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Medica Administrative Manual > Provider Responsibilities > Notification of Practitioner or Clinic Termination 

Notification of Practitioner or Clinic Termination 

Providers are required to notify affected Medica Members and Medica in the event a practitioner leaves the clinic or otherwise becomes unavailable to Medica’s Members, a clinic or a clinic’s site closure, or when the Provider Participation Agreement between the parties is terminated. Notice should be given at least 45 days prior to the effective date or as soon as administratively feasible. These requirements are based on the Provider Participation Agreement, applicable law and accreditation standards, and are intended to help improve transition and continuity of patient care.

REV 11/2021

Date: 1/28/2023 6:27:54 PM Version: 4.0.30319.42000 Machine Name: PWIM4-CDWEB01