Common use of Transition Plan – Transfer of Participants Clause in Contracts

Transition Plan – Transfer of Participants. a. After the Department notifies a Contractor that it intends to terminate the contract for failing to carry out substantive terms of this Contract, the Department may do the following: i. Give the Contractor’s participants written notice of the Department’s intent to terminate the contract and notify participants of the requirement to transfer to another ICA or FEA. ii. Notify the Contractor’s participants of their right to disenroll. b. The Contractor shall provide assistance to any participant electing to terminate his or her enrollment, by making appropriate referrals and providing the individual’s participant record to new providers and/or a participant’s new Contractor or MCO. c. The Department shall ensure that a participant who is disenrolled receives appropriate choice counseling and is permitted to enroll with a new Contractor or MCO of the participant’s choosing. d. Contractors are encouraged to refer to the Transition of Care between Medicaid Programs or Between Agencies within a Medicaid Program (P- 02364) for additional information.

Appears in 6 contracts

Samples: Iris Provider Agreement, Provider Agreement, Provider Agreement

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