Community Transition Program

Community Transition Program (CTP) provides comprehensive care coordination, and intensive case management and monitoring to facilitate tailored transition services for persons with disabilities into a community living setting.

Our CTP Coordinators are highly skilled professionals with expertise in delivering holistic, peer-based, and wrap-around services:

  • Independent Living Health Plan Training for health plan professionals
  • Needs Assessment to determine a service plan
  • Care Transition Services and Community Living Services, for those Long-Term Care (LTC) facility residents choosing to transition
  • Options Counseling and Community Living Services, for those at risk of institutionalization or frequent users of high-cost urgent care and short-term hospitalization benefits for lack of adequate Long-Term Services and Supports (LTSS)
  • Crucial ancillary Core Independent Living Services, including Peer Support, Personal Care Attendant Management, Assistive Technology, Independent Living Skills Training, Housing Search Assistance, and Self-Advocacy

What to expect after enrollment

  • Assistance with coordinating services with healthcare team, family members, and/or other service providers
  • Plan and coordinate a return to the community, in an independent living setting
  • Assistance with managing accessible, affordable, and integrated housing, transportation, and other community supports
  • Explore needed services and supports, such as home and vehicle adaptations, home set-up, assistive devices, self-care, healthcare and nursing visits, and how to hire and manage a personal care attendant

Benefits to Enrollment

Non-Elderly Disabled (NED) Housing Voucher Program through a partnership with Housing Authority, CTP services will assist individuals with disabilities, who are between the ages of 18 and 61, with applying to receive a subsidized Section 8 Housing Choice Voucher (HCV) to support them in their housing search while transitioning from an institution into the community.

Federal Transition Funding through the CA Department of Rehabilitation may assist qualified institutionalized consumers with one-time transition funding to cover first month’s rent and utilities; moving expenses; household and personal items; short-term personal care services; and assistive technology devices.

Long-Term Services and Supports (LTSS) through Cal Medi-Connect in coordination with Santa Clara Family Health Plan and Anthem Blue Cross, consumers will receive a range of home and community-based services that support people living independently in the community.