Population Health Management

Population Health Management > Transitional Care Management Program

Transitional Care Management are provided to patients who transition back into a community setting such as home, an assisted living and/or rest home following a qualifying inpatient/observational admission.  Patients must be transitioning from an acute Care hospital, a psychiatric hospital, a long-term care hospital, a skilled nursing facility, or an inpatient rehabilitation hospital.

CMS Transitional Care Management Program Overview