Transition of Care Program

The Transition of Care program provides a safe transition from hospital to community, or from 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 1-833-643-2262 (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 1-833-643-2262 (TTY 711). Leaving the program will not change your benefits. It will also not change the way AmeriHealth Caritas Next treats you.

Members