Rehabilitation Medicine - Discharge & Post Discharge Planning

Discharge Planning

Our Goals for you while you are in the rehabilitation unit are to:

  • to increase your functional level of independence.
  • to prepare you and your family for a safe discharge home.

Discharge planning is a process that begins on admission with your case manager. Your case manager will review you and your family:

  • your discharge goal
  • discharge options
  • available community resources

Transportations ( guidelines for services):

  1. Medicare:
    • Does not provide ambulette service.
    • Provides ambulance service only when medical necessity applies as determined by Medicare regulations.
  2. Managed Medicare: pre-authorization is required from your insurance carrier.
  3. Medicaid: will provide the mode of transportation that meets your medical needs as determined by the medicaid Transportation (livery cab service, ambulate, ambulance) regulations.
  4. Commercial/Private Insurance: pre-authorization is required from your insurance carrier.
  5. Private Pay: when cost of services is paid by the patient or family.

(Transportation Services will be discussed by the case manager with you and your family/ Once reviewed and authorized, arrangements will be made by the case manager.)

Post Discharge Services

Outpatient Services (both adult and pediatric):

Physical Therapy, Occupational Therapy, Speech and Language Pathology, and Neuropsychology

  • Staten Island University Hospital Out patient Services
    242 Mason Ave. SI, NY 10305 (718) 226-6610

Homecare Services:

  • Qualifies Nurses, Therapists, and Social Workers: provide care and therapy in a home setting. The frequency and duration are determined by your insurance carrier.
  • Home Health Aides: aides provide care with activities of daily living. The frequency and duration is determined by your insurance carrier.

Subacute Rehabilitation / Short Term Placement:

  • May be available through your insurance carrier when a skilled need exists. Your insurance carrier provides authorization based on their determination of your skilled need.
  • You will be asked to provide a list of your five facility choices.
  • With HMO insurance plans, the hospital must apply to all contracted faculties in the network.
  • With Medicare insurance:
    1. 1) Medicare will:
      • For days 1-20, Medicare will pay 100%
      • Days 21-100 are covered at 80%
      • (may be covered through a secondary insurance plan.)

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