Get the free Transitional Care Request

This form is used for Blue Cross and Blue Shield of New Mexico members receiving ongoing behavioral health care with out-of-network providers, requiring information about the patient and provider.

How to fill out transitional care request

How to fill out Transitional Care Request

1. Gather patient information including name, contact details, and medical history.
2. Identify the reason for requesting transitional care.
3. Choose the appropriate healthcare provider or facility for transitional care.
4. Complete all sections of the Transitional Care Request form including patient diagnosis and care needs.
5. Include any specific instructions or preferences regarding the patient's care.
6. Review the form for completeness and accuracy before submission.

Who needs Transitional Care Request?

1. Patients transitioning from hospital to home or another care facility.
2. Individuals with chronic conditions requiring continuous care support.
3. Patients undergoing rehabilitation after surgery or illness.
4. Elders needing assistance with daily living post-discharge.

People Also Ask about

What are the transitions of care in nursing?

Transitions of care are a set of actions designed to ensure coordination and continuity. They should be based on a comprehensive care plan and the availability of well-trained practitioners who have current information about the patient's treatment goals, preferences, and health or clinical status.

What are examples of transitions of care?

Care transitions are defined as the movement patients make between different clinicians or settings — such as from a hospital to home or a nursing facility — during the course of their illness (see graphic below).

What is an example of a transition of care?

They include planned or unplanned transfers between acute, post-acute, long-term care, and outpatient settings, for example, transfers from a hospital to a skilled nursing facility. Others, called “micro-transitions” include brief transitions, such as nursing home to a dialysis center.

What is the meaning of transitional care?

Support given to patients when they move from one phase of disease or treatment to another, such as from hospital care to home care. It involves helping patients and families with medical, practical, and emotional needs as they adjust to different levels and goals of care.

What is a transition of care document?

Definition: A care transition record is a document or set of documents containing standardized components specific to the patient's diagnosis, treatment, and care. A care transition record is transmitted to the next level of care provider no later than the seventh post-discharge day.

What is transitional care NHS?

Transitional care means 'in between care' and is for babies who need a little more nursing care and monitoring than the routine care that all babies receive on the maternity ward. It supports babies to stay with their mother rather than going to the Special Care Baby Unit.

What does transition into care mean?

(tran-ZIH-shuh-nul kayr) Support given to patients when they move from one phase of disease or treatment to another, such as from hospital care to home care. It involves helping patients and families with medical, practical, and emotional needs as they adjust to different levels and goals of care.

What does transition mean in care?

Transition is a gradual process that gives you, and everyone involved in your care, time to get you ready to move to adult services and discuss what your healthcare needs as an adult are likely to be. This includes deciding which services are best for you and where you will receive that care.

For pdfFiller’s FAQs

What is Transitional Care Request?

Transitional Care Request is a formal request made to facilitate the transition of patients from one care setting to another, ensuring continuity of care during this process.

Who is required to file Transitional Care Request?

Healthcare providers, including physicians and case managers, are required to file a Transitional Care Request when a patient is transitioning from one level of care to another.

How to fill out Transitional Care Request?

To fill out a Transitional Care Request, provide patient information, details about the current and new care setting, medical history, and any additional documentation required by the receiving facility.

What is the purpose of Transitional Care Request?

The purpose of the Transitional Care Request is to ensure that the patient receives appropriate and uninterrupted care during the transition, helping to reduce the risk of complications.

What information must be reported on Transitional Care Request?

The Transitional Care Request must include patient identification, contact information, details of the current treatment, medications, care requirements, and any other relevant medical information.