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2019 Final HHS Risk Adjustment Model Coefficients  

Guidance for guidance announces final risk adjustment model factors for the 2019 benefit year in PDF format. The coefficients measure the relative risk assigned to diagnosis codes in the determination of risk adjustment charges and payments to issuers.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: April 12, 2018

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.