Continuity of Care Request Form 

What is Transition of Care?

Transition of Care coverage allows you to continue to receive services for a defined period of time with health care professionals who do not participate in the Spring Health network. You must apply for Transition of Care at enrollment, or at the time of a Spring Health provider network change, but no later than 30 days after the effective date of your coverage.

What is Continuity of Care?

Continuity of Care allows you to receive services at in-network coverage levels for specified conditions for a defined period of time. Continuity of Care occurs when there are changes to your Spring Health network. A request must be submitted within 30 days of the Provider leaving the network.

What is Continuity of Care?

You must already be under active treatment for the condition identified on the Transition of Care/ Continuity of Care request form.  If Transition of Care/Continuity of Care is approved, you will receive the in-network level of coverage for active treatment of the specific condition by the health care professional for a defined time frame, as determined by Spring Health. If approved, Transition of Care/Continuity of Care coverage applies only to one session of the and the health care professional identified on the request form must agree to abide by our terms and conditions.

What time frame is allowed for transitioning to a new participating health care professional?

If the health plan determines that transitioning to a participating health care professional is not recommended services by the approved nonparticipating health care professional will be authorized for a specified period of time or until care has been completed or transitioned to a participating health care professional, generally not to exceed 30 days unless otherwise authorized for an additional period of time.

If one or more of the above situations applies to you and you would like to see if you are eligible to participate in transition of care, please:

• Contact our Care Support team and they will assist you with understanding how you should complete your form. Care Support may also assist you in locating a network provider.
• Only complete this form if you are receiving ongoing care or are scheduled for care and your current provider is not part of our network. If your provider is not part of our network and you need assistance locating a network provider, contact Care Support and they will assist you with a network provider.