R20-6-1813. Assignment of Members

A. Within 30 days of enrollment, an Organization shall assign a member to the provider the member chooses. The Organization, however, shall choose and assign a provider to a member within 30 days of any of the following: 1. Receipt of a member enrollment form that does not designate a provider, or receipt of a member enrollment form that designates a provider who is unavailable; 2. The date of the notice that the member’s assigned provider intends to cease providing services; or 3. The date the member’s assigned provider becomes unavailable, for any reason. B. An Organization shall give each member the option of selecting a network provider other than the provider assigned by the Organization under subsection (A). C. An Organization shall maintain a continuous assignment process in compliance with subsections (A) and (B), allowing no more than 4% of members to be unassigned at any time.