Priority Health Choice Inc. 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.

If you were previously receiving home-delivered meal services, Transition of Care may allow you to continue receiving services.

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 three 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