Partner with MidSouth Transitions
Reduce readmissions, improve patient outcomes, and strengthen your continuum of care with our transitional care management programs.
30%
Readmission Reduction
90-Day
Programs
24/7
NP Access
How to Refer a Patient
Our streamlined referral process gets patients into care quickly, typically within 24-48 hours of referral.
Call or Fax
Contact us by phone or fax to initiate a referral. Our team will guide you through the process.
Patient Assessed
Our nurse practitioner conducts a thorough assessment of the patient's needs and medical history.
NP Assigned
A dedicated nurse practitioner is assigned to manage the patient's transitional care journey.
Care Begins
In-home visits begin within 24-48 hours, with a personalized care plan in place.
Partnership Benefits
When you partner with MidSouth Transitions, your facility and patients benefit from comprehensive transitional care management.
Reduced Readmissions
Our evidence-based transitional care model has demonstrated a 30% reduction in 30-day hospital readmissions for partnering facilities.
24/7 Provider Access
For patients currently on service, a nurse practitioner is available 24/7 to assess symptoms and guide appropriate level of care — reducing unnecessary ER visits.
Home Health Collaboration
We coordinate seamlessly with home health agencies to ensure comprehensive, aligned care for every patient.
Detailed Reporting
Receive thorough progress reports after each visit and at program completion, keeping you informed on patient outcomes.
Referral Intake Form
Use this purpose-built referral form for transitional care intake and same-day triage.
Referral Contacts
Phone: (430) 200-4350
Fax: (866) 337-1615
Email: referrals@midsouthtransitions.org
Call Referral LineWhy Partner With Us
Dedicated NP assigned to each referred patient
Proven reduction in 30-day readmission rates
Seamless integration with your discharge planning workflow
Regular communication and detailed clinical reports
Support for CMS quality metrics and value-based care programs
No cost to your facility — services are billed to patient insurance
Collaborative approach with existing home health providers
Coverage across Texas and Arkansas
Ready to Reduce Readmissions?
Partner with MidSouth Transitions today. Call us or send a referral to get started.