At Risk Enrollees Requiring Transition. (a) Contractor shall have an evaluation and transition plan in place for the Enrollees of the Exchange with existing health coverage including, but not limited to, those members transferring from Major Risk Medical Insurance Program, Pre-Existing Condition Insurance Plan, AIDS Drug Assistance Program, or other individuals under active care for complex conditions and who require therapeutic provider and formulary transitions.
At Risk Enrollees Requiring Transition. (a) Contractor shall have an evaluation and transition plan in place for the Enrollees of the Exchange with existing health coverage including, but not limited to, those members transferring from MRMIB, PCIP, ADAP, or other individuals under active care for complex conditions and who require therapeutic provider and formulary transitions
