Loss or Gain 99.0% to 100% 0% 0% 0% ≤ 1% 101.0% Gain >1% 90.0% to 10% 90% (90%) * (90%)* and ≤ 10% 98.9% (Medicare (Medicaid A/B Percent Percent of Rate) of Rate) Gain >10% 80.0% to 50% 50% (50%) * (50%)* and ≤ 20% 89.9% (Medicare (Medicaid A/B Percent Percent of Rate) of Rate) Gain >20% < 80.0% 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 >20.0% still results in risk sharing reconciliation for the loss or gain between 1.1% and 20.0%. 3 All EOHHS Risk Sharing shall be treated as Medicaid expenditures eligible for FMAP. Demonstration Year 2 Incremental Corresponding % Contractor % EOHHS & % CMS Risk % EOHHS Risk Loss or Gain Risk Corridor Risk Sharing CMS Risk Sharing Sharing2 (as % of Total Percentage Sharing Adjusted Capitation Rate Revenue)1 Loss >10% >110.0% 100% 0% 0% 0% Loss >3% 103.1% to 50% 50% (50%) * (50%)* and ≤ 10% 110.0% (Medicare (Medicaid A/B Percent Percent of Rate) of Rate)
Loss or Gain ≤ 1% 99.0% to 101.0% 100% 0% 0% 0% Gain >1% and ≤ 10% 90.0% to 98.9% 10% 90% (90%) * (Medicare A/B Percent of Rate) (90%)* (Medicaid Percent of Rate) Gain >10% and ≤ 20% 80.0% to 89.9% 50% 50% (50%) * (Medicare A/B Percent of Rate) (50%)* (Medicaid Percent of Rate) Gain >20% < 80.0% 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 >20.0% still results in risk sharing reconciliation for the loss or gain between 1.1% and 20.0%. 3 All EOHHS Risk Sharing shall be treated as Medicaid expenditures eligible for FMAP. Demonstration Year 2 Incremental Loss or Gain (as % of Total Adjusted Capitation Rate Revenue)1 Corresponding Risk Corridor Percentage % Contractor Risk Sharing % EOHHS & CMS Risk Sharing % CMS Risk Sharing % EOHHS Risk Sharing2 Loss >10% >110.0% 100% 0% 0% 0% Loss >3% and ≤ 10% 103.1% to 110.0% 50% 50% (50%) * (Medicare A/B Percent of Rate) (50%)* (Medicaid Percent of Rate)