If You Need to Continue Existing Care

Transition of Care

If you are receiving an ongoing course of treatment from an out-of-network provider at the time of your enrollment with True Health New Mexico, you may be eligible to continue to receive services from this provider and have the services covered under your True Health plan. This is called transition of care. 

Transition of care covers certain medical conditions, including pregnancy in the second or third trimester, chemotherapy or radiation therapy, recent major surgeries, hospital confinement, and other conditions.

To be considered for transition of care coverage, you must apply for it either at enrollment or no later than 30 days after your effective date of coverage. True Health New Mexico will make determinations for transition of care based on established medical criteria.

Get started by downloading our Transition of Care Guide. There is a form for you to complete and submit at the end of the guide.