Care Management Transition of Care Support

Experts to help ease your way

Providence Health Plan Care Management assists members, member representatives, and your providers during the transition from one health plan to another, change in benefit plan or upon termination of a provider’s relationship with Providence; each is reviewed on a case-by-case basis. Care Management’s Transition of Care Forms (questionnaire and release of information) are designed to alert our team to needs you may have during your transition.

Support when needed


Not all members need Care Management Transition of Care support, but it may be helpful when:

  • You are a current member with a change to your benefits
  • You are a new member and your current physical health or behavioral health provider is out of network and you do not have out of network benefits
  • You are a new member and have an upcoming pre-approved procedure, treatment, and/or pregnancy
  • You are a new member and need help with prior authorizations for needed care


How Care Management can help


Care Management helps members with clinical and non-clinical needs by:

  • Providing education about plan services and processes
  • Assistance finding and establishing with new physical health or behavioral health providers
  • Navigation to Pharmacy, durable medical equipment, diabetic supplies, or other services or resources
  • Care coordination between multiple providers
  • Any other healthcare navigation support needed during your transition.


How to get started


To submit your Transition of Care request, complete the following:


For more information or additional questions, read see FAQs below or call us at 503-574-7247 or 800-662-1121 (TTY: 711). Monday - Friday, 8 a.m. to 5 p.m. (Pacific Time), or email Caremanagement@providence.org.

Frequently asked questions

Note: Submitting a transition of care form is not required. Members can choose to see providers at out of network rates if they have out of network benefits. Submitting a transition of care form does not guarantee in-network rates. If a benefit exception request is submitted and in-network rates are approved, members may still be liable for any balance billing by the out of network provider. Decisions are based on medical necessity and not a guarantee of payment for services. Payment is based on eligibility and benefits at the time of service.

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