SFY 2020 - 2021 MC MLR Report Summary
FIDA line of business
- Report also available in Portable Document Format (PDF)
| SFY 2020 - 2021 MC MLR Report Summary | ||||||||
|---|---|---|---|---|---|---|---|---|
| FIDA line of business | ||||||||
| Plan | MLR AFTER Credibility Adjustment |
Medical Expense (Total Numerator) |
Premium USED FOR MLR% (Total Denominator) |
Medicaid Only Premium USED FOR REMITTANCE |
Remittance | Credible | MMs | |
| Partners Health Plan, Inc. FIDA IDD | 112.79% | $275,385,308 | $254,356,506 | $224,679,277 | $0 | Partially Credible | 20,347 | |
| Total | $275,385,308 | $254,356,506 | $224,679,277 | $0 | 20,347 | |||
NOTES:
Please note that the Remittance is for this line of business for one year ONLY based on a MLR Target of 86%.
FIDA IDD MLR is reported on a Calendar Year (CY). FIDA is reported on a State Fiscal Year (SFY).
The MLR% calculation for the Medicaid/Medicare integrated lines of business includes both the Medicare and Medicaid experience.
Remittances, if applicable, are calculated by multiplying the MLR% by the Medicaid Only Premium.
No remittance for plan if Non-Credible
