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e. The enrollee needs related services to be performed at the same time; not all related services are available within the provider network; and the enrollee's primary care provider or another provider determines that receiving the services separately would subject the enrollee to unnecessary risk; f. Insufficient transportation; g. Discrimination; h. Member relocation; i. Good cause as defined in § 2.48(A)(4) of this Part. j. Without cause during the ninety (90) days following the effective date of the Medicaid member’s initial enrollment with the MCO. 2. Process for requesting reassignment – Medicaid members seeking MCO reassignment during the lock-in period must file a formal request with EOHHS. 3. Agency review – MCO reassignment can only be ordered by EOHHS after administrative review of the facts of the case. In the course of the review, EOHHS must examine the evidence it has compiled about the grounds that are the basis for the Medicaid member’s request for disenrollment. 4. Notice of agency action – EOHHS must provide the member with written notice of the action taken on the request for MCO reassignment. If EOHHS determines that there is sufficient evidence to reassign the Medicaid member, the notice must be sent to the member at least ten (10) days prior to the date the proposed reassignment would be effective. The Medicaid member must submit a plan change form to select another MCO. 2.40 Open Enrollment A. During an open enrollment period, Medicaid members have an opportunity to change MCOs. Open enrollment extends to all RHP enrollees and RIte Care enrollees, with the exception of members in the Extended Family Planning coverage group and foster care children who are receiving foster care or adoption subsidy assistance (Title IV-E), are in foster care, or are otherwise in an out-of-home placement. 2.41 Membership Handbook A. The Medicaid MCO must provide a Medicaid enrollee with a membership handbook and information on how to select a primary care provider member.