PL 003 MILLIMAN RATE DEVELOPMENT.pdf

This is a rate development document prepared by Milliman for South Carolina's Non-Emergency Medical Transportation (NEMT) program. The document serves as a supporting exhibit for the NEMT Medical Transportation state and local contract opportunity. The file outlines the technical methodology and actuarial analysis required to establish appropriate reimbursement rates for medical transportation services, which is a critical component of the state's Medicaid program. The rate development work performed by Milliman includes comprehensive analysis of service delivery costs, utilization patterns, and market conditions specific to South Carolina's NEMT provider network to ensure rates are actuarially sound and support program sustainability.

The rate development analysis incorporates current program data, historical claims information, and provider cost structure analysis to establish rates that balance fiscal responsibility with adequate provider compensation and beneficiary access to services. This actuarial work forms the foundation for the state's procurement process, ensuring that contracted providers are compensated at rates that reflect the true cost of delivering compliant medical transportation services while maintaining program integrity. The document represents essential technical support for the NEMT Medical Transportation contract opportunity, enabling the state to establish transparent, data-driven pricing mechanisms for competitive bidding and ongoing rate adjustments.