Home Services Long-Term Care Alternatives (Home and Community-Based Service Options) Consolidated Appropriations Act of 2023

California Community Transition Program

On December 29, 2022, the President signed the Consolidated Appropriations Act, 2023 (CAA) into law. The Act authorized an extension of the Money Follows the Person (MFP) Demonstration (known as California Community Transitions (CCT)) and appropriated additional funding for 2024 through 2027. In response, CCT transitions have been authorized to continue through December 31, 2027.

California Community Transition Program

In January 2007, the California Department of Health Care Services (DHCS) was awarded special federal grant number 1LICMS300149 to implement a Money Follows the Person (MFP) Rebalancing Demonstration, known as “California Community Transitions” (CCT).
DHCS works with designated CCT Lead Organizations (LOs) to implement the CCT program. Individuals are eligible for this program if they have a physical and/or mental disability and have resided in a state-licensed health care facility for a period of 60 consecutive days or longer (e.g., with at least 1-day of Medi-Cal covered services). There is no age restriction for this program.

CCT LO Services

Employ or contract with transition coordinators who work directly with willing and eligible individuals, support networks, and providers to facilitate and monitor beneficiaries’ transitions from facilities to the community settings of their choice.
Conduct assessments to determine the participant’s level of care.
Implement person-centered support services.
Work to identify and coordinate services available to participants from across multiple delivery systems with the goal of maintaining the participant safely in their home and community and provide referrals to additional support services (as needed).

Refer to the link below for a list of current CCT LOs and their service areas.

California Community Transitions Lead Organizations

State Funded California Community Transitions – Like Program – Last Day to Enroll Participants Using this Criteria is December 31, 2025

On July 27, 2021, Assembly Bill (AB) 133 was chaptered into law.

The approval of AB 133 allows for the roll out of a state-funded, CCT–like program that had been rendered invalid because of a federal amendment to the Money Follows the Person (MFP) Demonstration authorizing statute. AB 133 aligns state statute with the amended federal statute, by reducing the required period of residence in an inpatient facility from 90 to 60 days. The State-funded, CCT-like program allows CCT Lead Organizations to provide transition services to Medi-Cal beneficiaries who have not yet met the federal, MFP residency eligibility criteria, to help reduce the amount of time beneficiaries are required to remain in an institution during the COVID-19 public health emergency (PHE). 24 hours through 60 days in a medical facility with at least 1-day of Medi-Cal qualifies the individual for the State funded CCT.

Based on the California Welfare and Institution Code (WIC) Section 14196.2(c), commencing January 1, 2026 the Department of Health Care Services (DHCS) shall have ceased to enroll Medi-Cal beneficiaries who were previously eligible for the State-Funded CCT-Like Program. Additionally, commencing January 1, 2027, DHCS shall cease to provide services for the State-Funded CCT-Like Program.

Given this policy change, the last date an LO should have enrolled Medi-Cal beneficiaries under the State-Funded CCT-Like Program requirements is December 31, 2025.
For more information, contact the Integrated Systems of Care Division at California.CommunityTransitions@dhcs.ca.gov.

CCT LO Application Process

DHCS is altering the process for reviewing new CCT LO applications. The department is receiving a large volume of applications from interested providers, and some areas of the state have more interest than others. To ensure that beneficiary care coordination needs are being met throughout the state, DHCS is prioritizing applications from providers interested in serving areas of the state that are currently underserved.

DHCS apologizes for any inconvenience this development may cause and looks forward to working with your organization in the future.

If you are interested in becoming an approved CCT LO, please submit an email with your interest to California.CommunityTransitions@dhcs.ca.gov. The email shall include but not limited to the following information:

Name of CCT LO
Location of CCT LO (city and county)
Coverage area the CCT LO is intending to serve (cities and counties)
Contact Person

Once the inquiry is reviewed and it is identified that a CCT LO is needed in a particular geographic area, the DHCS team will inform you of the next steps. All application questions can be sent to California.CommunityTransitions@dhcs.ca.gov.

Community Supports

Community Supports are services that Medi-Cal managed care plans (MCPs) utilize to address Medi-Cal members ‘ health-related social needs, help them live healthier, and avoid higher, costlier levels of care. These include:

Nursing Facility (NF) Transition/Diversion of Assisted Living Facilities
Community Transition Services / Nursing Facility Transition to a Home
A variety of other community-based services

Eligibility:

A member can be eligible for both the CCT program and the Nursing Facility Transition/Diversion Community Support.
A member cannot receive both at the same time.

CCT’s Relationship to Community Transition Services/Nursing Facility Transition to a Home:

A member can be eligible for both the CCT program and the Community Transition Community Support but cannot receive both at the same time.

For additional information regarding Community Supports, please visit Enhanced Care Management and Community Supports Webpage.

CCT Project Documents

CCT Service Code Overview
- This document provides an overview of CCT services, rates, and billing codes required to submit claims for reimbursement. For more information on this overview, please contact the Long-Term Care Division using the contact information included above.
CCT Policy and Guidance Letters