N.J. Admin. Code § 10:74-12.2

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:74-12.2 - Capitation rates

(a) Capitation rates shall be derived from MCO expenditure and encounter data.

(b) Adjustments to capitation rates shall be made to address certain features such as trends, program changes and risk factors associated with certain enrollee populations.

Recodified from N.J.A.C. 10:74-12.3 and amended by R.2000 d.370, effective 9/18/2000 (operative October 1, 2000).
See: 32 N.J.R. 1352(a), 32 N.J.R. 3426(a).
Rewrote (b) and (c). Former N.J.A.C. 10:74-12.2, Capitation payments, recodified to N.J.A.C. 10:74-12.1.
Amended by R.2006 d.17, effective 1/3/2006.
See: 37 N.J.R. 2787(a), 38 N.J.R. 294(d).
Rewrote the section.
Amended by R.2012 d.041, effective 2/21/2012.
See: 43 N.J.R. 257(b), 44 N.J.R. 494(a).
Section was "Derivation of capitation rates".