MCO Influence Prohibited. The MCO shall not counsel or otherwise influence a member due to his/her life situation (e.g., homelessness, increased need for supervision) or condition in such a way as to encourage disenrollment.
MCO Influence Prohibited a. The MCO, through its employees, contractors, or agents, must not use or attempt to use its position as an employee, contractor, or agent of the MCO to directly or indirectly influence member enrollment options for the benefit of the MCO, its parent company, corporate affiliates, subsidiaries, Health Maintenance Organizations, health plans, self-directed Medicaid benefits, or any other entity affiliated with the MCO. The MCO must refer any potential enrollee to the ADRC for options counseling.
