Transition of Care
We know change can be scary. Children’s Medical Services Health Plan wants to make the switch easy when changing health plans. We will make sure your child continues to get the needed services.
One of the most common obstacles to switching health plans is maintaining relationships with the providers that know your child best. Our staff will work with you and the providers to continue any services your child is receiving even if the doctor is not in our network.
It is important to let us know right away if your child is getting services that will need to continue. We can provide the information needed to continue receiving the healthcare that he or she needs. We can also assist you with transitioning to a new provider.
We provide the information on how to switch health plans and continue receiving the services your child needs.
We will honor authorized services for 60 days. After that time we may require authorization for the service. We will let your child stay with an out-of-network doctor for up to 60 days. In some cases, your child may be able to keep an out-of-network doctor for a longer period of time. We will help find a doctor in our network that can provide the needed services. Our care managers can help get your medical records transferred to a new doctor. Call our Member Services at 1-866-799-5321 -0530 (TTY 1-800-955-8770) for any questions about transitioning your child’s care.