Common use of Continuity of Care and Out-of-Network Providers Clause in Contracts

Continuity of Care and Out-of-Network Providers. 6.4.1 HMO must ensure that the care of newly enrolled Members is not disrupted or interrupted. HMO must take special care to provide continuity in the care of newly enrolled Members whose health or behavioral health condition has been treated by specialty care providers or whose health could be placed in jeopardy if care is disrupted or interrupted.