in completeness factors that are below the Statewide average.
B. The encounter adjustment for each MCO shall be determined for the Family and Children RACs and for the Disabled RACs respectively.