Common use of STATE Limitation of Enrollment Clause in Contracts

STATE Limitation of Enrollment. ‌ The STATE may limit the number of Enrollees in the MCO if, in the STATE or CMS’ judgment, the MCO is unable to demonstrate a capacity to serve additional Enrollees. Enrollees already enrolled in the MCO shall be given priority to continue that enrollment if the STATE and CMS determine that the MCO does not have the capacity to accept all those seeking enrollment in the MCO’s product.

STATE Limitation of Enrollment. ‌ The STATE may limit the number of Enrollees in the MCO if, in the STATE or CMS’ judgment, the MCO is unable to demonstrate a capacity to serve additional Enrollees. Enrollees already enrolled in the MCO shall be given priority to continue that enrollment if the STATE and CMS determine that the MCO does not have the capacity to accept all those seeking enrollment in the MCO’s product.