Priority Health Choice Inc. Transition of Care
What is Transition of Care?
If you're new to Priority Health Medicaid and your provider or medication is not covered, Transition of Care may allow you to temporarily continue receiving care.
Members, their appointed representative, or providers may request Transition of Care authorizations. Transition of Care requests are meant to temporarily continue coverage of services for members within the first 90 days of eligibility whose health would be put at serious risk if they go without care.
Transition of Care applies to two very specific needs
Before you request a Transition of Care authorization
Remember, the member must be:
- Within the first 90 days of eligibility with Priority Health Medicaid
- Established with the provider or on the medication
- At serious risk if they go without care