Transition of Care Program

The transition of care program provides a safe transition from hospital to community or nursing home to community. Discharge planning begins at time of admission.

We reach out to members to:

  • Ensure their discharge needs are met.
  • Ensure they understand discharge instructions.
  • Provide medication education.
  • Assist with scheduling discharge follow-up and provider appointments.

The member is offered assistance in scheduling provider follow-up. The goal of the proactive outreach is to ensure a safe discharge and prevent a readmission.

Join the transition of care program today.

To join the transition of care program, please call 1-866-577-0833 (TTY 711).

Or you can log in to the member portal and go to Enroll in a Special Program.

Questions?

If you are a part of the transition of care program but wish to leave the program, call 1-866-577-0833 (TTY 711). Leaving the program will not change your benefits. It will also not change the way AmeriHealth Caritas Next treats you.

Members