Member Assignment. All employees shall be given written notice of changes in their building assignments not later than June 1, if possible.
Member Assignment. All eligible children and youth will be enrolled in a single contracted MCO.
Member Assignment. Health Plan may, at its discretion, assign OHP Members to primary care providers. Revisions to assignment procedures may be made in response to objective data related to quality performance, patient access, patient experience, or in response to other information available to Health Plan. Attachment H CCO Fee-for-service and Capitation for Behavioral Health Services Community Mental Health Program for Central Oregon CCO Effective 01/01/2023
Member Assignment. Member assignment to the Contractor shall be based upon member choice, geographic location, and on a proportional assignment procedure as described in RBHA policies and procedures. Assignment of members to the Contractor shall be at the sole discretion of RBHA based on the RBHA polices and procedures. The RBHA shall assign members to the Contractor in an equitable manner taking into account the Contractor's capacity. The RBHA may adjust the Contractor's capacity based upon contract performance or QM findings at its discretion. The Contractor must accept enrollment of all members assigned to the Contractor by the RBHA for Covered Services. Network assignments will be in accordance with the RBHA's Enrollment and Assignment Policy and Procedure and will not be limited by the capacity assigned to the Contractor. Members may change their assigned Comprehensive Service Network at the discretion of the RBHA based upon established criteria and guidelines in RBHA Policies and Procedures. The Contractor will facilitate the transfer of clinical information according to RBHA Policies and Procedures. The Contractor shall accept responsibility programmatically and financially as of the date of the member's assignment to the Contractor, which shall occur upon the complete transfer of the member's clinical information.
Member Assignment a. Provider shall immediately accept all Members assigned by PLAN for ECM, with the exception that Provider shall be permitted to decline a Member assignment if Provider is at its pre-determined capacity, as agreed upon between the Parties. Provider shall immediately notify PARTNERSHIP if it does not have the capacity to accept a Member assignment.
Member Assignment. IHN CCO and Provider may, upon mutual determination, modify Member assignment/attribution to primary care providers. Re-assignments may be made in response to objective data related to quality performance, patient experience, access, or in response to other information available to IHN CCO. IHN CCO may make individual Member assignment changes pertaining to patient access, in situations of immediate need, and will communicate such changes to Provider within five (5) days of the change.
Member Assignment. PARTNERSHIP shall communicate new Member assignments to Provider as soon as possible, but in any event no later than ten (10) Working Days after ECM authorization.
Member Assignment. PLAN shall communicate new Member assignments to Provider as soon as possible, but in any event no later than ten (10) business days after ECM authorization.
Member Assignment. A. Assignments of Members shall be made at the discretion of the Superintendent and Board and within the area of Member’s competency and certification.
