APPENDIX D, EXHIBIT 1 BASE CAPITATION RATES Contract Year 1 Listed below are the Per Member Per Month (PMPM) Base Capitation Rates for Contract Year 1 (March 1, 2018 through December 31, 2018) (also referred to as Rate Year 2018 or RY18), subject to state appropriation and all necessary federal approvals. Base Capitation Rates do not include EOHHS adjustments described in Sections 4.2.C and 4.2.E. of the Contract. In addition to the Base Capitation Rates tables below, additional tables include the add-ons for CBHI as described in Section 4.5.D and for ABA Services as described in Section 4.5.E. The add-ons for CBHI and ABA Services are the same for all Regions and will be added to the Risk Adjusted Capitation Rates as defined in Section 4.2.E. ACO Base Capitation Rates / RC I Adult Effective March 1, 2018 December 31, 2018 (RY 18) – NON-HIGH NON-HCV COST DRUG / TOTAL BASE HCV HIGH COST ADMINISTRATIVE NON-HCV CAPITATION COMPONENT DRUG COMPONENT MEDICAL RATE COMPONENT COMPONENT REGION (per member (per member (per member (per member per (per member per month) per month) per month) month) per month) Northern Greater Boston Southern Central Western ACO Base Capitation Rates / RC I Child Effective March 1, 2018 December 31, 2018 (RY 18) –
APPENDIX D, EXHIBIT 1 BASE CAPITATION RATES Contract Year 1 Listed below are the Per Member Per Month (PMPM) Base Capitation Rates for Contract Year 1 (March 1, 2018 through December 31, 2018) (also referred to as Rate Year 2018 or RY18), subject to state appropriation and all necessary federal approvals. Base Capitation Rates do not include EOHHS adjustments described in Sections 4.2.C and 4.2.E. of the Contract. In addition to the Base Capitation Rates tables below, additional tables include the add-ons for CBHI as described in Section 4.5.D and for ABA Services as described in Section 4.5.E. The add-ons for CBHI and ABA Services are the same for all Regions and will be added to the Risk Adjusted Capitation Rates as defined in Section 4.2.E. ACO Base Capitation Rates / RC I Adult Effective March 1, 2018 – December 31, 2018 (RY 18) REGION NON-HIGH COST DRUG / NON-HCV MEDICAL COMPONENT HCV COMPONENT NON-HCV HIGH COST DRUG COMPONENT ADMINISTRATIVE COMPONENT TOTAL BASE CAPITATION RATE (per member per month) (per member per month) (per member per month) (per member per month) (per member per month) Northern Greater Boston Southern Central Western ACO Base Capitation Rates / RC I Child Effective March 1, 2018 – December 31, 2018 (RY 18)
acpp-appendix-d-base-capitation-rates.docx