Are transitional care management services covered under Medicare?

care management services

Once you have been discharged from the hospital, you don’t have to think that the issues end there. It’s because you might feel physical weakness once you get home from the hospital. Especially if you have got any kind of surgery, it will take some time for you to get back on track. Also, there might be some complex discharge instructions that you might have to follow. Other kinds of support would also be needed before you get admitted again. You don’t have to worry about the same if you have effective transitional care management by your side.

What is transitional care management?

Transitional care is considered an effective healthcare service that ensures that the person receives utmost care after discharge. Via this care, you would be able to get an organized transfer from the respective healthcare institution to their home.

Many people have been wondering about whether transitional care management is covered under Medicare or not. Let us learn more about this further.

Does Medicare cover TCM?

Yes, TCM is an officially Medicare-covered service that would keep track of your discharge right from the hospital to your house. You don’t need to receive the TCM for Medicare. This is a voluntary service, and thus, Medicare doesn’t mandatorily require it. Medicare part B is known to cover the noteworthy outpatient services. These services also come inclusive of transitional care. The person is liable to pay the Part B deductible along with the 20% coinsurance, which would be applicable to the overall cost.

Inclusions in Transitional Care Management

The healthcare that supports the transitional care management would be associated with the concerned person till 30 days after the discharge. He/she will be working alongside the other physicians if the need arises. Some of the key elements of transitional care management are mentioned below:

  1. Review the medical information associated with the admitted person to the hospital.
  2. Facilitate the concerned person with information about transitioning to a normal life.
  3. Scheduling and managing the medications for the patient.
  4. Provide the necessary information about the health resources to the notable patient.
  5. Helping out the patients with additional treatments and tests, if required.
  6. Follow up on the additional tests and necessary treatment results.


Transitional Management Care is one of the best services that any patient can enjoy. It is the necessary support to help you after your discharge from the hospital. If you don’t have one, make sure you apply for the same.