Transition Center

The Tallahassee Memorial Transition Center is an innovative facility created by Tallahassee Memorial HealthCare, in partnership with Capital Health Plan and the Florida State University College of Medicine to provide follow-up care and support for certain patients after they leave the hospital to help them continue on the road to recovery.

What Does The Transition Center Do?

• Provides hospital follow-up (HFU) appointments and services to patients who are underinsured or uninsured, as well as those patients that do not have a Primary Care Provider (PCP)
• Provides HFU appointments for patients who have a PCP but cannot get an appointment with them within 5-7 days of discharge from the hospital
• Addresses patient medication needs. Including:
  - Providing patients limited samples
  - Helping patients apply for patient assistant programs
  - Referring patients to low-cost pharmacies and provide diabetic supplies
• Helps patients with social service needs. Including:
  - Finding a primary care physician
  - Instructions on how to apply for Medicaid and food stamp assistance online
  - Assisting with some transportation issues
• Providing information on resources for needs such as food pantries, housing, utilities, etc.
• Refers patients to specialists, We Care Network and TMH General surgical consults for uninsured patients
  if needed. However, the Transition Center does not complete prior authorizations for specialty care or
  imaging.
• Offers in-office, telehealth and phone call appointments to uninsured patients within the state of Florida. Patients with insurance can be seen by telehealth or phone appointment, however it depends on their insurance coverage. For further information, please inquire with Transition Center staff.

Who Does the Transition Center See?

The Transition Center is designed to offer services to patients who cannot see a physician as quickly as needed, patients who do not have a physician and patients who do not have insurance. This does not include:  

• Patients involved in a motor vehicle accident/collision (MVA/MVC) or motorcycle accident (MCA, involving a car); unless they have other medical issues not related to the MVA/MVC or MCA. For example: Hypertension, diabetes, kidney stone, etc.
• Workers Comp. patients
• Children from 0 to 17 years old
• Patients with CHP insurance – they are encouraged to contact CHP for assistance; however, the Transition Center can assist these patients if they cannot get into their CHP PCP for a hospital follow-up within 7-14 days or need immediate medical care
• Obstetrics and gynecology patients
• Behavioral health (BHC) patients, unless they have other underlying diseases/medical illnesses

How Much Does It Cost?

Though all patients will be billed for services rendered by the Transition Center, sliding fee scale paperwork is offered to all self-pay patients. The discount offered is based upon personal information provided by the patient.

How Do I Refer A Patient?

Referrals to the Transition Center may be entered in Cerner by entering a “Transition Center Referral” Order. Please indicate the reason for referral and any specific patient needs in the special instructions box.

The Transition Center can be reached via phone at 850-431-4470.