Manual do Provedor

DIREITO DO SÓCIO AO CURSO DE TRATAMENTO CONTÍNUO

When a provider resigns or is disenrolled from the network, the provider must continue to provide covered services, at the rate and pursuant to the requirements specified in the provider/facility agreement and to adhere to Carelon’s policies and procedures, to members receiving active treatment at the time of termination until the course of treatment is completed or until Carelon makes reasonable and medically appropriate arrangements to have another provider render such services. Members should be encouraged to call the Carelon toll-free member lines to identify options for continuing their treatment after the transition period.