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All Santa Clara programs

California Community Transitions

Support with daily life, staying at home, transportation, meals, and caregiving.

Home & caregiving · Santa Clara County · Reviewed 2026-09-04

Check my possible matches

A directory listing, not an eligibility decision.

UniHealth can identify a possible match, but the responsible program makes the final decision.

What to know

Why it may fit
Your circumstances can be checked against the program’s published guidelines.
What to do next
California Community Transitions (CCT) helps you move out of a nursing home or other health facility. It helps you set up a home in the community. You must have stayed there 60 days or more in a row. There is no waitlist.
Who runs it
DHCS

What the program may consider

  • You live in a qualifying institution now
  • At least 60 consecutive days in a health facility, at least one day paid by Medi-Cal; Medicare-paid short-term rehab days do not count
  • You want to return to a community setting
  • A safe, cost-effective transition plan

How to get it

California Community Transitions (CCT) helps you move out of a nursing home or other health facility. It helps you set up a home in the community. You must have stayed there 60 days or more in a row. There is no waitlist.

Before you start

  • You need this first Long-Term Care Medi-Cal. You need Medi-Cal. Medi-Cal must have paid for at least 1 day of your stay. Days Medicare paid for short-term rehab do not count toward the 60 days.

How to apply

Getting help

Someone can refer you, with your permission

Family, a friend or the facility social worker can help you contact a CCT lead organization. That is a local group that runs CCT. You make the choices about moving. You or your legal representative agree to join.

Only you, or someone with legal authority for you, can sign.

What happens after you apply

  1. A CCT lead organization interviews you and checks your health and care needs.

    The program or providerOnly you can do this

  2. The state approves you for CCT.

    The state

  3. A transition coordinator makes a moving plan with you. It covers finding and setting up housing, and any home changes. It also connects you to help like In-Home Supportive Services (IHSS) or adult day health care.

    The program or providerA helper can help with this

  4. You move out of the facility into your new home.

    YouA helper can help with this

  5. For 365 days after you move, a coordinator checks on you. It is twice a month for 3 months, then monthly.

    The program or providerOnly you can do this

What only you can do

  • Agree to move, and take part in the interview and health check.
  • Choose your housing and sign the lease. Pay your rent and living costs.
  • Apply for or accept other help at home, like In-Home Supportive Services (IHSS).
How long it takes
There is no waitlist. Moving can take weeks or months, mostly to find housing you can afford.
You are enrolled when
You are enrolled when the state approves you and you have moved into a home in the community.
To keep it
CCT lasts 365 days after you move. Keep your Medi-Cal during that time. After that, you can keep other home care services if you qualify.

Can’t be combined with

  • Enhanced Care Management. You can be in CCT or Enhanced Care Management (ECM), but not both at the same time.
  • CalAIM Community Supports. While you are in CCT, you cannot also get your plan's moving help. That includes help leaving a facility or moving into assisted living.

Coming changes

  • Starting January 1, 2028: CCT is set to pay for moves only through December 31, 2027, unless it is extended.