Common use of Assignments of New Members Clause in Contracts

Assignments of New Members. Due consideration shall be given to the following when making assignments for Members who do not select an MCO when enrolling: A. Keeping the family together - Assign members of a family to the same MCO. B. Continuity of Care - Preserve the family’s pre-established relationship with providers to the extent possible. C. Robust MCO Competition - equitable distribution of the participants among the MCOs. In order to ensure equitable distribution of members there will be a MCO maximum threshold and a minimum threshold assigned. Those thresholds shall be developed prior to the July 1, 2015, the start date of this contract. If the Contractor was participating in the Managed Care Program as an MCO prior to entering into this contract, its current membership shall not be reassigned on July 1, 2015. However, the thresholds developed for July 1, 2015 shall apply. After June 30, 2015, the Department shall follow the steps below for the purpose of equitable distribution. A. All managed care members of a Medicaid family will be assigned to the same MCO.

Assignments of New Members. Due consideration shall be given to the following when making assignments for Members who do not select an MCO when enrolling: A. Keeping the family together - Assign members of a family to the same MCO. B. Continuity of Care - Preserve the family’s pre-established relationship with providers to the extent possible. C. Robust MCO Competition - equitable distribution of the participants among the MCOs. In order to ensure equitable distribution of members there will be a MCO maximum threshold and a minimum threshold assigned. Those thresholds shall be developed prior to the July 1, 2015, the start date of this contractContract. If the Contractor was participating in the Managed Care Program as an MCO prior to entering into this contractContract, its current membership shall not be reassigned on July 1, 2015. However, the thresholds developed for July 1, 2015 shall apply. After June 30, 2015, the Department shall follow the steps below for the purpose of equitable distribution. A. All managed care members of a Medicaid family will be assigned to the same MCO.