The days after discharge should not feel like starting over.
Icare can help eligible patients reconnect with outpatient medical and behavioral-health care after an emergency visit, hospitalization, withdrawal-management program, residential treatment, or another major transition.
Why the first weeks after discharge deserve a plan.
Leaving a hospital, emergency department, withdrawal-management program, or residential facility is progress — and it can also be a fragile moment. Medications may have changed during the stay. Follow-up instructions can be scattered across discharge paperwork. The structure that supported recovery inside a program suddenly falls to the person and their family. Transition-of-care support exists so eligible patients don’t have to rebuild care from scratch: when a referral arrives with appropriate authorization, Icare can review what happened, help identify the right outpatient starting point, and support the follow-up that the discharge plan calls for.
Transitions where support may help.
- 01
Discharge home after a hospitalization for a medical or psychiatric condition.
- 02
Follow-up after an emergency-department visit that recommended outpatient care.
- 03
Stepping down from a withdrawal-management or residential treatment program.
- 04
Leaving another structured program with a plan that calls for outpatient continuity.
- 05
Changing providers, or arriving in Las Vegas with active prescriptions and open referrals.
- 06
A family coordinating next steps for a loved one who is being discharged.
A structured transition pathway.
Depending on eligibility, clinical appropriateness, and current staffing, transition support may include:
Referral intake
Receiving referrals and records by fax to 702-843-0810, with appropriate authorization.
The right starting point
Identifying which outpatient service — medical, psychiatric, therapy, or recovery — may fit the discharge plan best.
Medication review
Reviewing discharge medication lists and relevant records so changes made during the stay are understood.
Whole-person follow-up
Addressing medical, psychiatric, therapy, and recovery follow-up needs together rather than in isolation.
Community connections
Connecting appropriate community resources when practical needs could destabilize the plan.
Honest triage
Redirecting promptly toward emergency or higher-level care when outpatient care is not the safe setting.
What to expect at the first visit after discharge.
- 01
Bring your discharge paperwork, a medication list or the bottles themselves, a photo ID, and any insurance information you have.
- 02
Your clinician reviews what led to the stay, what changed during it, and what the discharge plan recommends.
- 03
Together you identify what matters most in the first weeks — medications, symptoms, appointments, or practical barriers.
- 04
A follow-up plan is outlined, which may include additional Icare services or outside referrals, depending on the evaluation.
- 05
With your authorization, records can be requested or shared so your care team works from complete information.
Good transitions depend on timely, useful information.
Discharge planners can send relevant records and referral information by fax to 702-843-0810, or call 702-988-3177 with referral questions. A discharge summary, current medication list, and contact information for the patient help the review move faster. Please do not wait for an outpatient response when a patient has an emergency.
Questions discharge planners and families often ask.
Can a family member start the process?+
Yes. A family member or support person can call 702-988-3177 to ask about transition support. Some steps — like sharing records — require the patient’s own authorization.
What if medications were changed during the stay?+
Bring the discharge medication list to the first visit. Your clinician can review the changes and discuss how they fit into ongoing outpatient care; any prescribing decisions depend on the evaluation.
How quickly can a discharged patient be seen?+
Timing depends on eligibility, clinical appropriateness, and current capacity, so we can’t promise a specific timeframe. Call 702-988-3177 to discuss the situation. If a patient’s needs are urgent or unsafe, use emergency services rather than waiting for an outpatient response.