COVID-19 Transitions of care information 

Discharging patients from the hospital to subsequent care locations

The decision to discharge a patient from the hospital should be made based on the clinical condition of the patient.

In accordance with guidance from the Centers for Medicare and Medicaid Services (CMS) and the Michigan Department of Health and Human Services (MDHHS), we support the discharge of patients back to their prior living arrangements, including assisted living facilities.

  • If a COVID-19 test was not warranted based on CDC or MDHHS guidance, then a patient does not need to be tested prior to discharge from a facility
  • Residents with COVID-19 that require hospitalization can and should be discharged back to their facility of residence, once they are clinically stable, regardless of whether COVID-19 testing is still positive or not

For further guidance, see MDHHS Guidance for Discharge of COVID-19.

Accepting residents diagnosed with COVID-19 into nursing homes

Nursing homes should admit any individuals they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was or is present.

For further guidance, see CMS Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in Nursing Homes.

Frequently asked questions:

Can a patient who has tested positive for COVID-19 be discharged back to their assisted living facility? 

In accordance with guidance from the Centers for Medicare and Medicaid Services (CMS) and the Michigan Department of Health and Human Services (MDHHS), we support the discharge of patients back to their prior living arrangements, including assisted living facilities.

For further guidance, see MDHHS Guidance for Discharge of COVID-19.

Do residents need to have a negative COVID-19 test before being discharged to an assisted living facility? 

  • If a COVID-19 test was not warranted based on CDC or MDHHS guidance, then a patient does not need to be tested prior to discharge from a facility
  • Residents with COVID-19 that require hospitalization can and should be discharged back to their facility of residence, once they are clinically stable, regardless of whether COVID-19 testing is still positive or not

For further guidance, see MDHHS Guidance for Discharge of COVID-19.

When should a nursing home accept a resident who was diagnosed from 

Nursing homes should admit any individuals they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was or is present.

For further guidance, see CMS Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in Nursing Homes.