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Transition & Case Management Services

California Community Transitions

(CCT)

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Diversion & Transition Services

(DTS)

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California Community Transitions

One-third of COVID-19 deaths in California have been among nursing home residents, and we know that seniors and people with disabilities are safer living at home. The California Community Transitions (CCT) project helps Medi-Cal eligible Californians who live in skilled nursing facilities move into their own homes or other community settings with appropriate supports to help them live safely.


As California’s version of the national
Money Follows the Person (MFP) program, the CCT project specifically applies to those who have been living in a skilled nursing facility for longer than a short stay, assisting them to move back to their home or community with the help of a Transition Coordinator. The Coordinator helps with exploring living choices and explaining the services the program offers, such as home and vehicle adaptation, assistive devices, transportation options, wheelchairs and other medical equipment, self-care training, and getting a personal care attendant. The program also provides assistance coordinating with physicians, family, the nursing facility, landlords and others.


Once the client has moved, the Transition Coordinator follows the participant for a year, helping with issues that arise and connecting the client to services that will allow them to remain at home. This program helps people make their own decisions about where and with whom to live, and it’s available free of charge to anyone 18 or over who qualifies. See below for more details.

One-third of COVID-19 deaths in California have been among nursing home residents, and we know that seniors and people with disabilities are safer living at home.


The California Community Transitions (CCT) project helps Medi-Cal eligible Californians who live in skilled nursing facilities move into their own homes or other community settings with appropriate supports to help them live safely.

As California’s version of the national Money Follows the Person (MFP) program, the CCT project specifically applies to those who have been living in a skilled nursing facility for longer than a short stay, assisting them to move back to their home or community with the help of a Transition Coordinator. The Coordinator helps with exploring living choices and explaining the services the program offers, such as home and vehicle adaptation, assistive devices, transportation options, wheelchairs and other medical equipment, self-care training, and getting a personal care attendant. The program also provides assistance coordinating with physicians, family, the nursing facility, landlords and others.


Once the client has moved, the Transition Coordinator follows the participant for a year, helping with issues that arise and connecting the client to services that will allow them to remain at home. This program helps people make their own decisions about where and with whom to live, and it’s available free of charge to anyone 18 or over who qualifies. See below for more details.

Contact CCT

1811 C Street

Antioch, CA 94509

Serving Contra Costa, Sacramento & Solano County

(925) 778-4171 x214

Program Eligibility & Cost

This program is available free of charge to adults of any age who qualify. If you have been living in a Medi-Cal paid inpatient facility and wish to return to community living, you are eligible. You can apply for CCT at any time — there is no waiting period.

Diversion & Transition Services

The Community Living Fund, a grant provided by the Department of Rehabilitation (DOR), is designed to assist individuals with disabilities and older adults who are at-risk of being placed in a nursing home or have entered one. The fund allows both diversion services to reduce the risk of placement and transition services to assist individuals in returning to community living once placed in a facility.


Our transition services apply to those who have been living in a skilled nursing facility, assisting them to move back to their home or community with the help of a Case Manager. The Case Manager helps with exploring living choices and explaining the services the program offers, such as home and assistive devices, transportation options, wheelchairs and other medical equipment, self-care training, and getting a personal care attendant. The program also provides assistance coordinating with physicians, family, the nursing facility, landlords, and others.


Once the client has moved, the Case Manager follows the participant, helping with issues that arise and connecting the client to services that will allow them to remain at home. This program helps people make their own decisions, and it’s available free of charge to anyone 18 or over who qualifies. See below for more details.

Diversion Services

1811 C Street

Antioch, CA 94509

Serving Contra Costa, Sacramento & Solano County

(916) 827-7289

Transition Services

1811 C Street

Antioch, CA 94509

Serving Contra Costa, Sacramento & Solano County

(925) 860-3734

Program Services

Diversion & Transition Services (DTS) can assist eligible individuals with the following:

  • Providing short-term case management services
  • Linkages to long-term services and supports
  • Personal assistance not covered by IHSS
  • Purchasing personal items
  • Moving expenses
  • Assistive technology training
  • Orientation and mobility training
  • Transportation
  • Occupational or physical therapy assessment
  • Minor home modifications for ADA accessibility

Program Eligibility

Individuals may be eligible for our services if they:

  • Reside in Contra Costa, Sacramento, or Solano County
  • Are a Medi-Cal beneficiary who has needs that exceed what is covered through Medi-Cal benefits
  • Have Medicare but cannot afford out-of-pocket costs associated with diversion or transition services
  • Are at or below 300% of the poverty level, which is based on family size (e.g. family size of 1 is $40,770; add $14,160 for each additional person)
  • Are an individual that needs linkages to long-term services and supports
  • Are an individual in need of financial assistance with short-term financial needs
  • Are an individual that requires assistance with a minimum of two activities of daily living (e.g. bathing, dressing, grooming, eating, mobility, toileting or incontinence care, etc.)
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