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Continuity of Care Information

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What is Continuity of Care for Providers?

Continuity of Care for providers means that you are able to keep your current doctor for up to 12 months after you have been enrolled in a Medi-Cal managed care plan.

Generally, you may be able to receive Continuity of Care if you were seeing a Regular Medi-Cal doctor and were required to enroll in a Medi-Cal managed care plan in the last year. In addition:

  • You must have seen your doctor at least once during the last 12 months, and
  • Your doctor must be willing to work with your new Medi-Cal managed care plan.
  • Be sure to read the Frequently Asked Questions for more detailed information about this or contact your Medi-Cal managed care plan.

    How Can I Request to Keep Seeing My Doctor?

    Call your health plan to find out if you qualify to continue seeing your provider. Tell your health plan that you want to continue seeing your current doctor. You will need to provide the name of your doctor or hospital, your medical condition, and the treatments you are receiving. If your doctor agrees to keep seeing you as a patient and will work with your new Medi-Cal managed care plan, you may be able to continue seeing your doctor for up to 12 months.

    Be sure to read the Frequently Asked Questions for more detailed information about this or contact your Medi-Cal managed care plan.

    What is Continuity of Care for Services and Medicines? 

    Continuity of Care for services and medicines means that you can continue receiving the medical services and medicines you need after you have been enrolled in a Medi-Cal managed care plan. In general, you will be able to continue receiving any medically necessary services or prescriptions you need after you join a new Medi-Cal managed care plan, or change plans. In an emergency, you can get a 3-day supply of your medicine. If you have a needed surgery or other medical procedure scheduled after you join or change Medi-Cal managed care plans, you will still be able to receive the procedure. In some cases, you may need to have a different provider provide the care or perform the procedure you need. Talk to your new Plan doctor about what services and medicines you need.

    Be sure to read the Frequently Asked Questions for more detailed information about this or contact your Medi-Cal managed care plan.

    Last modified on: 8/26/2016 11:14 AM