Auto-Assigment Limitations Sample Clauses

Auto-Assigment Limitations. In order to ensure market and program stability, ODJFS will limit an MCP's auto-assignments if they meet any of the following enrollment thresholds; • 40% of statewide Covered Families and Children (CFC) eligible population; and/or • 60% of the CFC eligibles in any region with two MCPs; and/or • 40% of the CFC eligibles in any region with three MCPs. Once an MCP meets one of these enrollment thresholds, the MCP will only be permitted to receive the additional new membership (in the region or statewide, as applicable) through: (1) consumer-initiated enrollment; and (2) auto-assignments which are based on previous enrollment in that MCP or an historical provider relationship w ith a provider w ho is not on the panel of any other MCP in that region. In the event that all MCPs in a region meet one or more of these enrollment thresholds, ODJFS reserves the right to not impose the auto-assignment limitation and to auto-assign members to the MCPs in that region as ODJFS deems appropriate.