Common use of Enrollment and Attribution Clause in Contracts

Enrollment and Attribution. A. EOHHS shall inform Eligible Members of their enrollment options in an unbiased manner, including the option of becoming Attributed Members for the Contractor or another ACO in the MassHealth ACO program, and shall inform each Member at the time of enrollment of their right to change enrollment without cause within 90 days and at other times in accordance with applicable rules and regulations; and B. EOHHS may assign certain Members that fail to make a selection to a Contracting MCO, including but not limited to if the Member has an existing relationship with one of the Contractor’s Participating PCPs in EOHHS’ determination. The Contracting MCO may assign such Members to the Contractor’s PCPs at the Contracting MCO’s discretion.

Enrollment and Attribution. A. EOHHS shall inform Eligible Members of their enrollment options in an unbiased manner, including the option of becoming Attributed Members for the Contractor or another ACO in the MassHealth ACO program, and shall inform each Member at the time of enrollment of their right to change enrollment without cause within 90 days and at other times in accordance with applicable rules and regulations; and B. and EOHHS may assign certain Members that fail to make a selection to a Contracting MCO, including but not limited to if the Member has an existing relationship with one of the Contractor’s Participating PCPs in EOHHS’ determination. The Contracting MCO may assign such Members to the Contractor’s PCPs at the Contracting MCO’s discretion.