Common use of PCP Transfers Clause in Contracts

PCP Transfers. The Contractor shall: a. At the Enrollee’s request, allow the Enrollee to change his or her PCP with or without cause. Enrollment with the new PCP shall be effective the next business day; b. Monitor Enrollees’ voluntary changes in PCPs to identify PCPs with higher relative rates of Enrollee disenrollment, and identify and address any opportunities for Provider education, training, quality improvement, or sanction; and c. Annually report to EOHHS on the results of the monitoring efforts described in Section 2.4.E.3.b above and Section 2.7.E.8, and the actions taken by the Contractor. d. Involuntary Changes in PCPs 1) The Contractor shall not involuntarily, or without the Enrollee’s request, transfer an Enrollee from their current PCP to a new PCP because of a) an adverse change in the Enrollee’s health status;

PCP Transfers. The Contractor shall: a. : At the Enrollee’s request, allow the Enrollee to change his or her PCP with or without cause. Enrollment with the new PCP shall be effective the next business day; b. ; Monitor Enrollees’ voluntary changes in PCPs to identify PCPs with higher relative rates of Enrollee disenrollment, and identify and address any opportunities for Provider education, training, quality improvement, or sanction; and c. and Annually report to EOHHS on the results of the monitoring efforts described in Section 2.4.E.3.b above and Section 2.7.E.8, and the actions taken by the Contractor. d. . Involuntary Changes in PCPs 1) The Contractor shall not involuntarily, or without the Enrollee’s request, transfer an Enrollee from their current PCP to a new PCP because of a) an adverse change in the Enrollee’s health status;