Got Transition’s Six Core Elements of Health Care Transition in Medicaid Managed Care


Promising Practice

Got Transition’s Six Core Elements of Health Care Transition in Medicaid Managed Care

State/TerritorySettingPopulationTopic AreaNPMs
District of ColumbiaUrbanCYSHCNService Coordination & Integration12

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.


practice contact information

The National Alliance to Advance Adolescent Health
Daniel Beck
DBeck@TheNationalAlliance.org
202-769-0486

Project Website
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