Common use of Transfers from Other MCOs Clause in Contracts

Transfers from Other MCOs. 4.2.10.1 The CONTRACTOR shall accept all Members transferring from any MCO as authorized by HSD. The transfer of membership may occur at any time during the year. The receiving CONTRACTOR shall not be responsible for payment of any Covered Services incurred by Members transferred to the CONTRACTOR prior to the effective date of transfer to the CONTRACTOR. 4.2.10.1.1 The CONTRACTOR shall transfer all Member information electronically to the receiving MCO as referenced in the Managed Care Policy Manual. 4.2.10.2 The CONTRACTOR shall develop policies and procedures for a mass transfer of Members, either into the CONTRACTOR’s MCO to another MCO, to be reviewed and approved by HSD. The mass transfer process shall be initiated by HSD upon sixty (60) Calendar Days written notice by HSD when HSD determines, for reasonable cause, that the transfer of Members to or from the CONTRACTOR’s MCO is required.

Transfers from Other MCOs. 4.2.10.1 4.2.11.1 The CONTRACTOR shall accept all Members transferring from any MCO as authorized by HSDHCA. The transfer of membership may occur at any time during the year. The receiving CONTRACTOR shall not be responsible for payment of any Covered Services incurred by Members transferred to the CONTRACTOR prior to the effective date of transfer to the CONTRACTOR. 4.2.10.1.1 4.2.11.1.1 The CONTRACTOR shall transfer all Member information electronically to the receiving MCO as referenced in the Managed Care Policy Manual. 4.2.10.2 4.2.11.2 The CONTRACTOR shall develop policies and procedures for a mass transfer of Members, either into the CONTRACTOR’s MCO or to another MCO, to be reviewed and approved by HSDHCA. The mass transfer process shall be initiated by HSD upon HCA sixty (60) Calendar Days written notice by HSD HCA when HSD HCA determines, for reasonable cause, that the transfer of Members to or from the CONTRACTOR’s MCO is required.

Transfers from Other MCOs. 4.2.10.1 The CONTRACTOR shall accept all Members transferring from any MCO as authorized by HSD. The transfer of membership may occur at any time during the year. The receiving CONTRACTOR shall not be responsible for payment of any Covered Services incurred by Members transferred to the CONTRACTOR prior to the effective date of transfer to the CONTRACTOR. 4.2.10.1.1 4.2.10.2 The CONTRACTOR shall transfer all Member information electronically to the receiving MCO as referenced in the Managed Care Policy Manual. 4.2.10.2 4.2.10.3 The CONTRACTOR shall develop policies and procedures for a mass transfer of Members, either into the CONTRACTOR’s MCO to another MCO, to be reviewed and approved by HSD. The mass transfer process shall be initiated by HSD upon sixty (60) Calendar Days written notice by HSD when HSD determines, for reasonable cause, that the transfer of Members to or from the CONTRACTOR’s MCO is required.sixty

Transfers from Other MCOs. 4.2.10.1 The CONTRACTOR shall accept all Members transferring from any MCO as authorized by HSD. The transfer of membership may occur at any time during the year. The receiving CONTRACTOR shall not be responsible for payment of any Covered Services incurred by Members transferred to the CONTRACTOR prior to the effective date of transfer to the CONTRACTOR. 4.2.10.1.1 4.2.10.2 The CONTRACTOR shall transfer all Member information electronically to the receiving MCO as referenced in the Managed Care Policy Manual. 4.2.10.2 4.2.10.3 The CONTRACTOR shall develop policies and procedures for a mass transfer of Members, either into the CONTRACTOR’s MCO to another MCO, to be reviewed and approved by HSD. The mass transfer process shall be initiated by HSD upon sixty (60) Calendar Days written notice by HSD when HSD determines, for reasonable cause, that the transfer of Members to or from the CONTRACTOR’s MCO is required.

Transfers from Other MCOs. 4.2.10.1 The CONTRACTOR shall accept all Members transferring from any MCO as authorized by HSD. The transfer of membership may occur at any time during the year. The receiving CONTRACTOR shall not be responsible for payment of any Covered Services incurred by Members transferred to the CONTRACTOR prior to the effective date of transfer to the CONTRACTOR. 4.2.10.1.1 The CONTRACTOR shall transfer all Member information electronically to the receiving MCO as referenced in the Managed Care Policy Manual. 4.2.10.2 The CONTRACTOR shall develop policies and procedures for a mass transfer of Members, either into the CONTRACTOR’s MCO to another MCO, to be reviewed and approved by HSD. The mass transfer process shall be initiated by HSD upon sixty (60) Calendar Days written notice by HSD when HSD determines, for reasonable cause, that the transfer of Members to or from the CONTRACTOR’s MCO is required.. 4.2.10.3

Transfers from Other MCOs. 4.2.10.1 4.2.11.1 The CONTRACTOR shall accept all Members transferring from any MCO as authorized by HSD. The transfer of membership may occur at any time during the year. The receiving CONTRACTOR shall not be responsible for payment of any Covered Services incurred by Members transferred to the CONTRACTOR prior to the effective date of transfer to the CONTRACTOR. 4.2.10.1.1 4.2.11.1.1 The CONTRACTOR shall transfer all Member information electronically to the receiving MCO as referenced in the Managed Care Policy Manual. 4.2.10.2 4.2.11.2 The CONTRACTOR shall develop policies and procedures for a mass transfer of Members, either into the CONTRACTOR’s MCO or to another MCO, to be reviewed and approved by HSD. The mass transfer process shall be initiated by HSD upon sixty (60) Calendar Days written notice by HSD when HSD determines, for reasonable cause, that the transfer of Members to or from the CONTRACTOR’s MCO is required.

Transfers from Other MCOs. 4.2.10.1 The CONTRACTOR shall accept all Members transferring from any MCO as authorized by HSD. The transfer of membership may occur at any time during the year. The receiving CONTRACTOR shall not be responsible for payment of any Covered Services incurred by Members transferred to the CONTRACTOR prior to the effective date of transfer to the CONTRACTOR. 4.2.10.1.1 The CONTRACTOR shall transfer all Member information electronically to the receiving MCO as referenced in the Managed Care Policy Manual. 4.2.10.2 The CONTRACTOR shall develop policies and procedures for a mass transfer of Members, Members either to another MCO or into the CONTRACTOR’s MCO to another MCO, to be reviewed and approved by HSD. The mass transfer process shall be initiated by HSD upon sixty (60) Calendar Days written notice by HSD when HSD determines, determines for reasonable cause, cause that the transfer of Members to or from the CONTRACTOR’s Members from the CONTRACTOR to another MCO is required.