1) The capitation rate is less than the assessed share of cost

Official source

On March 13, 2021, an ALTCS customer died at a nursing home in Maricopa County. The share of cost (SOC) was $1472.00. The customer had Medicare A and B and was enrolled with United Healthcare. The daily capitation rate for United Healthcare in Maricopa County in March 2021 for a person with Medicare is $101.80.

101.80 x 13 (the number of days in March the customer was at the nursing home) = $1323.40. The prorated capitation rate (1323.40) is less than the customer’s SOC. $1323.40 is the adjusted SOC for March 2021.

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1) The capitation rate is less than the assessed share of cost

Official source

On March 13, 2021, an ALTCS customer died at a nursing home in Maricopa County. The share of cost (SOC) was $1472.00. The customer had Medicare A and B and was enrolled with United Healthcare. The daily capitation rate for United Healthcare in Maricopa County in March 2021 for a person with Medicare is $101.80.

101.80 x 13 (the number of days in March the customer was at the nursing home) = $1323.40. The prorated capitation rate (1323.40) is less than the customer’s SOC. $1323.40 is the adjusted SOC for March 2021.