Medicaid Actuarial Services

This unit provides advanced financial and statistical support for the Bureau relating to Capitation Rates, Risk Adjustment Models and Payment Methodologies.

Unit Responsibilities include:

For Institutional Reimbursement rates, please click here.

SMMC Capitation Information

Managed Medical Assistance (MMA)

Long-term Care (LTC)

HMO Capitation Information - Prior to SMMC

2009-2012 Medicaid Reform/Non-Reform Capitation Rates
March 2009 Medicaid Non-Reform Capitation Rates [103KB PDF]
Medicaid HMO Capitation Rates for 2008-2009 Contract Year
Medicaid HMO Capitation Rates for 2007-2008 Contract Year
Medicaid HMO Capitation Rates for 2006-2007 Contract Year

Medicaid HMO Capitation Rates for 2005-2006 Contract Year
Medicaid HMO Capitation Rates for 2004-2005 Contract Year
Medicaid HMO Capitation Rates for 2003-2004 Contract Year
Medicaid HMO Capitation Rates for 2002-2003 Contract Year

Medicaid HMO Capitation Rates for 2001-2002 Contract Year
Medicaid HMO Capitation Rates for 2000-2001 Contract Year
Medicaid HMO Capitation Rates for 1999-2000 Contract Year [790KB Microsoft Word]

Medicaid Non-Reform Capitation Rates FY1213 [229KB, PDF]
Medicaid Reform Capitation Rates Effective Sept 2012 [156KB, PDF]