Compliance Calendar/Resource
Notice & DisclosureRecurring

NSA: Continuity of Care Notice

CAA 2021; NSA § 113; 45 CFR § 149.400

When a provider is terminated from network, plan must notify affected participants of their right to continue treatment at in-network cost sharing for a transitional period (typically 90 days).

ResponsibleMedical Carrier/TPA
Deliver ToParticipants currently in active course of treatment with terminated provider
DeadlineTimely notice upon provider network termination
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