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Texas contracts out charge location to an actuarial consulting company. Texas doesn't have a minimum MLR but rather needs Medicaid MCOs share a percentage of profits back again Using the point out. This pool of resources may be applied to deliver incentive payments for MCOs to enhance excellent of care, stimulate payment reform, or minimize inappropriate or preventable products and services (among other points).  

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The final procedures may be distinctive from their current variations and states will need to assessment any improvements to point out Medicaid managed care oversight requirements when these guidelines are finalized. 

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The report also observed that two-thirds of incomplete stories did not incorporate a industry to the MCO to enter or report one of many knowledge elements necessary to calculate MLR. On top of that, the OIG report uncovered that sixteen states noted that they didn't critique all MLR data components for accuracy.   

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