Transition Care Program | Country Health Connect

The Transition Care Program provides short-term care for older people to help them recover after a hospital stay. The program focuses on:

Supporting recovery
Regaining functional status and mobility
Preserving independence
Avoiding return to hospital, long-term care or entry to an aged care home

If you’re eligible for transition care, you can be approved to receive services for up 12 weeks. In some cases, you may be able to extend your services for another six weeks, but this will need another assessment.

Your care is tailored to your needs and goals, and is delivered in the most appropriate place to help you meet them. This could be in an aged care home, in your own home, out in the community, or a mix of these locations, as your needs change with your recovery.

For high care needs: a short stay in an aged care home where 24/7 care and support is available may be the best place to recover.
For a lighter level of care needs: you may receive services at home and out in the community.

Services offered by the Transition Care Program include:

Low intensity allied health services such as physiotherapy, occupational therapy and social work
Care by a nurse to support clinical issues such as pain management, wound or continence care
Assistance with personal care and activities of daily living

A representative from My Aged Care will visit you in hospital for an assessment. You can ask the hospital staff to arrange this assessment or call My Aged Care on 1800 200 422.

Equipment and home modifications

Staying in your own home is now more achievable than ever thanks to the constantly expanding range of equipment and assistive technologies, designed to make your home safer and easier to live in.

Social activities

Our social activities help people remain connected to their community and to find new ways to get involved.

Help in your home

We can offer housekeeping and home support services that can assist you to remain confidently in your own home.

Personal assistance

Country Health Connect offers vital support services designed to help you do everyday activities and receive the care you need to keep you independent and confident in your own home.

Further Information

For further information, visit Transition Care.

New Country Health Connect client? If you wish to become a Country Health Connect client to access services through the Transition Care Program, simply call us on 1800 944 912 and we will step you through the registration and assessment process.

Already approved? If you have already been advised by letter that you have been approved for support through this program, please call us on 1800 944 912 to discuss the next steps.

Already receiving services but wish to move to Country Health Connect? If you are already receiving services through this program from another provider and wish to move to Country Health Connect, we can facilitate that for you. Call our friendly team to explore how easy this is.