MCO Selection and Assignment Clause Samples

MCO Selection and Assignment. 19 2.4.5 Effective Date of Enrollment 22 2.4.6 Eligibility and Enrollment Data 23 2.4.7 Enrollment Period 24 2.4.8 Transfers from Other MCOs 25 2.4.9 Enrollment of Newborns 25 2.4.10 Information Requirements Upon Enrollment 27
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MCO Selection and Assignment. 3.2.2.1 In the event the State contracts with an MCO that was not contracting with the State to provide Medicaid managed care services prior to the effective date of this Contract (a new MCO), the State will implement an automatic assignment mechanism to assign clients to all contracting MCOs such that all contracting MCOs achieve initial minimum membership levels as determined by the State. 3.2.2.2 The State shall Enroll clients required to enroll in DSHP and DSHP Plus in an MCO. Enrollment in an MCO may be the result of a client’s selection of a particular MCO or assignment by the State in accordance with this Section 3.2.2 of the Contract. 3.2.2.3 Clients who are Enrolled in an Incumbent MCO 3.2.2.3.1 The State will conduct an open enrollment in October of each year for DSHP and DSHP Plus clients who are already Enrolled in an MCO to select a contracted MCO with enrollment effective the Start Date of Operations.
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MCO Selection and Assignment. 23 2.4.5 Effective Date of Enrollment 25 2.4.6 Eligibility and Enrollment Data 27 2.4.7 Enrollment Period 27 2.4.8 Transfers from Other MCOs 28 2.4.9 Enrollment of Newborns 29 2.4.10 Information Requirements Upon Enrollment 30 2.5 DISENROLLMENT FROM AN MCO 30 2.5.1 General 30 2.5.2 Acceptable Reasons for Disenrollment from an MCO 30 2.5.3 Unacceptable Reasons for Disenrollment from an MCO 31 2.5.4 Informing TENNCARE of Potential Ineligibility 31 2.5.5 Effective Date of Disenrollment from an MCO 31 2.6 BENEFITS/SERVICE REQUIREMENTS AND LIMITS 32 2.6.1 CONTRACTOR Covered Benefits 32 2.6.2 TennCare Benefits Provided by TENNCARE 42 2.6.3 Medical Necessity Determination 43 2.6.4 Second Opinions 43
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MCO Selection and Assignment. Enrollment with an MCO may be the result of an Enrolled Member’s selection of a particular Contractor or assignment by the Agency.
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MCO Selection and Assignment. 34 A.2.4.5 Effective Date of Enrollment 36 A.2.4.6 Eligibility and Enrollment Data 37 A.2.4.7 Enrollment Period 37 A.2.4.8 Transfers from Other MCOs 39 A.2.4.9 Enrollment of Newborns 39 A.2.4.10 Information Requirements Upon Enrollment 40 A.2.5 DISENROLLMENT FROM AN MCO 41 A.2.5.1 General 41 A.2.5.2 Acceptable Reasons for Disenrollment from an MCO 41 A.2.5.3 Unacceptable Reasons for Disenrollment from an MCO 41 A.2.5.4 Informing TENNCARE of Potential Ineligibility 42 A.2.5.5 Effective Date of Disenrollment from an MCO 42 A.2.6 BENEFITS/SERVICE REQUIREMENTS AND LIMITS 42 A.2.6.1 CONTRACTOR Covered Benefits 42 A.2.6.2 TennCare Benefits Provided by TENNCARE 5
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MCO Selection and Assignment 
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Related to MCO Selection and Assignment

  • Delegation and Assignment 21 In the performance of this Agreement, CONTRACTOR may neither 22 delegate its duties or obligations nor assign its rights, either in whole or 23 in part, without the prior written consent of COUNTY. Any attempted 24 delegation or assignment without prior written consent shall be void. The

  • Termination and Assignment (a) This Agreement may be terminated at any time, upon sixty days’ written notice, without the payment of any penalty, (i) by the Trustees, (ii) by the vote of a majority of the outstanding voting securities of the Fund; (iii) by Manager with the consent of the Trustees, or (iv) by Subadviser. (b) This Agreement will terminate automatically, without the payment of any penalty, (i) in the event of its assignment (as defined in the Investment Company Act) or (ii) in the event the Management Contract is terminated for any reason.

  • Succession and Assignment This Agreement shall be binding upon and inure to the benefit of the Parties named herein and their respective successors and permitted assigns. No Party may assign either this Agreement or any of its rights, interests, or obligations hereunder without the prior written approval of the other Parties.

  • Variation and assignment No variation of this agreement shall be valid or effective unless it is in writing. We may amend this TOBA by sending you either a notice of amendment in writing or a revised TOBA. We are entitled to assign this TOBA to any other Affiliate for so long as such company remains an Affiliate.

  • Benefit and Assignment This Agreement shall be binding upon and shall inure to the benefit of the parties hereto and their respective successors and assigns. No party hereto may voluntarily or involuntarily assign such party's interest under this Agreement without the prior written consent of the other parties.