Children's Medical Services for Families
Health Care Transition
Health care transition (HCT) is the process of changing from a pediatric model of health care to an adult model. In adult care, you oversee your own care and involve your parents or caregivers if you choose.
Children's Medical Services can help clients:
- Know their rights
- Be their own health care advocate
- Take charge of their health care information
- Plan for transfer to an adult doctor
- Prepare for any educational transitions
- Putting paperwork together that will help clients reach their goals
- Find information about recreational experiences
Transition Plan
A healthcare transition plan supports youth and young adults as they move from a child-centered model of care to an adult-centered model. This transition is crucial to ensure that patients can manage their health effectively and utilize health services appropriately.
Topics covered in a transition plan:
- Primary and specialty care
- Mental Health Care
- Vocational goals (and if accommodation or assistive technology is needed)
- Questions about insurance, income, work-related benefits, and financial assistance programs
- Legal information (guardianships, trust funds, rights and responsibilities, draft registration, etc.)
- Living arrangements (including what support may be needed for a client to live independently)
- Life Skills
- Social Life
- Questions about culture and identity
CMS Resources
- CMS Youth Transition Plan
- CMS Making the Most of Your Transition — A Simple Booklet for Teens in Transition
- CMS Transition Checklist for Teens — Education Transition to Adulthood
- CMS Making the Most of Your Visit with the Doctor
- CMS Transition New Mexico Colleges and Universities
What is a Medical Home?
A medical home is an approach to providing comprehensive and high-quality primary care. The medical home recognized the family as a constant in a child’s life and emphasizes partnership between health care professionals and families.
According to the American Academy of Pediatrics (AAP) a medical home should be the following:
- Accessible: Care is easy for the child and family to obtain, including geographic access and insurance accommodation.
- Family-centered: The family is recognized and acknowledge as the primary caregiver and support for the child, ensuring that all medical decisions are made in true partnership with the family.
- Continuous: The same primary care clinician cares for the child from infancy though young adulthood, providing assistance and support to transition to adult care.
- Comprehensive: Preventive, primary and specialty care are provided to the child and family.
- Coordinated: A care plan is created in partnership with the family and communicated with all health care clinicians and necessary community agencies and organizations.
- Compassionate: Genuine concerns for the well-being of a child and family are emphasized and addressed.
- Culturally effective: The family and child’s culture, language, beliefs and traditions are being recognized, valued and respected.
Learn More
Please visit the following websites to learn more.

