Discharge Notification

  • Participating Physician Groups (PPG)
    (does not apply to HSP)
  • Hospitals


Hospitals and inpatient facilities (general acute care hospitals, long-term acute care hospitals and skilled nursing facilities) must have policies and procedures in place when transitioning members from hospitals or inpatient facilities to their homes and other community-based settings to support effective care transitions.

Hospitals and inpatient facilities must notify and communicate with the member’s primary care physician (PCP) and Enhanced Care Management (ECM) provider of discharge from hospitals or inpatient facilities.

Information needed for discharge summary

When notifying the member’s PCP and ECM provider of a discharge, provide the information below:

  • Member name
  • Identification (ID) number from patient’s membership ID card
  • Date of birth (DOB)
  • Admission and discharge dates
  • Attending physician name
  • Attending physician phone number
  • Diagnosis
  • Follow-up appointment date, if known
  • Discharge destination
  • Responsible party at discharge
  • Level of assistance required
  • Discharge planning needs including equipment, service or other special training needs
  • Medications, including dosage and frequency at discharge
  • Facility name and phone number