California Community Transitions Demonstration Project

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In January 2007, the California Department of Health Care Services (DHCS) was awarded special funding by the Centers for Medicare & Medicaid Services (CMS) to implement a Money Follows the Person Rebalancing Demonstration called “California Community Transitions” (CCT). The demonstration is authorized through September 30, 2011. The goal is to improve and make changes to long-term care delivery systems and ensure consumers are aware of their choices about how and where they can receive long-term care services.

CCT will allow eligible Medi-Cal beneficiaries who have been receiving services in nursing or other inpatient health care facilities for six months or longer to transition to a community setting, if that is their preference. Local lead organizations will identify eligible individuals who want to move back to community living. Local transition teams will work with participants to facilitate provision of necessary services and supports, including access to affordable housing.

During the demonstration period (365 days), participants will receive existing Medi-Cal services that they have identified in an individual comprehensive service plan. After the demonstration period is completed, participants who remain eligible for Medi-Cal will continue to receive services under existing home and community-based service waivers or state plan services.

The CCT Operational Protocol was developed with input from the California Health and Human Services Agency, consumers, interested persons and other state departments. On June 30, 2008, the protocol was approved by CMS. DHCS approved the terms and conditions on September 3, 2008, and implementation of the demonstration began on September 4, 2008.

For more information about CCT, or for community organizations who want to work with DHCS on implementing CCT, e-mail: OLTC_CCT@dhcs.ca.gov, or fax (916) 440-5741.

Becoming a lead Organization

Participation is contingent on DHCS' review and approval of a completed CCT Lead Organization Proposal, and acceptance of the Lead Organization Provider Participation Agreement and Special Terms & Conditions.

STAKEHOLDER MEETINGS

Transitions Advisory Committee meeting dates in 2009: