TCI: Provider

What is Health Care Transition?

Health care transition is the process of changing from a pediatric to an adult model of health care. The goal of transition is to optimize health and assist youth in reaching their full potential. To achieve this goal requires an organized transition process to support youth in acquiring independent health care skills, preparing for an adult model of care, and transferring to new providers without disruption in care.  This site has an extensive list of resources related to health care transition for youth, families and providers. It provides new and innovative strategies for improving transition from pediatric to adult health care. Click on one or more of the below links for additional information on Transitioning Youth to Adult Health Care Providers:

Integrating Young Adults with Intellectual and Developmental Disabilities into Your Practice: Tips for Adult Health Care Providers [PDF]
Tip sheet with comprehensive steps to help adult health care providers successfully integrate young adults with intellectual and developmental disabilities into their practices.

“Standards for Systems of Care for Children and Youth with Special Health Care Needs” [PDF]
Developed by the Association of Maternal and Child Health Programs with funding from the Lucile Packard Foundation for Children’s Health, this is a comprehensive set of standards, which includes transition to adulthood.

2017 Coding and Reimbursement Tip Sheet for Transition from Pediatric to Adult Health Care[PDF]
Tip sheet of transition-related CPT codes and corresponding Medicare fees, effective 2017. This practice resource, prepared by Got Transition and the American Academy of Pediatrics, also includes a set of seven clinical vignettes with recommended CPT and ICD-10 codes.

Incorporating Pediatric-To-Adult Transition into NCQA Patient-Centered Medical Home Recognition [PDF]
To assist practices who are looking for resources to obtain National Committee on Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) certification around transition.  Developed by the National Committee for Quality Assurance (NCQA) and Got Transition.

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