Transitional Care Management (TCM)

Date: 05/20/25

Arkansas Health & Wellness is introducing a new way to work in partnership with providers throughout Arkansas to improve the care coordination and outcomes for high-risk behavioral health members who are receiving inpatient care.

How it works:

1. Identification: Care managers will identify high-risk behavioral health members who are receiving inpatient treatment.
2. Assessment: A thorough assessment will be conducted to understand the members needs and develop a care plan.
3. Coordination: The care manager will work closely with the member, facility, staff, and other providers to coordinate care and ensure a smooth transition.
4. Follow-Up: After discharge, the care manager will continue to follow up with the member to monitor progress and address any issues that arise.

What is Transitional Care Management (TCM)?

The TCM program is a new initiative aimed at improving the care coordination and outcomes for high-risk behavioral health members with high-risk substance use disorders receiving inpatient treatment. By providing targeted support before discharge, we aim to reduce readmission rates and enhance the overall quality of care.

Introduction to the TCM team:

The TCM team is here to help our members coordinate medical, behavioral, and social needs prior to discharging and upon entering the community. We want to ensure they are equipped with appropriate resources and support to facilitate an easy transition from your facility.

How can TCM assist providers?

The TCM team will contact the treating provider to coordinate a meeting with the member while the member is still receiving inpatient care. This interaction is intended to support both the provider and the member. Some of the support provided can include assistance with discharge planning, coordinating resources, addressing social determinants of health (SDoH), and care gaps. The goal is to ensure all discharge needs are addressed prior to returning to their community setting.

Program Contact Information:

If you have any questions regarding the TCM program, please call a Care Manager at 1-800-575-2763 or email Provider Relations at Providers@ARHealthWellness.com.

Key Benefits of TCM:

1. Improved Member Outcomes: By coordinating care before discharge, members receive more comprehensive support, leading to better health outcomes.
2. Reduced Readmission Rates: TCM aims to reduce the likelihood of members being readmitted to the hospital by ensuring they have the necessary resources and follow-up care.
3. Enhanced Care Coordination: The program facilitates better communication between care providers, ensuring that all aspects of the members care are addresse.
4.  Member Empowerment: The program empowers members to take an active role in their care by providing them with the resources and support they need.
5. Provider Collaboration: By engaging providers in a coordinated care approach, the program ensures that all stakeholders are informed and aligned on the members care plan.