Common use of Transitioning between Non-Network and Network Providers Clause in Contracts

Transitioning between Non-Network and Network Providers. The State recognizes that members may need to, at times, transition between non-network and network providers to continue to receive needed mental health services. This can occur when members first enroll in a Health Plan, when members change Health Plans, or at other times. Contractor agrees to have written policies and procedures for transitioning members between non-network and network providers to assure continuity of care, including paying for one or more transition visits with a non-network provider.

Transitioning between Non-Network and Network Providers. The State recognizes that members may need to, at times, transition between non-network and network providers to continue to receive needed mental health substance abuse services. This can occur when members first enroll in a Health Plan, when members change Health Plans, or at other times. Contractor agrees to have written policies and procedures for transitioning members between non-network and network providers to assure continuity of care, including paying for one or more transition visits with a non-network provider.