Synthetic demonstration data — State of Cascadia is fictional. Methodology is real.
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Capitation rate-cell error — recoupment / rate certification

Aid Category Conflicts

18,922
Members affected
$34.1M
Estimated exposure
15.1
Avg months at risk
$24.1M40M
Exposure range

What this is

CBES and MMIS carry different aid categories for the same member and span, so capitation pays from the wrong rate cell. Small dollars per member, huge member counts.

Why single-system review misses this

The category is 'valid' in both systems — just different. Nothing fails a format edit; only a field-level cross-system compare catches it.

One member, two systems

Member CAS-00000518 — the eligibility record and the payment record, on one clock. The hatched window is the seam.

CBES eligibility spanMMIS enrollment spanthe seam — paying from the wrong rate cell
2023202420252026Paying from the wrong rate cell — 3.3 mo≈ $119/mo at riskvendor cutover 10/25run date 06/26CBESeligibilityMMISpaymentCBES TANF-CHILD · Rainshadow County · 2022-07-04 → 2023-10-21TANF-CHILDCBES TANF-CHILD · Rainshadow County · 2024-06-15 → 2026-01-03TANF-CHILDCBES TANF-CHILD · Rainshadow County · 2026-03-23 → openMMIS TANF-CHILD · Silverline Health · CASCADE_LEGACY · 2022-07-04 → 2023-10-21 · capitation YTANF-CHILD · LEGACYMMIS TANF-CHILD · Silverline Health · MERIDIAN · 2024-06-15 → 2026-01-03 · capitation YTANF-CHILD · MERIDIANMMIS FOSTER-CARE · Silverline Health · MERIDIAN · 2026-03-23 → open · capitation Y≈ $119 paid this month≈ $119 paid this month≈ $119 paid this month

The exposure math, in the open

members × avg monthly rate-cell error × avg months in conflict

18,922members×$119avg per month×15.1avg months$34.1Mestimated exposure
Example members:CAS-00000518CAS-00001601CAS-00001741CAS-00002000CAS-00002017