
Managed Care Capitation Rate Review: Timing of States’ Submissions
This measure reports the number of days between a state’s submission of a base capitation rate certification and the start of the managed care contract rating period. CMS conducts actuarial reviews of these rates as part of an approval process. States must submit base capitation rate certifications to CMS for review and approval before the managed care contract rating period starts.
Light-green bars indicate state submissions that occurred before the rating period began.
The orange dashed line represents the median time of submission. Half of the submissions occur before the rating period begins or within 9 days after the rating period begins. Half of the submissions occur more than 9 days after the rating period begins.
Managed Care Capitation Rate Review: Timing of States’ Submissions |
This measure reports the number of days between a state’s submission of a base capitation rate certification and the start of the managed care contract rating period. |
|
State Administrative Accountability |
|
Source: CMS Office of the Actuary (OACT) Note: The figure includes the 118 base rate certifications submitted in federal fiscal year 2020. The relevant CMS regulation for this activity is 42 Code of Federal Regulations 438.806 (b) and (c). |