Home
Forms Library
Transition of care form

Transition of care form 2025

transition of care form Preview on Page 1

Show details

4.8 out of 5

162 votes

The document outlines the transition of care considerations for patients under treatment by non-PPO network physicians starting January 1, 2013. It specifies that certain medical conditions may qualify for continued preferred medical plan benefits to ensure continuity of care. Examples include high-risk pregnancies, cancer treatment, organ transplant candidates, and recent surgeries. Patients must complete a form for UMR to assess eligibility for transition level benefits, which are subject to plan provisions and not guaranteed.

Here's how it works

01. Edit your transition of care form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send umr transition via email, link, or fax. You can also download it, export it or print it out.

The best way to change Transition of care form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making adjustments to your documentation requires only some simple clicks. Follow these quick steps to change the PDF Transition of care form online for free:

Sign up and log in to your account. Sign in to the editor with your credentials or click Create free account to evaluate the tool’s capabilities.
Add the Transition of care form for editing. Click the New Document option above, then drag and drop the sample to the upload area, import it from the cloud, or via a link.
Adjust your template. Make any adjustments required: add text and pictures to your Transition of care form, underline details that matter, remove sections of content and substitute them with new ones, and insert symbols, checkmarks, and fields for filling out.
Finish redacting the template. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is very intuitive and effective. Try it out now!

See more transition of care form versions

We've got more versions of the transition of care form form. Select the right transition of care form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2012	4.8 Satisfied (162 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What documentation is required for transitional care?

At a minimum, documentation for TCM must include: Date the patient was discharged. Date of the interactive contact with the patient and/or caregiver. Date of the face-to-face visit. The complexity of medical decision-making (moderate or high)

How long can you stay in transitional care?

The health care provider whos managing your transition back into the community will work with you, your family, caregivers, and other providers to coordinate and manage your care for the first 30 days after you return home.

What is a transitional document?

A transition plan or handover note is a document or set of documents created to facilitate the process of transferring knowledge, responsibilities, and tasks from one person or team to another. These documents are essential to ensuring continuity and minimizing disruption in workflows, projects, or services.

How to document transition of care?

You must document the following information, at a minimum, in the beneficiarys medical record: Date the beneficiary was discharged; Date you made an interactive contact with the beneficiary and/or caregiver; Date you furnished the face-to-face visit; and The complexity of medical decision making (moderate or

What is a transition of care document?

A care transition record is a document or set of documents containing standardized components specific to the patients 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 the difference between toc and tcm?

Transitional Care Management (TCM), also known as Transitions of Care (TOC) is designed to bridge the gap between inpatient discharge, PCP follow-up and patient self-care at home.

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.

Transition of care form 2025

Here's how it works

The best way to change Transition of care form online