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US · guidance

CMS Pub. 100-16, ch. mc86c17f, § 120.6

Continuity of Care

activein force · 2026-08-25 – presentas-observed

(Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05)

Continuity of care refers to the continuous flow of care in a timely and appropriate

manner. Continuity includes:

• Linkages between primary and specialty care;

• Coordination among specialists;

• Appropriate combinations of prescribed medications;

• Coordinated use of ancillary services;

• Appropriate discharge planning; and

• Timely placement at different levels of care including hospital, skilled nursing

and home health care.

(42 CFR 417.407(f), 42 CFR 417.122(b)) In the case of insolvency the HMO must

continue to provide benefits to all enrollees for the duration of the contract period for

which payment was made.

History

(Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
1fc535388cfde2cdfe283ff971d6cc27fba4e36b708d8460ecbf44d74d87abef
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