Medicare Managed Care Manual (Pub. 100-16), Ch. 17f § 120.6
Continuity of Care
120.6 - Continuity of Care
(Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05)
Continuity of care refers to the continuous flow of care in a timely and appropriate
manner. Continuity includes:
•
Linkages between primary and specialty care;
•
Coordination among specialists;
•
Appropriate combinations of prescribed medications;
•
Coordinated use of ancillary services;
•
Appropriate discharge planning; and
•
Timely placement at different levels of care including hospital, skilled nursing
and home health care.
(42 CFR 417.407(f), 42 CFR 417.122(b)) In the case of insolvency the HMO must
continue to provide benefits to all enrollees for the duration of the contract period for
which payment was made.