PCP Selection and Changes Sample Clauses

PCP Selection and Changes. All Medicaid recipients who are eligible for participation in the STAR program have the right to select their PCP and HMO. Medicaid recipients who are mandatory STAR participants who do not select a PCP and/or HMO during the time period allowed will be assigned to a PCP and/or HMO using the TDH default process. Members may change PCPs at any time, but these changes are limited to four (4) times per year.
Sample 1Sample 2See All (6)
AutoNDA by SimpleDocs
PCP Selection and Changes. All Medicaid recipients who are eligible for participation in the STAR program have the right to select their PCP and HMO. Medicaid recipients who are mandatory STAR participants who do not select a PCP and/or HMO during the time period allowed will be assigned to a PCP and/or HMO using the TDH default process. Members may change PCPs at any time, but these changes are limited to four (4) times per year. If a PCP or OB/GYN who has been selected by or assigned to a Member is no longer in HMO's provider network, HMO must contact the Member and provide them an opportunity to reselect. If the Member does not want to change the PCP or OB/GYN to another provider in HMO network, the Member must be directed to the Enrollment Broker for resolution or reselection. If a PCP or OB/GYN who has been selected by or assigned to a Member is no longer in an IPA's provider network but continues to participate in HMO network, HMO or IPA may not change the Member's PCP or OB/GYN.
Sample 1

Related to PCP Selection and Changes

  • Supplier Selection If Customer selects a seat or galley supplier that is not on the Boeing recommended list, such seat or galley will become BFE and the provisions of Exhibit A, Buyer Furnished Equipment Provisions Document, of the AGTA will apply.

  • Panel Selection 1. The Parties shall apply the following procedures in selecting a Panel: (a) the Panel shall comprise 3 members; (b) within 15 days following the date of the establishment of the Panel, each Party shall nominate a Panelist; (c) the Parties shall endeavor

  • Selection of Mediator A single mediator that is acceptable to both parties shall be used to mediate the dispute. The mediator will be knowledgeable in the subject matter of this Contract, if possible.

  • Selection Procedures In selecting the Loan Assets to be Pledged pursuant to this Agreement, no selection procedures were employed which are intended to be adverse to the interests of the Lenders.

  • Selection and Nomination of Trustees While this Plan is in effect, the selection and nomination of persons to be Trustees of the Fund who are not "interested persons" of the Fund ("Disinterested Trustees") shall be committed to the discretion of the incumbent Disinterested Trustees. Nothing herein shall prevent the incumbent Disinterested Trustees from soliciting the views or the involvement of others in such selection or nomination as long as the final decision on any such selection and nomination is approved by a majority of the incumbent Disinterested Trustees.

  • Qualifications of Panelists All Panelists shall: (a) have expertise or experience in law, international trade, other matters covered by this Agreement, or the resolution of disputes arising under international trade agreements relevant to the subject matter of the dispute; (b) be chosen strictly on the basis of objectivity, impartiality, reliability, and sound judgment; (c) be independent of, and not be affiliated with or take instructions from, any Party; (d) not delegate their responsibilities to any other person; and (e) comply with the Model Rules of Procedure established in Annex 12 (Model Rules of Procedure).

  • Selection Based on Consultants’ Qualifications Services estimated to cost less than $100,000 equivalent per contract may be procured under contracts awarded in accordance with the provisions of paragraphs 3.1, 3.7 and 3.8 of the Consultant Guidelines.

  • Election Procedures Each holder of record of shares of Company Common Stock (“Holder”) shall have the right, subject to the limitations set forth in this Article II, to submit an election in accordance with the following procedures:

  • Adverse Selection No selection procedures adverse to the Noteholders were utilized in selecting the Receivables from those receivables owned by AmeriCredit which met the selection criteria set forth in clauses (A) through (M) of number 29 of this Schedule B.

  • Selection of Carrier The selection of the insurance carrier and policy shall be made by the School District as provided by law.

Time is Money Join Law Insider Premium to draft better contracts faster.