Authorization Number : 855-1037
Agency Series No. : MRDS-3
Status : Active
Agency Web Link :
Agency : BWC
Confidential Description : Managed Care Organization (MCO) Administrative Payment Calculations may contain medical records or social security information that is not subject to public records disclosure according to ORC 149.33(A).
Division : BWCIACS
Vital Description :
Section : BWCIACSMSPM
Record Title : Managed Care Organization (MCO) Administrative Payment Calculations
Revision : 0
Record Description : The Managed Care Organization (MCO) Administrative Payment Calculations are excel spreadsheets used by the Managed Care Organization (MCO) Business Unit to determine the set-off calculations to the MCO incentive payments. When an MCO fails to meet a performance benchmark a set-off is applied to their payment. The set-off calculation determines the amount deducted from their payment. The methodology for the calculation is part of the MCO Agreement.