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I would call the social worker at your brother's hospital. If that does not work, call his doctor's office and ask if the doctor will order after care. Also, you can call a company that does Medicare in-home care and ask how a patient qualifies...if they want your business, they will tell you how it is done. There are also Medicare help lines...do not know if these are effective or not.
Shame on his doctor for not helping him with after care advice. I do not have a high opinion of the medical profession these days...seems all they want to do is hold you captive in the hospital until they can get the maximum out of Medicare then set you free to fend for yourself! The answer is to be proactive as a patient and an advocate for family members.