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Mercer outlines limited case‑rate refresh for performance year 2; preliminary rates due late fall
Department of Social Services provider forum · August 25, 2025
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Summary
Mercer told providers PY1 case rates were built on Oct. 2022–Sept. 2023 historic episode costs and that PY2 will use a limited refresh (fee‑schedule and acuity updates) with preliminary rates for practice review expected in late fall and a technical assistance window before finalization.
Caroline Scott, an actuary with Mercer, described the plan for refreshing the maternity bundle case rates for performance year 2.
"These p y 1 case rates are based on historic episode costs from October 2022 through September 2023," Scott said, and she noted the current state plan amendment…
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