Risk Adjustment (RA) FAQ
Guidance for FAQ regarding Risk Adjustment Operations and Risk Scores
Program Area: Risk Adjustment (RA)
Question: In the Plan Liability Average Risk Score (PLRS) formula, does the term 'plan' refer to a single plan or an issuer?
Answer: In the formula for PLRS, the term 'plan' refers to a risk adjustment covered plan within an issuer. For more information, please see the HHS Notice of Benefits and Parameters for the current benefit year.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 04, 2019
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