CHA News Article

DHCS Clarifies Continuity of Care Requirements for Cal MediConnect Beneficiaries

The California Department of Health Care Services has released the attached provider bulletin clarifying current continuity of care (COC) requirements for Cal MediConnect beneficiaries. The bulletin addresses how out-of-network physicians can continue seeing Cal MediConnect beneficiaries, how long Cal MediConnect beneficiaries can continue to be seen under COC requirements, how much time it takes for COC requests to be granted, the process for billing the correct entity for payment and balance billing prohibitions. More information about Cal MediConnect is available at www.calduals.org/.

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