Common use of PCP Selection and Assignment Clause in Contracts

PCP Selection and Assignment. The contractor shall place a high emphasis on ensuring that enrollees are informed and have access to enroll with traditional and safety net providers. The contractor shall place a high priority on enrolling enrollees with their existing PCP. If an enrollee does not select a PCP, the enrollee shall be assigned to his/her PCP of record (based upon prior history information) if that PCP is still a participating provider with the contractor. All contract materials shall provide equal information about enrollment with traditional and safety net providers as that provided about contractor operated offices. All materials, documents, and phone scripts shall be reviewed and approved by the Department before use.