Got Transition’s Six Core Elements of Health Care Transition in Medicaid Managed Care
|District of Columbia||Urban||CYSHCN||Service Coordination & Integration||12|
Although most managed care plans have an organized process for hospital to home transitions, few have a systematic process in place for transition from pediatric to adult health care. With funding from the DC Department of Health Title V Program, Got Transition (operated by The National Alliance to Advance Adolescent Health) began a transition pilot project in Washington, DC to improve this transition to adult care in Health Services for Children with Special Needs (HSCSN), a DC-based managed care plan with 6,000 enrollees (from birth to age 26).
The project incorporated the Six Core Elements of Health Care Transition into a Medicaid managed care plan by customizing and integrating transition core elements within a Medicaid plan's existing care management processes. After customizing the Six Core Elements and recruiting pediatric and adult practices, the program piloted the new transition process and tools with a group of 35 young adult enrollees with chronic mental health, developmental, and complex medical conditions.