That's the problem with the system that I've been trying to resolve for years. Nobody, not even the health department will tell you how many patients are actually assigned to you. They won't tell you if a patient that is assigned to you is still with you. They won't notify you when a patient changes. Just what service are they providing for that freaking $90 per red card ?

Funny that the health department won't violate the confidentiality built into the constitution, unless they violate it for law enforcement's benefit. There may be a significant legal issue with that if you can rustle up a lawyer with balls.

As a safety factor, we will not grow over 75% of the patient count. The patient count only includes people that have indicated to us, and signed, in the last 30 days that we are still their MMC of choice and that they have not submitted any change designation forms.

Your only options as a grower are to error significantly to the conservative side. You have NO other protection against wandering patients.