Section 11. Mass Transfer Process

The mass transfer process is initiated when HSD determines that the transfer of MCO members from one MCO to another is in the best interests of the program. A. Triggering a mass transfer: The mass transfer process may be triggered by two situations: (1) a maintenance change, such as changes in the MCO identification number or the MCO changes its name or other changes that is not relevant to the member and services will continue with that MCO; and 8.308.7 NMAC 4 (2) a significant change in a MCO’s contracting status, including but not limited to, the loss of licensure, substandard care, fiscal insolvency or significant loss in network providers; in such instances, a notice is sent to the member informing him or her of the transfer and the opportunity to select a different MCO. B. Effective date of mass transfer: The change in enrollment initiated by the mass transfer begins with the first day of the month following HSD’s identification of the need to transfer MCO members. [8.308.7.11 NMAC - Rp, 8.308.7.11 NMAC, 5/1/2018] 8.308.7.12 MEMBER IDENTIFICATION CARD A. Each member shall receive an identification card (ID) that provides his or her MCO membership information within 20 calendar days of notification of enrollment with the MCO. B. The MCO shall re-issue a member ID card within 10 calendar days of notice if the member reports a lost card or if information on the card needs to be changed. C. The MCO shall ensure a member understands that the ID card: (1) is intended to be used only by the member; (2) the sharing the member’s ID card constitutes fraud; and (3) the process of how to report sharing of a member’s ID card.