Common use of Transfers between MCOs Clause in Contracts

Transfers between MCOs. 3.2.7.1 The member or the Contractor can initiate the process of requesting a member’s Transfer to another MCO. 3.2.7.2 The Contractor must have written policies and procedures for Transferring relevant member information, including medical records and other pertinent materials, when a member is approved by the State to be Transferred to or from another MCO (see Section 3.8.1 of this Contract). 3.2.7.3 The State will approve or disapprove within 10 business days of receipt all member and Contractor requests to Transfer members to another MCO. 3.2.7.4 Member-Initiated Transfers 3.2.7.4.1 Members may initiate Transfer requests by submitting an oral or written request to the State. The State must approve all member- initiated Transfer requests before a member can be Transferred to another MCO.

Appears in 2 contracts

Sources: Master Service Agreement, Medicaid Managed Care Master Service Agreement