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Advanced Clinical Intelligence
HCC V28
Calculator
2025 Release
Parameters
Risk Model
Community Non-Dual
Community Full Benefit
Community Partial Benefit
Institutional
New Enrollee
New Enrollee Chronic Care SNP
Calculation Year
2026
2025
MCE Edits
MCE Edit on ICD10: Adjusting diagnosis based on age and sex.
Reimbursement Premium
$ 0.00
Manual
Region
County
Base Rate Value
Monthly Regional Rates for
State
----
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
DC - District of Columbia
AS - American Samoa
GU - Guam
MP - Northern Mariana Islands
PR - Puerto Rico
UM - United States Minor Outlying Islands
VI - Virgin Islands, U.S.
VI - Virgin Islands
GU - Gu
Bonus Rate
0%
3.5%
5%
County Capitation Rates for
Select State
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
DC - District of Columbia
AS - American Samoa
GU - Guam
MP - Northern Mariana Islands
PR - Puerto Rico
UM - United States Minor Outlying Islands
VI - Virgin Islands, U.S.
VI - Virgin Islands
GU - Gu
Select County
Standard Plans:
0%
3.5%
5%
ESRD
PACE Plans:
PACE
PACE ESRD
Normalized Factor
Clinical Data
DOB
Gender
M
F
LTIMCAID (Institutional Medicaid)
NEMCAID (New Enrollee Medicaid)
Original Reason for Entitlement
Old Age (OASI)
Disability (DIB)
ESRD
Both DIB and ESRD
ICD-10 Search
Bulk Text Extraction
Extract Codes
Clear
Selected Codes:
Total RAF Score
0.000
💾 CSV
💾 JSON
Calculate RAF
Score Breakdown
Type
ICD-10
Coeff
Description
Score
Amount
Hierarchy (Trumped) HCCs
ICD-10
HCC
Description