The California Community Transitions (CCT) Program: A Way for a Nursing Home Resident to Return to the Community

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Federal funding for the CCT program stopped. There may be funding in the future. If there is funding, California may start the program again. Check our website in the future to find out if this happened.

Federal funding for the California Community Transitions (CCT) program has ended.  Funding may become available again, depending on federal legislation and whether the state of California is able to continue the program.  Check DRC’s website for more information in the coming months. 

Q. What is the California Community Transitions (CCT) Program?

A. The CCT program is a Medi-Cal funded program available through the state Department of Health Care Services (DHCS) to give people who have their medical coverage through Medi-Cal and live in a medical facility the extra help they need to move from a medical facility to their own home.

Q. How do I qualify for CCT services?

A. If you have your medical coverage through Medi-Cal, and you have resided in a medical facility like a hospital or skilled nursing facility for over 90 days, and you will need services like those you received in the facility to live independently, you qualify for CCT services.

Q. What is the process for the CCT program helping me?

A. First, the CCT Coordinator in your area will come and meet with you to develop a plan for you to move from the facility where you currently reside to a place in the community of your choosing.  This could be to your own home, a family home, or your own apartment. 

Q. If I cannot afford to rent an apartment and purchase the household things I will need to live there, can CCT still help me?

A. Yes, the CCT program can help you find an apartment that you can afford and pay for things to get you set up in the apartment to get you started. The CCT program can also pay for home modifications, like grab bars and ramps.

Q. Is there more that the CCT program will do to help me?

A. Yes, they will help you to identify all of the things you will need to live in the community. The CCT will help identify which programs will provide these services. Some of these things are skilled nursing care, in-home attendant care (In Home Supportive Services (IHSS)), obtaining medical equipment you will need in your home, transportation, and help to access any other services you will need to be a part of the community you move to. 

Q. After the CCT program helps me to get an apartment, get set up, and identify programs and supports that I will need to live in the community, is the CCT program done helping me?

A. No, one of the services that the CCT program provides is case management. The CCT program will keep your case open and provide case management services for 1 year from the time you move to your own place.

Q. How do I get in touch with someone from the CCT program?

A. DHCS contracts with community providers called Lead CCT Organizations to give people CCT services throughout California.  Not every county has a CCT however.  To find a Lead CCT Organization in your area, visit the following DHCS link: California Community Transitions Project - DHCS - CA.gov

Or, E-mail DHCS to get more information at:
California.CommunityTransitions@dhcs.ca.gov

Or, call DHCS to get more information by phone at
1-916-552-9105
1-916-552-9105

You can also ask a family member, friend, or the facility social worker to help you contact the CCT. 

The full list of CCT providers is below:

CALIFORNIA COMMUNITY TRANSITIONS (CCT)
LEAD ORGANIZATIONS’ CONTACT INFORMATION
Last Update: February 2017

ACCESS TLC HOME HEALTH CARE

Shelly Chilton
shelley@accesstlchomehealth.com
1-805-517-1620
Counties served: Los Angeles and Ventura

ALWAYS BEST CARE SENIOR SERVICES (ABCSS)

Bill Mathis
cmathis@abc-seniors.com
1-888-681-1559
Counties served: San Diego

ARCHANGEL HOME HEALTH, INC. (AHHI)

Daniel Suh
archangelhhinc@yahoo.com
1-562-861-7047
Counties served: Los Angeles, Orange, Riverside, and San Bernardino ASAP HOME HEALTH, INC. (ASAP)

Sharise Henson Sharise.h@asaphomehealth.com
1-661-274-0800
Counties Served: All counties Statewide

DAYLE MCINTOSH CENTER (DMC)

Bruce Morgan
bmorgan@daylemc.org
1-714-621‐3300
Counties served: Orange

EAST BAY INNOVATIONS (EBI)

Serom Kim Sanftner
ssanftner@eastbayinnovations.org
1-510-618‐1580
Counties served: Alameda

FREED CENTER FOR INDEPENDENT LIVING (FREED)

Valerie Sharp
valerie@freed.org
1-530-477-3333 / 1-800-655‐7732
TTY 1-530-477-8194
Counties served: Colusa, Nevada, Sierra, Sutter, and Yuba

HEALTH PROJECTS CENTER (HPC)

Mitch Matthews
mitch@hpcn.org
1-831-459-6639
Counties served: Monterey, San Benito, and Santa Cruz

HOME AND HEALTH CARE MANAGEMENT (HHCM)

Julie Lehmann
jlehmann@homeandhealthcaremgmt.com
1-530-343‐0727 / 1-800-400‐0727
Counties served: Butte, Glenn, Nevada, Placer, Plumas, Sacramento, San Joaquin, Shasta, Sutter, Tehama, Trinity, Yolo, and Yuba

INDEPENDENT LIVING CENTER OF KERN COUNTY (ILC‐KC)

Patty Grubbs
patty@ilcofkerncounty.org
1-661-325‐1063 x12
Counties served: Kern

INDEPENDENT LIVING CENTER OF SOUTHERN CALIFORNIA, INC. (ILC‐SC)

Norma Jean Vescovo
nvescovo@ilcsc.org
1-818-785‐6934
Counties served: Los Angeles

INDEPENDENT LIVING RESOURCE CENTER, INC. (ILRC‐SB)

Kathleen Riel
kriel@ilrc‐trico.org
1-805-963‐0595 x107
Counties served: San Luis Obispo, Santa Barbara, and Ventura

INNERJOY HOME HEALTH SERVICE (INNER JOY)

Craig Michayluk
craig@innerjoy.com
1-805-522-1420
Counties served: Los Angeles and Ventura

INSTITUTE ON AGING (IOA)

Sandra Rivera
sandra.rivera@ioaging.org
1-415-750‐8758
Counties served: San Francisco, San Mateo, and Santa Clara

LASTING INCOME FOR ELDERLY INC. (L.I.F.E.)

Lilian Bruce
lilianbruce@lifereferral.org
1-805-377-0625
Counties served: Ventura, Santa Barbara, and Kings

LIBERTANA HOME HEALTH OF SHERMAN OAKS (LHH)

Yanine Villafana
yvillafana@libertana.com
1-800-750‐1444
Counties served: Imperial, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara, and Ventura

LIBERTANA OF FRESNO (LOF)

Yanine Villafana
yvillafana@libertana.com
1-800-750‐1444
Counties served: Fresno

LIBERTANA OF PALM SPRINGS (LOPS)

Yanine Villafana
yvillafana@libertana.com
1-800-750‐1444
Counties served: Riverside

LIBERTANA OF SAN DIEGO (LOSD)

Yanine Villafana
yvillafana@libertana.com
1-800-750‐1444
Counties served: San Diego

PARTNERS IN CARE FOUNDATION (PICF)

W.June Simmons
jsimmons@picf.org
Counties served: Los Angeles, Kern, Santa Barbara, San Bernardino

REHABILITATION SERVICES OF NORTHERN CALIFORNIA (RSNC)

Karen Stuckey
kstuckey@rsnc‐centers.org
1-925-682-6330
Counties served: Contra Costa and Solano

RESOURCES FOR INDEPENDENCE CENTRAL VALLEY (RICV)

Joseph Cody
rfields@ricv.org
1-559-221‐2330 / 1-800-244‐8874
Counties served: Fresno, Kings, Madera, Merced, and Tulare

SCAN / INDEPENDENCE AT HOME (SCAN / IAH)

Mark Kuntz
mkuntz@scanhealthplan.com
1-562-637‐7163 / 1-866-421-1964
Counties served: Los Angeles

SILICON VALLEY INDEPENDENT LIVING CENTER (SVILC)

Sheri Burns
Sherib@svilc.org
1-408-894‐9041
Counties served: Santa Clara

THE CARING CONNECTION (TCC)

Devin Letzer
devin@thecaringconnection.com
1-818-368‐5007 / 1-888-595‐4555
Counties served: Los Angeles, Orange, and Ventura

VENTURA COUNTY AREA AGENCY ON AGING (VAAA)

Victoria Jump
Victoria.Jump@ventura.org
1-805-477-7300
Counties Served: Ventura