Common use of Auto-Assignment Limitations Clause in Contracts

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.

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.

Auto-Assignment Limitations. In order to ensure promote 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 Aged, Blind, or Disabled (CFCABD) eligible populationmanaged care eligibles; and/or • 60% of the CFC ABD managed care eligibles in any region with two MCPs; and/or • 40% of the CFC ABD managed care 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.

Auto-Assignment Limitations. In order to ensure market and program stability, ODJFS may limit an MCP’s 's auto-assignments if they meet any of the following enrollment thresholds: • - 40% of statewide STATEWIDE Covered Families and Children (CFC) eligible population; and/or • - 60% of the CFC eligibles in any region with two MCPsANY REGION WITH TWO MCPS; and/or • - 40% of the CFC eligibles in any region with three MCPsANY 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.

Auto-Assignment Limitations. In order to ensure promote 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 Aged, Blind, or Disabled (CFCABD) eligible population; and/or managed care eligibles;and/or • 60% of the CFC ABD managed care eligibles in any region with two MCPs; and/or • 40% of the CFC ABD managed care 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.

Auto-Assignment Limitations. In order to ensure promote 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 statewideAged, Blind, or Disabled (CFCABD) eligible populationmanaged care eligibles; and/or • · 60% of the CFC ABD managed care eligibles in any region with two MCPs; and/or • · 40% of the CFC ABD managed care 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.

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: • 4055% of the statewide Covered Families and Children (CFC) eligible population; and/or • 6070% of the CFC eligibles in any region with two MCPs; and/or • 4055% of the CFC eligibles in any region with three MCPs. 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 based on 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.

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· 55% of the statewide Covered Families and Children (CFC) eligible population; and/or • 60· 70% of the CFC eligibles in any region with two MCPs; and/or • 40· 55% of the CFC eligibles in any region with three MCPs. 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.

Auto-Assignment Limitations. In order to ensure market and program stability, ODJFS may limit an MCP’s '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.

Auto-Assignment Limitations. In order to ensure promote 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 Aged, Blind, or Disabled (CFCABD) eligible populationmanaged care eligibles; and/or • · 60% of the CFC ABD managed care eligibles in any region with two MCPs; and/or • · 40% of the CFC ABD managed care 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.

Auto-Assignment Limitations. In order to ensure promote market and program stability, ODJFS may limit an MCP’s 's auto-assignments if they meet any of the following enrollment thresholds: • 40% of statewide Covered Families and Children Aged, Blind, or Disabled (CFCABD) eligible populationmanaged care eligibles; and/or • 60% of the CFC ABD managed care eligibles in any region with two MCPs; and/or • 40% of the CFC ABD managed care 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.