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Variable Description Label Community, Non-Low Income, Age≥65 Community, Non-Low Income, Age<65 Community, Low Income, Age≥65 Community, Low Income, Age<65 Institutional NonAged_RXHCC133 NonAged * Anxiety and Other Psychiatric Disorders - - - - 0.126 NonAged_RXHCC159 NonAged * Multiple Sclerosis - - - - 2.386 NonAged_RXHCC163 NonAged * Intractable Epilepsy - - - - 0.348 NOTE: The Part D Denominator used to calculate relative factors is $2,597.22. This Part D Denominator is based on the combined PDP and MA-PD populations. SOURCE: RTI Analysis of 100% 2022-2023 Medicare Enrollment Data, 2023 Prescription Drug Event (PDE) Data, 2022 Professional Claims (Carrier), 2022 Inpatient Claims, 2022 Outpatient Claims, and 2022 Medicare Advantage Encounter Data.

Table VIII-2. 2026 RxHCC Model Relative Factors for New Enrollees, Non-Low Income (2022/2023 Calibration; HCPCS- based Filtering Logic; Reflects MFPs) Variable Not Concurrently ESRD, Not Originally Disabled Concurrently ESRD, Not Originally Disabled Not Concurrently ESRD, Originally Disabled Concurrently ESRD, Originally Disabled Female 0-34 Years 1.693 1.693 - - 35-44 Years 1.693 1.693 - - 45-54 Years 1.306 1.306 - - 55-59 Years 1.306 1.306 - -