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Cal MediConnect: Continuity of Care

Can Joyce continue to see her out-of-network cardiologist after enrolling in Cal MediConnect?

Will Karl have to move to a new nursing facility on the Cal MediConnect plan?

How long can Cal MediConnect take to process a request for continuity of care?

You might have questions like these. Dual eligible beneficiaries who enroll in Cal MediConnect plans have the right to continue to see their out-of-network providers for a certain period of time under continuity of care protections. Beneficiaries and their providers are often unaware of this important protection and how to access it.

This new fact sheet summarizes the Cal MediConnect continuity of care protection, including:

  • criteria needed to establish continuity of care
  • who can request continuity of care
  • exceptions
  • frequently asked questions

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