Transition of Care

Continuity and transition of care

From time to time, enrollee benefits may be transferred from one plan or primary care provider to another, or expire during a course of treatment through termination of the contract, disenrollment, or exhaustion of available benefits.

At times like these, Community Health Plan of Washington (CHPW) promotes smooth and seamless continuity and transition of medically necessary care and integration of services. This way there is no interruption to the enrollee’s care or prescription medications. We strive to preserve the relationship between enrollees and providers throughout this process.

CHPW transition of care and resources

CHPW’s Health Management staff works with enrollees directly (or facilitates coordination efforts by providers) to assist the continuity and transition to other care when necessary. Our staff members contact community agencies or make referrals to public assistance as appropriate and authorized by the enrollee.

We are also available to assist providers to coordinate appropriate services and programs available to enrollees. These resources include:

  • Care Managers
  • First Steps Maternity Support Services/Infant Case Management
  • Transportation and interpreter services
  • Patient Review and Coordination (PRC) program, for enrollees who meet the criteria identified in WAC 182-501-0135
  • Dental services
  • Foster care/Fostering Well-Being
  • Health Homes
  • Behavioral Health Administrative Service Organizations (BH-ASO) for mental health services
  • Substance use disorder services
  • Aging and Disability Services, including home- and community-based services
  • Skilled nursing facilities and community-based residential programs
  • Early Support for Infants and Toddlers (ESIT)
  • Department of Health and Local Health Jurisdiction services, including Title V services for children with special health care needs

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