California Community Transitions Project

In January 2007, the California Department of Health Care Services (DHCS) was awarded special federal grant number 1LICMS30149 to implement a Money Follows the Person (MFP) Rebalancing Demonstration, known as “California Community Transitions" (CCT). In 2019, the federal government extended the term of the MFP grant and appropriated additional funding for allocation to state grantees.

CCT transition services are currently available through December 31, 2021.

DHCS works with designated CCT Lead Organizations to identify eligible Medi-Cal beneficiaries who have continuously resided in state-licensed health care facilities for a period of 90 consecutive days or longer. Facility stays for short-term rehabilitation services reimbursed by Medicare are not counted toward the 90-day required period.

CCT Lead Organizations 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. Eligible individuals of all ages with physical and mental disabilities have an opportunity to participate in CCT. Refer to the following link for information on specific CCT Lead Organizations and their service areas.

Upon transitioning to the community, the transition coordinator follows the participant for 365 days, this is known as the demonstration period. The demonstration period allows participants and transition coordinators to respond to needs that are identified post-transition., CCT participants live in their own homes, apartments, or in approved community care facilities, and receive long-term services and supports included in their individual comprehensive service plans. At the end of the demonstration period, individuals who remain eligible for Medi-Cal continue to receive Medi-Cal and other home and community-based services (HCBS) where they live.

 For more information, contact the Integrated Systems of Care Division at (833) 388-4551, or e-mail:

COVID-19 CCT Flexibilities to Service Delivery Methods

In response to the COVID-19 pandemic, California submitted and received approval of, a request to the Centers for Medicare & Medicaid Services (CMS) for authorization to implement temporary operational flexibilities needed to ensure the health and safety of California Community Transitions (CCT) enrollees, participants, and HCBS providers.

CMS approved California's request for CCT flexibilities on March 26. Click on the following link to view the request for flexibilities approved by CMS:

CA Request for MFP Flexibilities in Response to COVID-19

Last modified date: 6/16/2020 4:21 PM