CCT Final Transition and Care Plan - dhcs ca 2026

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  1. Click ‘Get Form’ to open the CCT Final Transition and Care Plan in the editor.
  2. Begin by filling in the 'CCT Lead Organization' and 'Form Completed by' fields. Ensure that you enter the enrollee's legal name, Medi-Cal number, and date of birth accurately.
  3. In the section for key changes since assessment, list any hospitalizations or emergency room visits. This is crucial for understanding the enrollee's current health status.
  4. Specify the secured housing arrangement by selecting from options such as returning home alone or with family, or moving into a group home. This helps outline living conditions post-transition.
  5. Complete the 'Post-transition Care Plan' section by checking all applicable health care services needed. Be thorough to ensure comprehensive care planning.
  6. Fill out caregiver information, including names and phone numbers, ensuring that support systems are clearly defined.
  7. Address risk assessments by identifying potential areas of concern and documenting steps taken to mitigate these risks before transition.
  8. Finally, gather signatures from all relevant parties completing the plan to validate it before submission.

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DHCS is the single state agency responsible for financing and administering the states Medicaid program, Medi-Cal, which provides health care services to low-income persons and families who meet defined eligibility requirements.
Community Transition Programs offer transformative benefits for people moving from hospital care to community living. One of the most significant advantages is the promotion of independence and empowerment.
Medi-Cal is Californias Medicaid program.
The CCT program is a Medi-Cal funded program available through the state Department of Health Care Services (DHCS) to give people who have their medical coverage through Medi-Cal and live in a medical facility the extra help they need to move from a medical facility to their own home.
What is SMAA? direct health services at fee-for-service rates. (SMAA) provides partial reimbursement to school districts, community colleges, charter schools and county offices of education for administrative activities necessary for the proper and efficient administration of the Medi-Cal program.

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Created by Section 3026 of the Affordable Care Act, the Community-Based Care Transition Program (CCTP) provides funding to test models for improving care transitions for high risk Medicare patients by using services to manage patients transitions effectively.

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