California Community Transitions Policy and Guidance Letters
Beginning February 2014, the CCT State unit will communicate revisions and/or updates to the CCT Demonstration Project through official Policy Letters (PLs). All PLs will be sent to Local CCT Providers and posted to the Department of Health Care Services (DHCS) website at this location.
For more information on PLs, please refer to PL #02-24-14-001 Introduction to CCT Policy Letters.
California Community Transitions- Two-Week Public Comment from September 3, 2026- September 17, 2026
DHCS is providing an opportunity for a two-week public comment period for the Money Follows the Person (MFP)/California Community Transitions (CCT) Individualized 24/7 Backup Plan Policy Letter (PL). DHCS has updated the program’s 24/7 Backup Plan PL, which will supersede the PL 15-001 24-7 Backup. The purpose of this PL is to provide guidance on the DHCS requirements for CCT Lead Organizations (LOs) establishing and maintaining individualized 24 Hour/7 Days A Week (24/7) Backup Plans for program participants.
Please click here to review the draft letter and incident form. Provide edits/comments on the policy via email at: California.CommunityTransitions@dhcs.ca.gov.
CCT Policy Letters
- Introduction to Policy Letters PL02-24-14-001
- CCT Policy Letter 15-001 24-7 Backup
- CCT Policy Letter 15-002 RN Transition
- Attachment to PL 15-002 RN Competency Matrix
- CCT Policy Letter 15-003 Extended Comment Period
- CCT Policy Letter 15-006 Monthly E-I Reporting
- CCT Policy Letter 16-010 Community Physician
- Attachment to PL 16-010 Managed Care Plans by County
- CCT Policy Letter 16-011 CCT Travel Reimbursement
- Attachment to PL 16-011 Travel Reimbursement Matrix
- Attachment to PL 16-011 Travel Reimbursement Form
- CCT Policy Letter 23-001 Telehealth
CCT Guidance Letters
- CCT Guidance Letter 09-08-14-001
- CCT Guidance Letter 15-004 NOA, PS, and SFH
- Attachment to GL 15-004 Your Hearing Rights
- Attachment to GL 15-004 Notice of Action (DHCS 6061L)
- Attachment to GL 15-004 SAMPLE – Position Statement
- CCT Guidance Letter 15-007 IHSS Assessment in SNF
- Attachment to GL 15-007 PA Contact Info.
- CCT Guidance Letter 15-008 Qualified Housing
- Attachment to GL 15-008 – Excerpt from DRA 2005
- Attachment to GL 15-008 CMS Policy Guidance
- Attachment to PL 15-008 MFP Grant Reqs. on Housing
- CCT Guidance Letter 15-009 PERS
- CCT Guidance Letter 16-013
- Attachment to GL 16-013 MFP Grantees
- CCT Guidance Letter 16-016 End of Baseline QOL
- CCT Guidance Letter 16-014 Updated Household Set-Up