Welcome to the FloridaHATS Web site! FloridaHATS is a program of Florida Department of Health, Children’s Medical Services. Our mission is to ensure successful transition from pediatric to adult health care for all youth and young adults in Florida, including those with disabilities, chronic health conditions or other special health care needs. To learn more about our program, visit About Us.
Our health care transition tool box contains documents and links to a variety of local, state and national resources. Materials for youth, families and professionals are organized in these categories:
Florida Pediatrician published an article in its Winter 2019 issue authored by Chanda Jones and Dr. Rita Nathawad, entitled “Health Care Transition 101: Bridging the Gaps for Youth and Young Adults with Special Health Care Needs.”
Understanding Florida Medicaid Managed Care From Family Network on Disabilities (2016)
My Health Care A classroom curriculum to improve health literacy, communication and self-advocacy skills for adolescents and adults with ID/DD from Florida Developmental Disabilities Council, Inc. (2015)
JaxHATS: A Model Medical Home for Youth & Young Adults Ages 16-26 Dr. Rita Nathawad and Dr. David Wood, current and former Medical Directors at JaxHATS, describe the nationally recognized program’s development, operational structure, outcomes, and challenges.
Florida’s Maternal and Child Health Services Block Grant 2016 application Presentation on Florida Title V Needs Assessment process, and Title V 5-Year Action Plan (transition plan on pp. 7-12).
2020 Federal Youth Transition Plan An interagency report from the Federal Partners in Transitions Workgroup (2015).
Transition 2 Go Informational Briefs On Florida Guardianship, Employment, Social Security, and MedWaiver Programs
Healthy Transitions Mobile App From University of Delaware’s Center for Disabilities Studies, designed to help build skills for independence and health care self-management. The app can be downloaded for free through iTunes and Google Play; for Google Play, click here.
JustAdulting Resources on legal rights and responsibilities for young adults from Florida Bar Association(2015)
Navigating Healthcare Transitions For Parents and Caregivers From the Cornelia de Lange Foundation (2016)
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.
AMCHP’s implementation toolkit contains resources and tools Title V programs and public health professionals can use to address NPM 12, and encourage successful youth transitions to adult health care.
Updated Clinical Report. 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.
2020 Transition Coding and Reimbursement Tip Sheet. Got Transition and the American Academy of Pediatrics released a new 2020 Transition Coding and Reimbursement Tip Sheet to support the delivery of recommended transition services in pediatric and adult primary and specialty care settings. The new tip sheet includes a list of updated transition-related CPT codes, including the new code for transition readiness assessment, and current Medicare fees and RVUs for these services. It also includes a new set of eight clinical vignettes with recommended CPT and ICD-10 codes. Click HERE for the tip sheet,
Preventive Care and Transition Toolkit. Preventive care visits represent an important opportunity to discuss health care transition with adolescents, parents, and young adults. Yet, national survey data reveal that, 85% of youth have not received guidance about health care transition from their health care providers. To address this unmet need, The National Alliance to Advance Adolescent Health/Got Transition with the University of California, San Francisco’s Adolescent and Young Adult Health National Resource Center created a new free online toolkit titled Incorporating Health Care Transition Services into Preventive Care for Adolescents and Young Adults. The toolkit is available in both English and Spanish.
Letter Template to Payers Regarding Recognition of Codes Related to Pediatric to Adult Transition Services
A letter template to payers requesting recognition of transition-related codes. Edit and personalize PDF, or copy and paste into a Word document to edit and personalize, from Got Transition (2017)
Condition-Specific Tools for Subspecialists From the American College of Physicians, tools are now available for the following subspecialties: general internal medicine (intellectual/developmental disabilities and physical disabilities), cardiology, endocrinology, gastroenterology, hematology, nephrology, and rheumatology. The toolkit includes transition readiness assessments, self-care assessments, and medical summaries customized from Got Transition’s Six Core Elements of Health Care Transition.
Health Care Transition in the School Setting: A Training Program for Educators Provides special education teachers, transition specialists, administrators and support staff with the knowledge, skills and tools to facilitate improved health literacy, self-management, communication, and self-advocacy among students with disabilities and chronic health conditions.
University of Florida’s Interdisciplinary Collaborative on Healthcare and Education Transition (ICHET) offers a fully online certificate program for graduate students and professionals interested in bringing both health care providers and educators together to help youth with chronic illness successfully transition to adulthood.
Health Care Transition Training for Health Care Professionals. This course is appropriate for all practitioners and support staff involved in the care of adolescents and young adults.
Illinois Transition Care Project Offers MOC-approved, web-based training for both pediatric and adult-oriented providers.
Transition to Adult Care for Individuals with ID/DD A one-hour continuing education module in the webinar series, Physician Education in Developmental Disabilities. The 12 credit-hour series is available at https://aadmd.org/page/pedd-webinar-series.
Handling the Hand-off: Transitioning from the Pediatric to Adult Diabetes Team A free CME activity for primary care providers, nurse, and clinical support staff (Joslin Diabetes Center, Harvard)
Transition Services for Children and Youth with Special Health-Care Needs A case management module for physicians, nurses, and social workers from Texas Health Steps