Transition of Care
We know change can be scary. PA Health & Wellness wants to make this change easy. Whether you are new to Pennsylvania Medicaid Managed Care or are changing health plans, we will make sure you continue to get the services you need.
One of the most common obstacles to switching Medicaid plans is maintaining your relationship with the physicians that know you best. Our staff will work with you and your doctors to continue any services you are receiving even if the doctor is not in our network.
It is important to let us know right away if you are getting services that you will need to continue so that we can provide you with the information you need to continue receiving the health care you need on our Medicaid Managed Care plans or so that we can assist you with transitioning to a new provider.
We provide you with the information you need on how to switch health plans and continue receiving the services you need.
We will honor authorized services for 180 days. After that time we may require authorization for the service. We will let you stay with an out-of-network doctor for up to 180 days. In some cases you may be able to keep your out-of-network doctor for a longer period of time. We will help you find a doctor in our network that can provide the services you need. Our case managers can help get your medical records transferred to your new doctor. Call our Participant Services department toll-free at 1-844-626-6813 (TTD/TTY 1-844-349-8916) if you have questions about transitioning your care.