CONTINUED CARE FROM TERMINATED PROVIDERS Sample Clauses

CONTINUED CARE FROM TERMINATED PROVIDERS. The PDHP shall provide continued care from terminated providers as follows. The PDHP shall develop and maintain policies and procedures for the provision of such care. The PDHP shall allow members for whom treatment is active to continue care with a terminated treating provider when medically necessary, through completion of treatment of a condition for which the member was receiving care at the time of the termination, until the member selects another treating provider, but not longer than 6 months after the termination of the contract. These requirements do not prevent a provider from refusing to continue to provide care to a member who is abusive or non-compliant. For care continued under this section, the PDHP and the provider shall continue to abide by the same terms, conditions, and payment arrangements that existed in the terminated contract. These requirements shall not apply for treating providers who have been terminated from the PDHP for cause.
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Related to CONTINUED CARE FROM TERMINATED PROVIDERS

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