MCO Selection and Assignment Sample Clauses

MCO Selection and Assignment. 3.2.2.1 In the event the State contracts with an MCO that was not contracting with the State to provide Medicaid managed care services prior to the effective date of this Contract (a new MCO), the State will implement an automatic assignment mechanism to assign clients to all contracting MCOs such that all contracting MCOs achieve initial minimum membership levels as determined by the State.
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MCO Selection and Assignment. 23 2.4.5 Effective Date of Enrollment 25 2.4.6 Eligibility and Enrollment Data 27 2.4.7 Enrollment Period 27 2.4.8 Transfers from Other MCOs 28 2.4.9 Enrollment of Newborns 29 2.4.10 Information Requirements Upon Enrollment 30 2.5 DISENROLLMENT FROM AN MCO 30 2.5.1 General 30 2.5.2 Acceptable Reasons for Disenrollment from an MCO 30 2.5.3 Unacceptable Reasons for Disenrollment from an MCO 31 2.5.4 Informing TENNCARE of Potential Ineligibility 31 2.5.5 Effective Date of Disenrollment from an MCO 31 2.6 BENEFITS/SERVICE REQUIREMENTS AND LIMITS 32 2.6.1 CONTRACTOR Covered Benefits 32 2.6.2 TennCare Benefits Provided by TENNCARE 42 2.6.3 Medical Necessity Determination 43 2.6.4 Second Opinions 43
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MCO Selection and Assignment. Enrollment with an MCO may be the result of an Enrolled Member’s selection of a particular Contractor or assignment by the Agency.
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MCO Selection and Assignment. 34 A.2.4.5 Effective Date of Enrollment 36 A.2.4.6 Eligibility and Enrollment Data 37 A.2.4.7 Enrollment Period 37 A.2.4.8 Transfers from Other MCOs 39 A.2.4.9 Enrollment of Newborns 39 A.2.4.10 Information Requirements Upon Enrollment 40 A.2.5 DISENROLLMENT FROM AN MCO 41 A.2.5.1 General 41 A.2.5.2 Acceptable Reasons for Disenrollment from an MCO 41 A.2.5.3 Unacceptable Reasons for Disenrollment from an MCO 41 A.2.5.4 Informing TENNCARE of Potential Ineligibility 42 A.2.5.5 Effective Date of Disenrollment from an MCO 42 A.2.6 BENEFITS/SERVICE REQUIREMENTS AND LIMITS 42 A.2.6.1 CONTRACTOR Covered Benefits 42 A.2.6.2 TennCare Benefits Provided by TENNCARE 5
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MCO Selection and Assignment 
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Related to MCO Selection and Assignment

  • Delegation and Assignment 21 In the performance of this Agreement, CONTRACTOR may neither 22 delegate its duties or obligations nor assign its rights, either in whole or 23 in part, without the prior written consent of COUNTY. Any attempted 24 delegation or assignment without prior written consent shall be void. The

  • Termination and Assignment (a) This Agreement may be terminated at any time, upon sixty days’ written notice, without the payment of any penalty, (i) by the Trustees, (ii) by the vote of a majority of the outstanding voting securities of the Fund; (iii) by Manager with the consent of the Trustees, or (iv) by Subadviser.

  • Succession and Assignment This Agreement shall be binding upon and inure to the benefit of the Parties named herein and their respective successors and permitted assigns. No Party may assign either this Agreement or any of its rights, interests, or obligations hereunder without the prior written approval of the other Party.

  • Transfer, Amendment and Assignment No transfer, amendment, waiver, supplement, assignment or other modification of this Transaction shall be permitted by either party unless each of Standard & Poor's Ratings Service, a division of The XxXxxx-Xxxx Companies, Inc ("S&P") and Xxxxx'x Investors Service, Inc. ("MOODY'S"), has been provided notice of the same and confirms in writing (including by facsimile transmission) that it will not downgrade, qualify, withdraw or otherwise modify its then-current ratings on the Certificates issued under the Pooling and Servicing Agreement (the "CERTIFICATES").

  • Benefit and Assignment This Agreement shall be binding upon and shall inure to the benefit of the parties hereto and their respective successors and assigns. No party hereto may voluntarily or involuntarily assign such party's interest under this Agreement without the prior written consent of the other parties.

  • Enurement and Assignment This Agreement shall enure to the benefit of the parties hereto and their respective successors and permitted assigns and shall be binding upon the parties hereto and their respective successors. This Agreement may not be assigned by any party hereto without the prior written consent of each of the other parties hereto.

  • CESSION AND ASSIGNMENT The Service Provider shall not cede, assign, abandon or transfer any of its rights and/or obligations in terms of this Agreement (whether in part or in whole) or delegate any of its obligations in terms of this Agreement, without the prior written consent of the Fund.

  • Parties Bound; Assignment This Guaranty shall be binding upon and inure to the benefit of the parties hereto and their respective successors, assigns and legal representatives; provided, however, that Guarantor may not, without the prior written consent of Lender, assign any of its rights, powers, duties or obligations hereunder.

  • SUB-CONTRACTING AND ASSIGNMENT 16.1Subject to clause 16.3, neither party shall assign, novate or otherwise dispose of any or all of its rights and obligations under this agreement without the prior written consent of the other party, neither may the Supplier sub-contract the whole or any part of its obligations under this agreement except with the express prior written consent of the Authority, such consent not to be unreasonably withheld.

  • Binding Effect and Assignment This Agreement and all of the provisions hereof shall be binding upon and inure to the benefit of the parties hereto and their respective successors and permitted assigns, but, except as otherwise specifically provided herein, neither this Agreement nor any of the rights, interests or obligations of the parties hereto may be assigned by either of the parties without prior written consent of the other.

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