Common use of Default Assignment of PCP Clause in Contracts

Default Assignment of PCP. If the enrollee does not request an available PCP within thirty (30) days of enrollment with a Contractor, then the Contractor must assign the new enrollee to a PCP within its network within sixty (60) days of enrollment, taking into consideration such known factors as current provider relationships (as indicated on the Health Status Survey Questionnaire), language needs (to the extent they are known), age and sex, enrollment of family members (e.g., siblings), and area of residence. The Contractor then must notify the enrollee in writing, on or before the first effective date of enrollment with the Contractor, of his or her PCP’s name, location, and office telephone number.

Default Assignment of PCP. If the enrollee does not request an available PCP within thirty prior to the twenty-fifth (3025th) days day of the month prior to the enrollment with a Contractoreffective date, then the Contractor must may assign the new enrollee to a PCP within its network within sixty (60) days of enrollmentnetwork, taking into consideration such known factors as current provider relationships (as indicated on the Health Status Survey Questionnaire), language needs (to the extent they are known), age and sex, enrollment of family members (e.g., siblings), and area of residence. The Contractor then must notify the enrollee in writing, on or before the first effective date of enrollment with the Contractor, of his or her PCP’s name, location, and office telephone number.