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EXHIBIT 1: 1915© Rate Methodology and Performance Measure Technical Assistance (TA) Request Form Introduction: This form is reserved for State Medicaid Agency employees. Rate Methodology and Performance
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Exhibit 1 rate methodology is a form used to report the rates charged by a company.
All companies providing services subject to rate regulation are required to file exhibit 1 rate methodology.
Exhibit 1 rate methodology should be filled out accurately and completely according to the instructions provided by the regulatory agency.
The purpose of exhibit 1 rate methodology is to provide transparency and accountability in the setting of rates for regulated services.
Information such as cost components, cost allocation methods, rate formulae, and supporting data must be reported on exhibit 1 rate methodology.
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