Patient discharges
Under certain circumstances, Priority Health allows PCPs to request member discharges.
Letters notifying patients of discharge
A primary care physician must notify a patient of the intention to discharge him or her in writing on company letterhead. Information should include:
- The reasons for the discharge related to the criteria in the Discharge Policy
- The patient's Priority Health contract ID number
- The patient's date of birth
Priority Health patient discharge processes
| Type | Definition | Process | Effective date |
|---|
| Transfer |
Patient transfers from one PCP to another |
- The patient must designate a new PCP using the online or PDF PCP change form.
|
First of the month following the date Priority Health receives the PCP change form from the member. |
| Discharge |
PCP requests that a patient be removed from his/her practice due to reasons in the Discharge Policy |
- Send the patient a letter notifying him/her of the discharge; see guidelines above this chart.
- Submit a completed Patient Discharge Form to Priority Health
- Include a copy of the discharge letter sent to the patient.
|
30 days from the date of the letter |
| Records transfer |
Patient wants his/her medical records sent to a new PCP |
- Use your Transfer of Records form and send a copy to your Provider Account Representative
|
First of the month following the date Priority Health receives the form |
Form
- Patient Discharge Form (42KB PDF): Use for discharges, including non-established care transfers, and transfers of records.
