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Text of CMS Memorandum: 2019 Benefit Year HHS Risk Adjustment Data Validation Results (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
[Official Guidance] Feb. 25, 2022 13 pages. "The 2019 benefit year HHS-RADV error rates will be averaged with the 2020 benefit year HHS-RADV error rates and applied to the 2020 plan liability risk scores and risk adjustment transfers.... As a result, combined 2019 and 2020 benefit year HHS-RADV adjustments to 2020 benefit year risk adjustment transfers will not be released until summer 2022, after 2020 benefit year HHS-RADV error rates are published. This memo contains an overview of the 2019 benefit year HHS-RADV error rate methodology, an overview of the 2019 benefit year HHS-RADV reports, and information to assist issuers in understanding their results." |
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