TRANSITIONAL CARE MANAGEMENT

healthcare services, namely, full-service nursing home and skilled nursing centers, rehabilitation centers, physical therapy, occupational therapy and speech therapy services, rehabilitation nursing, recreation therapy, cardiac care, psychology, respiratory therapy, and nutrition

social services, community re-entry support services, patient and family support groups; patient and family support groups, namely, providing personal support services for patients and families of patients in the nature of emotional counseling and emotional support; patient and family support groups, namely, organizing and conducting support groups in the field of community re-entry and coping with medical problems; community re-entry support services, namely, providing personal care assistance of activities of daily living such as bathing, grooming, and personal mobility for mentally or physically challenged people; community re-entry support services, namely, providing non-medical personal assistance services for others in the nature of planning, organizing, coordinating, arranging and assisting individuals to perform daily tasks; social services, namely, companionship services for the elderly and disabled; social services, namely, providing emotional counseling and support during transition from hospital to home environment for patients and their families