1. 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. 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. 2. The date of the notice that the member’s assigned provider intends to cease providing services; or
   3. 3. The date the member’s assigned provider becomes unavailable, for any reason.
2. 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).
3. 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.

Historical Note

New Section made by final rulemaking at 8 A.A.R. 463, effective January 10, 2002 (Supp. 02-1). Amended by final rulemaking at 28 A.A.R. 654 (March 25, 2022), effective May 7, 2022 (Supp. 22-1).