Continuity of care (COC)

When you switch health plans, doctors or medical groups, you don’t want your care put on hold.

The COC program is there to make sure any treatment you get stays on track. Here is a list of services COC can help protect:

  • Acute condition (e.g., sudden GI bleed, broken bone)
  • Serious chronic condition
  • Pregnancy and immediate postpartum
    • Maternal mental health
  • Care of newborns
  • Terminal illness
  • Surgery and surgical follow-up care

Are you currently receiving medical treatment?

If you or a covered family member are enrolling in an HMO plan and are currently receiving ongoing medical treatment or treatment from a non-participating provider, call the Customer Contact Center for CalPERS at 1-888-926-4921 as soon as possible. A representative will help you determine if you're eligible for continuity of care assistance.

Are you currently receiving behavioral health care?

If you (or a covered family member) are currently receiving mental health services or substance use disorder treatment (inpatient or outpatient), please call Managed Health Network, LLC (MHN) as soon as possible at 1-888-926-5108. If your current provider is not an MHN network provider, we will connect you with a care manager who will carefully review your situation and arrange for medically appropriate continuity of your care to an MHN participating provider.

Need Help? 

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