Continuity-of-care or transition-of-care protections may apply in some health plans that use the PHCS network, but the underlying insurer, employer plan, or third-party administrator determines whether a member qualifies. PHCS is a provider network associated with Claritev rather than the entity that defines every continuity rule. Trinity Behavioral Health accepts PHCS network arrangements when the specific plan provides applicable access and addiction-treatment benefits.
If network status or coverage changes during an ongoing treatment episode, verify the exact PHCS-based plan and ask the payer whether continuity-of-care provisions apply.
What is continuity of care?
Continuity of care can allow an eligible member to continue an established course of treatment for a limited period after a network or coverage transition. The exact eligibility criteria, duration, and cost-sharing rules are plan-specific.
Does PHCS decide whether continuity applies?
Not necessarily. Claritev explains that PHCS is a network used by health plans. The underlying payer or administrator generally determines benefit rules and any transition protections.
Can continuity apply to addiction treatment?
Potentially. Whether residential treatment, PHP, IOP, or another level of care qualifies depends on the underlying plan, applicable law, the member’s treatment status, and any medical-necessity or authorization requirements.
What should I verify?
- The actual payer or plan administrator
- Current eligibility and network status
- Whether a continuity or transition provision exists
- Which level of care is included
- Authorization and continued-stay requirements
- How long an approved transition period lasts
- Deductible, copay, and coinsurance
For the broader PHCS network relationship, see MultiPlan and PHCS PPO network rehab information. Depending on clinical need, Trinity offers residential rehab, PHP, and IOP.
Verify Your PHCS-Based Continuity-of-Care Options
Authoritative resources
- Claritev — Member Support and PHCS Network Information
- Claritev — Provider Network Information
- CMS — Continuity of Care Protections
Continuity rights vary by plan and situation and should be verified directly. PHCS network access does not itself guarantee continuity, authorization, or payment.