Specifications include, but are not limited to: Actuarial Consulting Services for the Montgomery County HealthChoices program. The County will enter into an annual contract for actuarial services related to the financial soundness of the HealthChoices program and capitation rates. Develop actuarially sound capitation rates considering factors of historical spending, adjustments, programs changes, lags, TPL, and contract language. Evaluate DHS’ rate setting methodology and make recommendations for the County’s response to DHS’ rate offers. Development of potential mid-year rate adjustments. Analysis of DHS’ potential mid-year rate adjustments. Assistance to County staff in rate negotiations with DHS/Mercer financial and actuarial staff. Periodically assist County in evaluation of the MCO’s estimates of claims liability and provide written opinion on accuracy of medical expense lags. Assist County’s Auditing firm in the annual audit related to the claims liability and medical expense reported in the financial reports submitted to state.