Back Transfers. 4.11.5.1 Effective January 01, 2009, DCH will permit transfers from a higher level of care, back to a lower level (referred to as a back transfer). The transfer is subject to medical necessity review and the payment policies outlined in the contract with the payer.
Back Transfers. 4.2.17.2.1 The CONTRACTOR must allow for the transfer of Members from one hospital to another hospital, or from a hospital to a lower level of care, when requested by the Provider. The decision on when and to what level of care a Member is to be transferred is solely that of the attending Physician, including those transfers as it relates to the back transferring of a newborn or infant to their original or lower level healthcare facility. Transfer coordination from point A to point B is initiated by the Provider with CONTRACTOR support upon request, and the CONTRACTOR may not require prior authorization for the purposes of back transferring the Member.
