Auto Assignment. 4.2.4.1 Selected Centennial Care 2.0 MCOs that did not participate in the delivery of Covered Services under the Centennial Care program between January 1, 2014 and December 31, 2018 will receive the highest percentage of auto-assignment until a membership threshold of at least fifteen percent (15%) of the total managed care enrollment as of the last day of the month is achieved. If any Centennial Care CONTRACTOR falls below a membership threshold of fifteen percent (15%) of the total managed care enrollment it will receive the highest percentage of auto-assignment until the threshold is maintained for a period of at least one year. 4.2.4.2 Once HSD determines that the established enrollment threshold is reached per Section 4.2.4.1, the Centennial Care 2.0 CONTRACTOR(s) with the highest scoring cost proposal in the bidding process will receive the highest percentage of the auto-assignment, subject to the considerations in 4.2.4.
Appears in 9 contracts
Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
Auto Assignment. 4.2.4.1 Selected Centennial Care 2.0 MCOs that did not participate in the delivery of Covered Services under the Centennial Care program between January 1, 2014 and December 31, 2018 will receive the highest percentage of auto-assignment until a membership threshold of at least fifteen ten percent (1510%) of the total managed care enrollment as of the last day of the month is achieved. If any Centennial Care CONTRACTOR falls below a membership threshold of fifteen ten percent (1510%) of the total managed care enrollment it will receive the highest percentage of auto-assignment until the threshold is maintained for a period of at least one year.
4.2.4.2 Once HSD determines that the established enrollment threshold is reached per Section 4.2.4.1, the Centennial Care 2.0 CONTRACTOR(s) with the highest scoring cost proposal in the bidding process will receive the highest percentage of the auto-assignment, subject to the considerations in 4.2.4.
Appears in 3 contracts
Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
Auto Assignment. 4.2.4.1 Selected Centennial Care 2.0 MCOs that did not participate in the delivery of Covered Services under the Centennial Care program between January 1, 2014 and December 31, 2018 will receive the highest percentage of auto-assignment until a membership threshold of at least fifteen percent (15%) of the total managed care enrollment as of the last day of the month is achieved. If any Centennial Care CONTRACTOR falls below a membership threshold of fifteen percent (15%) of the total managed care enrollment it will receive the highest percentage of auto-assignment until the threshold is maintained for a period of at least one year.
4.2.4.2 Once HSD determines that the established enrollment threshold is reached per Section 4.2.4.1, the Centennial Care 2.0 CONTRACTOR(s) with the highest scoring cost proposal in the bidding process will receive the highest percentage of the auto-auto- assignment, subject to the considerations in 4.2.4.
Appears in 2 contracts
Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
