MetroPlusHealth – Important Reminder: PCP Replacement for Provider Terminations
TO: All Providers
Dear Valued Provider,
We’d like to share a friendly reminder about the importance of notifying us at least 30 days in advance when a provider leaves your practice. Whenever possible, please include the name of the replacement PCP who will be assuming the member panel.
Providing a replacement PCP helps us:
- Maintain continuity of care for our members
- Reduce patient dissatisfaction and avoid care disruptions
- Keep your MetroPlusHealth practice panel intact
We would also like to emphasize the importance of ensuring that members are informed of any changes in a timely manner to help prevent confusion or dissatisfaction. Timely communication plays a key role in supporting positive member experience and ensuring smooth transitions of care.
If a replacement PCP is not submitted, we are required by NYS regulations to notify affected members within 5 days for HIV-SNP and 15 days for all other lines of business of receiving the termination notice and to offer alternative PCP options. This may lead to members selecting a different practice.
Please submit all provider updates through the MetroPlusHealth Provider Portal for faster and secure processing. For any other assistance, email us at [email protected]
We appreciate your partnership and continued collaboration. Your support helps us ensure a smooth and positive experience for both providers and members.