Member Assignment definition

Member Assignment means the written notification and assignment of a Potential Member to the Medi-Cal managed care health plan of the Member’s choice, or if as designated by DHCS when the Potential Member fails to make a timely choice. Member Information means documents that are vital, or critical to obtaining benefits or services, and includes, but is not limited to: the Member Handbook, Provider Directory, welcome packets, Marketing information, form letters including Notice of Actions (NOA), notices related to Grievances or Appeals, including Grievance and Appeal acknowledgement and resolution letters, Contractor’s preventive health reminders, Member surveys, notices advising of the availability of free language assistance, and newsletters. Memorandum of Understanding (MOU) means a formal written agreement between Contractor and Local Government Agencies, county programs, and third-party entities. Minimum Performance Level (MPL) refers to Contractor’s minimum performance requirements for select Quality Performance Measures. Minor Consent Services means those Covered Services of a sensitive nature which minors do not need parental consent to access, including but not limited to the following situations:
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Member Assignment. Member assignment to the Contractor shall be based upon member choice, geographic location, and on a proportional assignment procedure as described in RBHA policies and procedures. Assignment of members to the Contractor shall be at the sole discretion of RBHA based on the RBHA polices and procedures. The RBHA shall assign members to the Contractor in an equitable manner taking into account the Contractor's capacity. The RBHA may adjust the Contractor's capacity based upon contract performance or QM findings at its discretion. The Contractor must accept enrollment of all members assigned to the Contractor by the RBHA for Covered Services. Network assignments will be in accordance with the RBHA's Enrollment and Assignment Policy and Procedure and will not be limited by the capacity assigned to the Contractor Members may change their assigned At-Risk Provider at the discretion of the RBHA based upon established criteria and guidelines in RBHA Policies and Procedures. The Contractor will facilitate the transfer of clinical information according to RBHA Policies and Procedures. Revised 11-01-01 SCHEDULE I-A Effective 10-3-01 Page 6 of 26
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Member Assignment means the written notification and assignment of a Potential Member to the Medi-Cal managed care plan of the Member’s choice, or if as designated by DHCS when the Potential Member fails to make a timely choice. Member Information means documents that are vital, or critical to obtaining benefits or services, and includes, but is not limited to: the Member Handbook, Provider Directory, welcome packets, marketing information, form letters including NOAs, notices related to Grievances or Appeals, including Grievance and Appeal acknowledgement and resolution letters, Contractor’s preventive health reminders, Member surveys, notices advising of the availability of free language assistance, and newsletters. Memorandum of Understanding (MOU) means a formal written agreement between two or more governmental entities. Minimum Performance Level (MPL) refers to Contractor’s minimum performance requirements for select Quality Performance Measures. Minor Consent Services means those Covered Services of a sensitive nature which minors do not need parental consent to access, including but not limited to the following situations:
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Examples of Member Assignment in a sentence

  • In addition, it is understood and agreed that the transferee pursuant to any Permitted Non-Managing Member Assignment shall only become an Assignee and not a Substituted Member, unless otherwise consented to by the Managing Member in its sole and absolute discretion.

  • In addition, it is understood and agreed that the transferee pursuant to any Permitted Non-Managing Member Assignment shall only become an Assignee and not a Substituted Member, unless otherwise Consented to by the Managing Member in its sole and absolute discretion.

  • Should Investor exercise any Option, WRI Sub shall execute and deliver to Investor concurrently with payment of the Option Price an assignment of the Option Interest, free and clear of all Liens and encumbrances created by, through or under WRI Sub, in a form substantially similar to the Member Assignment.

  • If a unit member wishes to request to work part-time, the unit member must indicate this request on the Unit Member Assignment Preference form.

  • This Agreement, the Plan of Merger and the Member Assignment and the other documents referred to herein and therein set forth the entire understanding of the parties hereto with respect to the matters provided for herein and therein and supersede all prior agreements, covenants, arrangements, communications, representations or warranties, whether oral or written, by any officer, employee or representative of any party.