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News & Announcements

New Report Analyzes Transition Efforts in State Care Coordination Programs

Got Transition has published a new report analyzing health care transition activities in state Title V care coordination programs. The report, The Progression of Health Care Transition Implementation in State Title V Care Coordination Programs from 2017 to 2019, summarizes three years worth of states’ self-assessments of their Six Core Elements implementation in care coordination programs.

Updated 2019 Tip Sheet Links Patient-Centered Medical Home Standards with Six Core Elements

Got Transition has released a updated tip sheet to help practices incorporate transition as part of their application process for becoming a patient-centered medical home (PCMH). Using the 2017 Standards for Patient-Centered Medical Home Recognition from the National Committee for Quality Assurance (NCQA), this updated practice resource includes a table that cross-walks NCQA PCMH criteria and guidance with specific linked Six Core Elements tools. Click HERE for the updated tip sheet.

Transition Tips for Integrating Young Adults with ID/DD and ASD

Got Transition has published two new tip sheets with broad sets of suggestions to help adult health care providers successfully integrate young adults with intellectual and developmental disabilities (ID/DD) and young adults with Autism Spectrum Disorder (ASD) into their practices. The suggestions in both tip sheets are consistent with the 2018 AAP/AAFP/ACP Clinical Report on Transition.

Family Transition Advisory Board Formed

Got Transition, in collaboration with Family Voices, has selected eleven parents of transition-aged youth and young adults, ages 13-25, to advise the organization on family perspectives on health care transition. This newly-formed National Family Transition Advisory Group will provide a range of family perspectives to guide Got Transition’s plans moving forward.

For more on the group's upcoming activities and the national organizations that these parents represent, read our press release.

2018 Updated Clinical Report on Transition Released

The AAP, AAFP, and ACP have updated the original 2011 clinical report on health care transition. This updated clinical report, "Supporting the Health Care Transition from Adolescence to Adulthood in the Medical Home," provides new practice-based quality improvement guidance on key elements of transition: planning, transfer, and integration into adult care. It also includes new recommendations pertaining to infrastructure, education and training, payment, and research.

Click here to hear an audio podcast presentation on the new Clinical Report and its key components, featuring representatives of the AAP, AAFP, and ACP. 

For more about the updated clinical report, read the press release.

To read a parent guide to the new report, read this one-page guide.

New Grant Award Provides Funding to Implement Transition Model in Washington, DC

The National Alliance to Advance Adolescent Health has received funding from the WITH Foundation to improve the transition for young adults with intellectual and developmental disabilities (IDD) from pediatric to adult health care. The National Alliance will partner with The HSC Health Care System in Washington, DC to implement this first-of-its-kind transition value-based payment model. To learn more about the project, read the press release now.

The National Alliance Receives Funding to Promote Transition Payment Innovations

The National Alliance to Advance Adolescent Health has received funding from the Lucile Packard Foundation for Children’s Health to promote the use of value-based payment (VBP) and care delivery recommendations by payers for health care transition, called for in a recent leadership roundtable report, funded by the foundation. For more information, read the press release here.

UPDATED 2019 Transition Coding and Reimbursement Tip Sheet Available

Got Transition and the American Academy of Pediatrics have released the new 2019 Transition Coding and Reimbursement Tip Sheet which supports the delivery of recommended transition services in pediatric and adult primary and specialty care settings. The tip sheet includes an updated list of transition-related CPT codes, including new codes relating to chronic care management and interprofessional telephone/internet/electronic health record assessment and management services and referral services. It also includes current Medicare fees for each code, two new clinical vignettes with recommended coding suggestions, a table displaying what type of providers can bill for each code and whether the service is face-to-face or non-face-to-face.  Finally, the tip sheet includes an insurance carrier letter that can be customized for payers to encourage recognition of transition-related codes. Click here for the tip sheet.

The National Alliance Provides Transition Recommendations for NICHD

The National Alliance to Advance Adolescent Health, along with a number of organizations, has provided recommendations to the National Institute of Child Health and Human Development’s (NICHD) on the transition-related research theme of its Strategic Plan for Fiscal Years 2020-2024. This research theme is aimed at improving health during the transition from adolescence to adulthood. To read the comments from The National Alliance, click here.

Report Offers Value-Based Transition Payment Recommendations

The National Alliance to Advance Adolescent Health, with funding support from the Lucile Packard Foundation, published a new report to address long-standing gaps in payment for transition to adult care. The report, Recommendations for Value-Based Transition Payment for Pediatric and Adult Health Care Systems: A Leadership Roundtable Reportis intended to guide commercial and Medicaid payers, health plans, employers, and pediatric and adult systems of care in implementing and evaluating value-based payment (VBP) options for transitional care.

New Study on US Health Care Transition Performance

A new study in Pediatrics presents transition planning results among youth with special health care needs, and, for the first time youth without special health care needs, from the 2016 National Survey of Children’s Health. The study, Transition Planning Among US Youth With and Without Special Health Care Needs, reveals that nationally, only 17% of youth with special health care needs and 14% of youth without special health care needs met the overall federal Maternal and Child Health Bureau transition performance measure. This underscores the need for health care providers to work with youth and parents/caregivers to prepare for transition by discussing the eventual shift to a provider who cares for adults, actively working with youth to gain self-care skills or understand changes in health care at age 18, and having time alone with the patients during preventive care visits.

The National Alliance Receives 5-Year Federal Grant to Continue Got Transition

The National Alliance to Advance Adolescent Health received a 5-year award from the federal Maternal and Child Health Bureau (MCHB) within the U.S. Department of Health and Human Services, Health Resources and Services Administration to continue its operation of Got Transition, the national resource center on health care transition (HCT). The goal of this new award will be to spread the adoption of evidence-informed HCT improvements as part of a comprehensive system of services for youth and young adults with and without special health care needs, focusing special attention on low-income and medically underserved populations.

For more information on the grant announcement, read the press release here.

Preventive Care and Transition Toolkit Available

Got Transition, in collaboration with University of California San Francisco’s (UCSF) Adolescent and Young Adult Health National Resource Center, has released "Incorporating Health Care Transition Services into Preventive Care for Adolescents and Young Adults: A Toolkit for Clinicians." The Preventive Care and Transition Toolkit provides suggested questions and anticipatory guidance for clinicians to introduce health care transition during preventive visits with early adolescents (ages 11-14), middle adolescents (ages 15-17), late adolescents (ages 18-21), and young adults (ages 22-25), consistent with the AAP/AAFP/ACP Clinical Report on Health Care Transition. The toolkit is available in both ENGLISH and SPANISH.

For more information about the toolkit, read our press release HERE.

AAP Transition ECHO

The American Academy of Pediatrics (AAP) Transition ECHO is a virtual community that serves as a forum for health care professionals to learn how to successfully transition youth from pediatrics to the adult care system. A standardized curriculum with 7 sessions was developed in partnership with Got Transition that consists of slide sets and interactive videos on several aspects of health care transition, including how to begin a transition process, how to find and partner with adult providers, how to engage families, and more.

Report Analyzes Health Care Transition in Care Coordination Programs

Got Transition has released a report, “Baseline Assessment of Health Care Transition Implementation in Title V Care Coordination Programs” that examines HCT efforts in 32 Title V states that selected transition as a national performance measure. This report presents a snapshot of state Title V care coordination program implementation of the Six Core Elements of Health Care Transition. It provides a summary of the initial assessment scores and levels of implementation and outlines an upcoming webinar series on how to implement HCT in care coordination programs. If you are a state that would like your results of the assessment to be sent to you, please contact Samhita Ilango at

Got Transition Publishes Systematic Review on Transition

Got Transition has published a systematic review in The Journal of Pediatrics that identifies statistically significant positive outcomes in pediatric-to-adult transition studies using the triple aim framework of population health, consumer experience, and utilization and costs of care. The systematic review found that structured transition interventions often resulted in positive outcomes. The entire article can be READ HERE.

Earn CME Credits in Transition

Health Services for Children with Special Needs (HSCSN) is offering a free online one-hour CME course on health care transition. The course features the experiences of physicians in busy pediatric, family medicine, and internal medicine practices in the District of Columbia who successfully implemented the Six Core Elements of Health Care Transition using quality improvement methodologies. The course was developed in collaboration with The National Alliance to Advance Adolescent Health/Got Transition, HSCSN, and the DC Department of Health.

Also available online: Got Transition's Dr. Patience White sat down with Dr. Mike Patrick (host of PediaCast CME from the Nationwide Children's Hospital) to talk about health care transition and the Six Core Elements. The hour-long podcast, "Transitioning Pediatric Patients to Adult Health Care," describes the design and implementation of a transition program within a clinical practice to ensure a smooth transition for pediatric patients. It is intended for primary care physicians, pediatric subspecialists, and other health care professionals who provide care for pediatric patients. Listeners can take a short Post Test to receive their free Continuing Medical Education (CME) credit.

SAHM's Adolescent Medicine Resident Curriculum on Transition

The Society for Adolescent Health and Medicine (SAHM) has developed a Adolescent Medicine Resident Curriculum, divided into ten core content modules. It is designed both for four-week adolescent medicine rotations and for residents’ longitudinal training. Learning objectives are linked with educational and clinical resources to enhance Adolescent Medicine education. The tenth core content module is dedicated to Transition to Adult Care.

The National Alliance Leads Transition Payment Roundtable

The Lucile Packard Foundation for Children’s Health recently funded The National Alliance to lead an expert committee of public and private payers and health plan leaders to develop recommendations and action steps for advancing payment innovations in pediatric-to-adult transition care. This one-year effort will result in strategic guidance to build high-level support among payers and plans to incorporate transition into payment innovations and to encourage the recognition of transition-related services in both pediatric and adult care settings. To read more about the transition payment roundtable, click here.

ACP Releases Transition Tools for Pediatric to Adult Health Care Transition

Dr. Wayne Riley, the President of the ACP, and Dr. Carol Greenlee, the chair of ACP’s Transitions Initiative, announced the release of specialized toolkits to facilitate more effective transition and transfer of young adults into the adult health care setting at the ACP’s 2016 Annual Meeting in Washington, DC. The transition toolkit contains condition-specific tools, including transition readiness assessments, self-care assessments, and medical summaries customized from Got Transition’s Six Core Elements of Health Care Transition. Transition tools are available for the following subspecialties and diseases: general internal medicine (intellectual/developmental disabilities and physical disabilities), cardiology (congenital heart disease), endocrinology (type 1 diabetes, turner syndrome, growth hormone deficiency), gastroenterology (inflammatory bowel disease is coming soon), hematology (general hematology, sickle cell disease, hemophilia), nephrology (end-stage renal disease), and rheumatology (juvenile idiopathic arthritic, systematic lupus erythematosus). This ACP Transitions Initiative was a collaborative effort with Got Transition/Center for Health Care Transition Improvement, the Society of General Internal Medicine, and the Society for Adolescent Health and Medicine.

Incorporating Transition into Epic Electronic Health Record Software: A Survey of Expert Users

A Got Transition report, Incorporating Transition into Epic Electronic Health Record Software: A Survey of Expert Users, discusses ways of incorporating the Six Core Elements of Health Care Transition into Epic. This report is only available to Epic users and can be accessed using your Epic UserWeb login credentials by clicking HERE.

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Got Transition® is a program of National Alliance Logo The National Alliance to Advance Adolescent Health supported by U1TMC31756 HRSA/MCHB