When a physician leaves your practice or decides to no longer participate with HealthPlus, it is imperative that notification of the change is received, in writing, by HealthPlus as soon as possible. To ensure continuity of care for HealthPlus members, we must notify our members of the departure of a primary care or specialty physician from the network, in a timely manner, so members can select a new physician and not experience an interruption in care.
HealthPlus will provide timely notification to enrollees who have been under the ongoing care of a primary care physician or specialist physician prior to the effective date that the physician’s employment or contractual arrangement terminates or a physician otherwise becomes unavailable to care for enrollees. HealthPlus should be notified no less than 90 days prior to the effective date of such termination or unavailability.
Send a letter to the attention of the Provider Network Management Department with the following information:
- Physician’s name
- Reason for leaving or departicipation
- Effective date of change
- New location, billing address, tax identification, if applicable
- Covering physician information
Note: If your affiliated Physician Hospital Organization (PHO) administers this process, please follow the guidelines specified in your PHO agreement.
For more information about reporting a change in participation with HealthPlus, please contact your Provider Network Educator or the Provider Network Management Department at: (810) 230-2172.