Admission, Discharge & Transfer Notifications

On May 1, 2021, CMS began requiring hospitals, including psychiatric hospitals, to notify physicians, through electronic means, when a patient is admitted, discharged, or transferred (ADT) to/from a healthcare facility, provider or practitioner.


What are Admission, Discharge & Transfer Event Notifications?

These are notifications when a patient is admitted, discharged or transferred. This includes inpatient, emergency department, observation admission/registration, discharge, or transfer from one facility/provider to another.


What are the benefits of ADT notifications?

Notifications are meant to enable seamless care coordination, improve treatment, and quality of care across various providers and practitioners.


How does it work?

Once a patient is admitted, discharged or transferred, that patient’s designated PCP, primary care practice group or entity, or other practitioner/practice group/entity identified by the patient as primarily responsible for his or her care, can receive real-time notification of that event through a secure, HIPAA-compliant, electronic system.


How do I participate/sign-up?

Currently, per CMS guidelines, providers are automatically sent notifications, though that is not a perfect system as many providers do not have current or appropriate contact information as part of the e-notification system. As a provider, you are able to opt-in or opt-out of e-notifications. In order to opt-in or opt-out from notifications regarding your patients’ ADT events at UAB Hospital, UAB Spain Rehabilitation Hospital, or UAB Center for Psychiatric Medicine, please click here.


Can I opt-out of notifications?

Yes. In order to opt-out, please click here.


For more information about the CMS Interoperability and Prior Authorization Proposed Rule and guidelines regarding ADT Event Notifications, visit this page on