Auto-Assignment Limitations Sample Clauses

Auto-Assignment Limitations. In order to ensure market and program stability, ODJFS may 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 with a provider who is not on the panel of any other MCP in that region. In the event that an MCP in a region meets one or more of these enrollment thresholds, ODJFS, in their sole discretion, may not impose the auto-assignment limitation and auto-assign members to the MCPs in that region as ODJFS deems appropriate.