Capitation Rate and Per Capita Cost Information

This page contains the annual Capitation Rate Development Reports and biennial Expected Per Capita Cost Analysis Reports, prepared by the actuarial firm PriceWaterhouseCoopers. 

• Capitation Rate Development Reports
• Expected Per Capita Cost Reports 

All files on this page are in Portable Document Format (PDF). You will need the free Adobe Reader to view these documents. If you do not already have the latest version of Adobe Reader, you can download it here. 

_____________________________________________________________________________________

Capitation rate development reports

These reports outline the capitation rates to be paid to contracting managed care organizations under the Oregon Health Plan Medicaid Demonstration. The reports also explain the methods for arriving at the annual capitation rates.

All reports are listed by effective date. Starting in January 2006, the capitation rates are for each calendar year, not fiscal year.

• Oct. 1, 2009 
• Jan. 1, 2009 
• Sept. 1, 2008 
• Jan. 1, 2008 
• July 1, 2008: These rates reflect legislative action that repealed the benefit reductions enacted beginning Jan. 1, 2007 (e.g., dental, vision, and OTC drug reductions).
• Jan. 1, 2007 
• Jan. 1, 2006 
• Oct. 1, 2005 
• Oct. 1, 2004 
• Oct. 1, 2003 
• Oct. 1, 2002 
• Oct. 1, 2001 

Back to top

Expected per capita cost reports

These reports provide an in-depth analysis and explanation of methodology used to determine each biennium's budget for the Oregon Health Plan. All reports are listed by the budget period. 

• 2009-2011 - Also refer to the Report Addendum, which supersedes certain portions of the original report (read the addendum's Executive Summary for an overview of the changes).
• 2007-2009 
• 2005-2007 
• 2003-2005 
• 2001-2003 with Exhibits 

Back to top