Changing PCPs. The Contractor will have written policies and procedures for allowing members to select or be assigned to a new PCP including when a PCP is terminated from the Health Plan, or when a PCP change is ordered as part of the resolution to a formal grievance proceeding. In cases where a PCP has been terminated, the Contractor must allow members to select another PCP or make a re-assignment within ten (10) calendar days of the termination effective date.
Appears in 38 contracts
Sources: Contract for Medicaid Managed Care Services, Medicaid Managed Care Services Agreement, Contract for Medicaid Managed Care Services
Changing PCPs. The Contractor will shall have written policies and procedures for allowing members to select or be assigned to a new PCP including when a PCP is terminated from the Health Plan, or when a PCP change is ordered as part of the resolution to a formal grievance proceeding. In cases where a PCP has been terminated, the Contractor must allow members to select another PCP or make a re-assignment within ten (10) calendar days of the termination effective date.
Appears in 1 contract
Sources: Medicaid Managed Integrated Adult Care Services Agreement