NMFS providers are responsible for taking the lead role in transitional care. Comprehensive Transitional Care focuses on the movement within different levels of care, settings, and/or situations. Comprehensive transitional care is bi-directional, diverting members from levels of care such as:
Transitional services help to reduce barriers to timely access, inappropriate hospitalizations, time in residential treatment centers, and nursing home admissions. Additionally, these services interrupt patterns of frequent Emergency Department use and prevent gaps in services which could result in (re)admission to a higher level of care or a longer stay at an unnecessarily higher level of care.
NMFS will focus on members age to ensure appropriate supports and services are in place in the member’s plan to assist in the successful transition from child to adulthood.
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