Text of Recommendation | We recommend that the Plan strengthen its internal controls over its capitation rate-setting process and create formal policies and procedures that document the methodology used to set the capitation rates. The policies and procedures should clearly define how the rates are determined and define the criteria in which the rates can be adjusted. |
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Recommendation Number | 1 |
Recommendation Status | Closed |
Significant Recommendation | No |
Recommendation Questioned Costs | $0 |
Recommendation Funds for Better Use | $0 |
Submitting OIG | |
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Linked Report |