Common use of Notice to Enrollees Clause in Contracts

Notice to Enrollees. The MCO shall provide prior written notification to Enrollees that will be affected by such a Material Modification. The MCO shall submit such notice to STATE for prior approval. The notice must inform each affected Enrollee that: (a) One of the Primary Care Providers they have used in the past is no longer available and they must choose a new Primary Care Provider from the MCO’s remaining choices, or that the Enrollee has been reassigned from a terminated sole source Provider; and (b) In either case, the Enrollee has the opportunity to disenroll or change MCOs up to one hundred and twenty (120) days from the date of notification, unless open enrollment occurs within one hundred and twenty (120) days of the date of notification. The MCO shall fully cooperate with the STATE and Local Agency to facilitate a change of MCO for Enrollees affected by the Provider termination.

Notice to Enrollees. The MCO shall provide prior written notification to Enrollees that who will be affected by such a Material Modification. The MCO Such prior written notice shall submit such notice to STATE for prior approvalbe approved by the STATE. The notice must inform each affected Enrollee that: (a) One of the Primary Care Providers they have used in the past is no longer available and that they must choose a new Primary Care Provider from the MCO’s remaining choices, ; or that the Enrollee has been reassigned from a terminated sole source Provider; and (b) In either case, the Enrollee has the opportunity to disenroll or and change MCOs up to one hundred and twenty (120) days from the date of notification, unless open enrollment occurs within one hundred and twenty (120) days of the date of notification. The MCO shall fully cooperate with the STATE and Local Agency to facilitate a change of MCO for Enrollees affected by the Provider termination.

Notice to Enrollees. The MCO shall provide prior written notification to Enrollees that who will be affected by such a Material Modification. The MCO shall submit such notice to the STATE for prior approval. The notice must inform each affected Enrollee that: (a) One of the Primary Care Providers they have used in the past is no longer available and that they must choose a new Primary Care Provider from the MCO’s remaining choices, ; or that the Enrollee has been reassigned from a terminated sole source Provider; and (b) In either case, the Enrollee has the opportunity to disenroll or and change MCOs up to one hundred and twenty (120) days from the date of notification, unless open enrollment occurs within one hundred and twenty (120) days of the date of notification. The MCO shall fully cooperate with the STATE and Local Agency to facilitate a change of MCO for Enrollees affected by the Provider termination.

Notice to Enrollees. The MCO shall provide prior written notification to Enrollees that who will be affected by such a Material Modification. The MCO Such prior written notice shall submit such notice to STATE for prior approvalbe approved by the STATE. The notice must inform each affected Enrollee that:that:‌ (a) One of the Primary Care Providers they have used in the past is no longer available and that they must choose a new Primary Care Provider from the MCO’s remaining choices, ; or that the Enrollee has been reassigned from a terminated sole source Provider; and (b) In either case, the Enrollee has the opportunity to disenroll or and change MCOs up to one hundred and twenty (120) days from the date of notification, unless open enrollment occurs within one hundred and twenty (120) days of the date of notification. The MCO shall fully cooperate with the STATE and Local Agency to facilitate a change of MCO for Enrollees affected by the Provider termination.