Transition of Care
Transition of Care in the Case of a Terminated or Non-Contracted Provider
If requested, we will allow a 60-day transition of care for members from a terminated practitioner to a contracted provider (PCP or specialist). Members will receive a letter from us with at least a 60-day advance written notice. The terminating provider and the accepting provider will communicate all health care treatment to ensure continuity of care for the member. In areas where specialty providers are limited, our plan may permit a non-contracted provider to continue care for a member who is undergoing active treatment.