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 the member is safely discharged and prevent readmission.

Join the Transition of Care program today.

To join the Transition of Care program, please contact the Rapid Response Service Center.

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

Questions?

If you have questions or are a part of the Transition of Care program but want to leave the program, contact the Rapid Response Service Center at 1-844-977-6439. Leaving the program will not change your benefits. It will also not change the way AmeriHealth Caritas Next treats you.