Common use of Continuity of Services Clause in Contracts

Continuity of Services. a. Until the date of disenrollment, members are required to continue using the MCO’s providers for services in the benefit package. The MCO shall continue to provide all needed services in the benefit package until the date of disenrollment. b. The MCO shall assist participants whose enrollment ceases for any reason in obtaining necessary transitional care through appropriate referrals and by making member records available to participant’s new providers with appropriate releases; and (if applicable) by working with the Department to reinstate participants’ benefits in the Medicaid system or other programs, if eligible.