Loss >2% 102.1% to 50% 50% (50%) * (50%)* (Medicaid and 108.0% (Medicare Percent of Rate) ≤ 8% A/B Percent of Rate) Loss or Gain 98.0% to 100% 0% 0% 0% 2% 102.0% ≤ Gain >2% 97.9% to 50% 50% (50%) * (50%)* (Medicaid and 8% 92.0% (Medicare Percent of Rate) ≤ A/B Percent of Rate) Gain >8% < 92.0% 100% 0% 0% 0%” 1 Loss and gain reflected on an incremental basis, rounded to the nearest one tenth of a percent. Loss or gain >8.0% still results in risk sharing reconciliation for the loss or gain between 2.1% and 8.0%. 2 All EOHHS Risk Sharing shall be treated as Medicaid expenditures eligible for FMAP. This Addendum deletes Subsection 5.7 and replaces it with the following Subsection 5.7: Contract Term “5.7 This Contract shall be in effect through December 31, 2018, and, so long as the Contractor has not provided CMS with a notice of intention not to renew, and CMS/EOHHS have not provided the Contractor with a notice of intention not to renew, pursuant to 42 C.F.R. § 422.506 or Section 5.5 above, shall be renewed in one year terms, through December 31, 2019.” In Witness Whereof, CMS, EOHHS, and the Contractor have caused this Agreement to be executed by their respective authorized officers: (Insert Contractor Signatory Name and Title) (Date)
Loss >2% and ≤ 8% 102.1% to 108.0% 50% 50% (50%) * (Medicare A/B Percent of Rate) (50%)* (Medicaid Percent of Rate) Loss or Gain ≤ 2% 98.0% to 102.0% 100% 0% 0% 0% Gain >2% and ≤ 8% 97.9% to 92.0% 50% 50% (50%) * (Medicare A/B Percent of Rate) (50%)* (Medicaid Percent of Rate) Gain >8% < 92.0% 100% 0% 0% 0%” 1 Loss and gain reflected on an incremental basis, rounded to the nearest one tenth of a percent. Loss or gain >8.0% still results in risk sharing reconciliation for the loss or gain between 2.1% and 8.0%. 2 All EOHHS Risk Sharing shall be treated as Medicaid expenditures eligible for FMAP. This Addendum deletes Subsection 5.7 and replaces it with the following Subsection 5.7: “5.7 Contract Term This Contract shall be in effect through December 31, 2018, and, so long as the Contractor has not provided CMS with a notice of intention not to renew, and CMS/EOHHS have not provided the Contractor with a notice of intention not to renew, pursuant to 42 C.F.R. § 422.506 or Section 5.5 above, shall be renewed in one year terms, through December 31, 2019.” In Witness Whereof, CMS, EOHHS, and the Contractor have caused this Agreement to be executed by their respective authorized officers: (Insert Contractor Signatory Name and Title) (Date)