CurrentCignaPolicy Medical Coverage Policy: 0560
Continuity of Care (COC) process for provider/facility network terminations
Defines Cigna's process for evaluating and responding to Continuity of Care requests when a participating provider or facility leaves the network or when a client terminates its contract; governs how and when continuing patients may receive care at in-network benefit levels and applicable timeframes, including state-specific deviations.
Policy Summary
PayerCigna
PolicyContinuity of Care (COC) process for provider/facility network terminations
Policy CodePolicy Medical Coverage Policy: 0560
Change TypeNo material changes
Effective Date03/1998
Next Review Date
Key ActionSubmit a Continuity of Care Request Form with required clinical information and ensure eligibility and benefits are active so the request can be processed; incomplete requests will be pended per the Lack of Information policy.
SourceLink
POLICY UPDATE CHANGES
No material clinical or coverage changes in this revision.
90 daysCigna standard COC period from notice date
45 daysCustomer/provider must submit COC request per Attachment 2 (Cigna standard)
State-by-stateMultiple state-specific COC timeframe deviations (up to 12 months in some cases)