Common use of PCP Assignment Clause in Contracts

PCP Assignment. a. In the event that the Contractor is unable to elicit a PCP selection from an Enrollee, the Contractor shall promptly assign a PCP to each such Enrollee as described below. Such assignment shall be to the most appropriate PCP in accordance with this Contract and EOHHS policies and shall be effective no later than 15 days after the Effective Date of Enrollment in the Contractor’s Plan.

Appears in 9 contracts

Samples: Masshealth Managed Care Organization Contract, Contract, Contract

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PCP Assignment. a. In the event that the Contractor is unable to elicit a PCP selection from an Enrollee, the Contractor shall promptly assign a PCP to each such Enrollee as described below. Such assignment shall be to the most appropriate PCP in accordance with this Contract and EOHHS policies and shall be effective no later than 15 days after the Effective Date of Enrollment in the Contractor’s Plan. The Contractor shall, at a minimum, determine whether the assigned Enrollee has received services under the Contractor’s Plan within the previous year under MassHealth or a commercial membership.

Appears in 1 contract

Samples: Masshealth Managed Care Organization Contract

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