Common use of Enrollment Levels Clause in Contracts

Enrollment Levels. The PIHP must designate a maximum enrollment level for its entire service area. The Department may take up to 60 days from the date of written notification to implement maximum enrollment level changes. The PIHP must accept as enrolled all persons who appear as members on the PIHP Enrollment Rosters up to the PIHP specified enrollment level for its service area. The number of members may exceed the maximum enrollment level by 5% on a temporary basis. The Department does not guarantee any minimum enrollment level. The maximum enrollment level for the service area may be increased or decreased during the course of the Contract period based on mutual acceptance of a different maximum enrollment level. The PIHP must not obtain enrollment through the offer of any compensation, reward, or benefit to the member except for additional health-related services that have been approved by the Department. Effective January 1, 2023 maximum enrollment levels will be eliminated and the PIHP will be required to serve all eligible members who choose to enrollwith the PIHP.

Enrollment Levels. The PIHP PIHP, must designate a maximum enrollment level for its entire service area. The Department may take up to 60 days from the date of written notification to implement maximum enrollment level changes. The PIHP must accept as enrolled all persons who appear as members on the PIHP Enrollment Rosters up to the PIHP specified enrollment level for its service area. The number of members may exceed the maximum enrollment level by 5% on a temporary basis. The Department does not guarantee any minimum enrollment level. The maximum enrollment level for the service area may be increased or decreased during the course of the Contract period based on mutual acceptance of a different maximum enrollment level. The PIHP must not obtain enrollment through the offer of any compensation, reward, or benefit to the member except for additional health-related services that have been approved by the Department. Effective January 1, 2023 maximum enrollment levels will be eliminated and the PIHP will be required to serve all eligible members who choose to enrollwith the PIHP.