Objectives: This paper reports on four transfer service models trialed by a long-term care management center run by a county in Taiwan. These models were developed to transfer care services from the hospital to the community. Reviews and analyses from the care managers were obtained during the development of the models. Methods: The transfer services of X county were classified into four models. To identify problems in the model development process, qualitative research methods and purposive sampling were employed to analyze data obtained from six care managers who experienced various stages of development process. Results: The development stages of X county's transfer service can be classified as the traditional model, visit care manager model, resident care manager model, and the quasi-care management manager models. The traditional and license-specific models are relatively service-effective. However, the four transfer models cannot manage the variability of the family carer's decision-making process, and communication and coordination between the hospitals, service providers, and long-term care manager center are inadequate. Conclusions: Policy planning and practice should focus on the position and requirements of users and continue to strengthen communication and coordination between different service units. The central government can also simultaneously increase information exchange among local governments and provide the required practical guidance and financial support.