Letter to CMS - Medicaid Managed Care Policies - Agency for ...

In addition, the health plan is required to allow enrollees in active treatment to continue care
with a terminated treating provider when such care is medically necessary, through completion
of treatment of a condition for which the enrollee was receiving care at the time of the
termination, until the enrollee selects another treating provider, for a period not to exceed six
months after the termination of the provider's contract. For pregnant enrollees who have
initiated a course of prenatal care, regardless of the trimester in which care was initiated, the
health plan must allow the enrollee to continue care with a terminated treating provider until
completion of postpartum care.
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