Tracking Slot Availability. The Contractor shall identify the maximum number of Medicaid MHN Program members it is able to enroll and maintain under this Contract. The Contractor shall accept Medicaid eligibles as Medicaid MHN program members in the order in which they apply as determined by SCDHHS up to the limits specified in MHN Policy and Procedure Guide. The Contractor agrees to provide services to Medicaid MHN program members up to the maximum enrollment limits indicated by the Contractor in MHN Policy and Procedure Guide.
Tracking Slot Availability. The Contractor shall identify the maximum number of members it is able to enroll and maintain under this Contract. The Contractor agrees to provide services to members up to the maximum enrollment limits indicated for the Contractor in the Policy and Procedure Guide. SCDHHS reserves the right to approve or deny the maximum number of members to be enrolled in the Contractor's plan based on the determination of the adequacy of network capacity by SCDHHS. On a monthly basis consistent with the Policy and Procedure Guide, the Contractor is to update the maximum enrollment by county. The Contractor shall track slot availability and notify SCDHHS’ Enrollment Broker when filled slots are near capacity. Upon notification, SCDHHS or its designee will not assign any other eligibles to that plan without consulting the Contractor first. SCDHHS will notify the Contractor when the Contractor's enrollment levels are maximized and will not enroll eligibles when there are no more slots available.
Tracking Slot Availability. The Contractor shall identify the maximum number of Medicaid MHN Program members it is able to enroll and maintain under this Contract prior to initial enrollment of Medicaid eligibles. The Contractor shall accept Medicaid eligibles as Medicaid MHN Program members in the order in which they apply as determined by SCDHHS up to the limits specified in the MHN Policy and Procedure Guide. The Contractor agrees to provide services to Medicaid MHN Program members up to the limits indicated for the Contractor in the MHN Policy and Procedure Guide. SCDHHS reserves the right to approve or deny the maximum number of Medicaid MHN Program members to be enrolled in the Contractor's plan based on SCDHHS' determination of the adequacy of network capacity. On a monthly basis, and consistent with the MHN Policy and Procedure Guide, the Contractor will update its maximum enrollment by county numbers. The Contractor shall track slot availability and notify SCDHHS’ Enrollment Broker when filled slots are near capacity. Upon notification, SCDHHS or its designee will not assign any other eligibles to that plan without consulting the Contractor first. The SCDHHS will notify the Contractor when the Contractor's enrollment levels are maximized and will not enroll eligibles when there are no more slots available.
Tracking Slot Availability. The Contractor shall identify the maximum number of Medicaid MCO Members it is able to enroll and maintain under this Contract prior to initial enrollment of Medicaid eligible. The Contractor shall accept Medicaid MCO Members in the order in which they apply as determined by the Department up to the limits specified in the MCO Policy and Procedure Guide, Required Submissions. The Contractor agrees to provide services to Medicaid MCO Members up to the maximum enrollment limits indicated for the Contractor in the MCO Policy and Procedure Guide. The Department reserves the right to approve or deny the maximum number of Medicaid MCO Members to be enrolled in the Contractor's health plan based on the Department's determination of the adequacy of network capacity. On a monthly basis, and consistent with the MCO Policy and Procedure Guide, the Contractor will update its numbers for maximum enrollment by county. The Contractor shall track slot availability and notify the Department’s enrollment broker when filled slots are near capacity. Upon notification, the Department or its subcontractor/vendor will not assign any other eligible to the Contractor’s health plan without consulting the Contractor first.
