Your Continuity of Care Request Form can be submitted through one of the following ways:

1. Submit Directly to Anthem
   Fax or mail Anthem’s Continuity of Care Request form directly to Anthem at the fax number or address indicated on the form for your respective state.
    
2. Submit Through MU Health Care
   Sign MU Health Care's Continuity of Care Form Submission Consent and either:
   • Drop off both the consent form and Continuity of Care form with a receptionist at one of the following MU Health Care locations:
     • South Providence Medical Park at 551 Veterans United Drive, Columbia
     • Madison Street Medical Building (first floor) at 1125 Madison Street, Jefferson City
       
       OR
   • If you have a patient portal account in HEALTHConnect, you can scan and upload both the consent form and Continuity of Care form.
     • Select "Messages" on the menu bar on the left
     • Select "Send a message" in the Inbox
     • Select "Message your care team" at the bottom.
     • Select "Continuity of Care Hub" in the "To" drop-down.
     • Enter "Continuity of Care Form" in the Subject
     • Select "Choose File" to upload your form

Please note the Continuity of Care Request form does not need a physician signature.

While Anthem makes final eligibility decisions, if you have any questions, please call the Continuity of Care Hub at (573) 771-CARE.

Call the number on the back of your insurance ID card to learn how to apply for the Continuity of Care benefit.

Call the number on the back of your insurance ID card to learn how to apply for the Continuity of Care benefit.