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Attachment A Negotiated MM CAP Agency Namesake Code001932NCDFSonoma County Sheriff045 MoMA Screen000448Sonoma County Probation Juvenile000948 122166 004176Sonoma County Adult Probation Sonoma County
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Negotiated MM CAP stands for Negotiated Maximum Medicaid Capitation. It is the maximum amount a state Medicaid agency has agreed to pay a managed care organization (MCO) for delivering Medicaid services to a specific population of beneficiaries.
Managed care organizations (MCOs) that have a contract with a state Medicaid agency are required to file Negotiated MM CAP.
MCOs must provide detailed information about their costs, services, and projected enrollee population to accurately fill out the Negotiated MM CAP form.
The purpose of Negotiated MM CAP is to establish a maximum payment limit for the MCOs providing Medicaid services, promoting financial accountability and ensuring quality care for beneficiaries.
MCOs must report their projected costs, premium rates, administrative expenses, and other financial details on Negotiated MM CAP.
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