Are They Eligible for Medi-Cal? Look into our California Community Transitions Program
What Services Are Provided?
- Transition assistance from an in-patient facility back into the community
- Home set up (includes furniture)
- Home and vehicle adaptation
- Assistive devices, wheelchairs and other medical equipment
- Training on self care and how to get a personal care attendant
- Transition coordination by a nurse and social worker
Who pays for these services?
- Medi-Cal covers all allowable expenses of the transition process
- Paid for through a federally funded grant—Money Follows the Person
- Funding is not affected by the Affordable Care Act
What are the eligibility requirements?
- Individual must be in a skilled in-patient facility for 90 days
- Medi-Cal must pay for one full day in the facility
- Individual must agree to become a part of the program following assessments
How is the transition process carried out?
- Transition coordinator provides initial assessment to learn about individual’s needs
- Second assessment given approximately two weeks after initial assessment
- Comprehensive Service Plan (CSP) is developed
- Team project involving the individual, Transition Coordinator, Nursing Facility Staff, Physician, and other Service Personnel to be involved in providing services to meet the individual’s needs
- Home environment is established
- CSP supportive services are put into place
- Quality of Life (QOL) Survey completed around the time of transition
- Referrals made for long term supportive services to keep individual safe in the community
- Second QOL completed eleven months after transition
- Third QOL completed twenty-four months after transition
- Transition coordinators stay in contact with the individual 1 year after transition
Have more questions? Call us at 1-800-400-0727 or 530-343-0727 or visit our website.
Katy Deaton, Director of Communications
Home & Health Care Management
“Keeping your loved ones safe, healthy, and independent!”
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