Common use of Transaction Control Number Clause in Contracts

Transaction Control Number. The Division will assign the Member to the CONTRACTOR with the most recent transaction control number, which is a unique 17-digit identifier for a claim assigned by the Medicaid Management Information System (MMIS). If multiple contractors meet the requirements above, then assignment will occur using a random assignment. The Division reserves the right to modify the Enrollment and Auto Enrollment rules at its discretion. The Division may, at its discretion, set and make subsequent changes to a threshold for the percentage of Members who can be enrolled with a single Contractor. Members will not be auto enrolled to a Contractor that exceeds this threshold unless a family member is enrolled in the Contractor or a historical Provider relationship exists with a Provider that does not participate in any other managed care plan. The Division will provide the Contractors with a minimum of fourteen (14) calendar days advance notice in writing when changing the threshold percentage, if applicable. The Division will notify Members and the Contractor within five (5) business days of the selection or Auto Enrollment. The Division’s notice to the Member will be made in writing and sent via surface mail. Notice to the Contractor will be made via the Member Listing Report.

Transaction Control Number. The Division will assign the Member to the CONTRACTOR with the most recent transaction control number, which is a unique 17-digit identifier for a claim assigned by the Medicaid Management Information System (MMIS). If multiple contractors meet the requirements above, then assignment will occur using a random assignment. The Division reserves the right to modify the Enrollment and Auto Enrollment rules at its discretion. The Division may, at its discretion, set and make subsequent changes to a threshold for the percentage of Members who can be enrolled with a single Contractor. Members will not be auto enrolled to a Contractor that exceeds this threshold unless a family member is enrolled in the Contractor or a historical Provider relationship exists with a Provider that does not participate in any other managed care planCONTRACTOR. The Division will provide the Contractors with a minimum of fourteen (14) calendar days advance notice in writing when changing the threshold percentage, if applicable. The Division will notify Members and the Contractor within five (5) business days of the selection or Auto Enrollment. The Division’s notice to the Member will be made in writing and sent via surface mail. Notice to the Contractor will be made via the Member Listing Report.