Common use of Continuation and Transition of Care Clause in Contracts

Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Specialized Health Care Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements set forth in this section. In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). Contractor shall take any further action reasonably required by Covered California to provide Specialized Health Care Services to Enrollees and transition care following the Non- Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Enrollees in the Individual Covered California, Employers, and Employees in Covered California for Small Business and other stakeholders regarding the transition of Enrollees to another QDP.

Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Specialized Health Care Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements set forth in this sectionSection. In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). Contractor shall take any further action reasonably required by Covered California the Exchange to provide Specialized Health Care Services to Enrollees and transition care following the Non- Recertification Election. ; Contractor shall coordinate and cooperate with respect to communications to Enrollees in the Individual Covered CaliforniaExchange, Employers, Employers and Employees in Covered California for Small Business and other stakeholders regarding the transition of Enrollees to another QDP.

Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Specialized Health Care Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements set forth in this section. In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). Contractor shall take any further action reasonably required by Covered California the Exchange to provide Specialized Health Care Services to Enrollees and transition care following the Non- Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Enrollees in the Individual Covered CaliforniaExchange, Employers, and Employees in Covered California for Small Business and other stakeholders regarding the transition of Enrollees to another QDP.

Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Specialized Health Care Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements set forth in this sectionSection. In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). Contractor shall take any further action reasonably required by Covered California the Exchange to provide Specialized Health Care Services to Enrollees and transition care following the Non- Non-Recertification Election. ; Contractor shall coordinate and cooperate with respect to communications to Enrollees in the Individual Covered CaliforniaExchange, Employers, Employers and Employees in Covered California for Small Business and other stakeholders regarding the transition of Enrollees to another QDP.

Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Specialized Health Care Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements set forth in this section. In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). Contractor shall take any further action reasonably required by Covered California to provide Specialized Health Care Services to Enrollees and transition care following the Non- Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Enrollees in the Individual Covered California, Employers, and Employees in Covered California for Small Business and other stakeholders regarding the transition of Enrollees to another QDP.

Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Specialized Health Care Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s NonContractor¶sNon-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements set forth in this sectionSection. In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). Contractor shall take any further action reasonably required by Covered California the Exchange to provide Specialized Health Care Services to Enrollees and transition care following the Non- Recertification Election. ; Contractor shall coordinate and cooperate with respect to communications to Enrollees in the Individual Covered CaliforniaExchange, Employers, Employers and Employees in Covered California for Small Business and other stakeholders regarding the transition of Enrollees to another QDP.