Moving Back Home with Community with Transition Coordination Services (TCS)

What Is TCS?

TCS is a Colorado Medicaid-funded program designed to help people move from a long-term care facility like a nursing home to live in their homes and communities. The program is offered to Medicaid members living in nursing homes. 

TCS is an excellent option for people with care needs who are willing to live independently and manage the responsibilities of being independent with additional assistance.

Participants receive:

·         Personalized support from TCS workers who work closely with individuals to identify and address their needs

·         Comprehensive planning that connects individuals with essential community resources

·         Greater independence from the necessary support and resources to transition out of a nursing home and into the community.

Who Qualifies for TCS?

TCS is available to Coloradans who meet specific criteria. To qualify for TCS, individuals need to:

·         Have Medicaid

·         Be willing to move from an institutional setting (e.g., a nursing home) to a community-based dwelling (e.g., their own home).

·         Have health needs that require assistance to live independently

·         Be eligible for Colorado’s Home and Community Based Services (HCBS) Waivers, including: Elderly, Blind and Disabled (EBD) Waiver, Brain Injury Waiver, or Community Mental Health Waiver

·         Agree to work alongside a TCS worker to develop a transition plan.

Advantages of TCS

TCS helps individuals achieve a smooth transition from a long-term care facility to community living. It enhances their independence across all domains while supporting them with critical resources. Individuals achieve more freedom and reduce reliance on institutional care in the following ways:

Tailored Support

TCS workers collaborate with individuals to develop and implement a transition plan. They use the individual’s unique needs, preferences, and goals as the basis for the plan. This ensures the move back to community living is stable and self-sustaining.

Boosted Life Quality

Many people want the same things as they age: to remain in their homes. TCS focuses on helping individuals regain their independence, access community resources, and heighten their life quality. People successfully navigate and return to familiar surroundings like their own dwellings.   

Care Continuity

The program accounts for needed services as clients make the transition from an institutional to a community settings. These include things like home care, therapy, and other necessary health supports. Care coordination from TCS reduces the likelihood of unnecessary hospital stays and readmissions.

Family Support

TCS workers provide care guidance to families and home attendants. They ensure family members and caregivers are equipped to assist in the person’s transition. This ensures their long-term care needs are covered from a safe and familiar environment—home.

In Closing

Most Americans want to stay independent for as long as possible. TCS allows eligible Coloradans to do just that—move out of a long-term care facility and back into their homes and communities.

Are you looking to achieve greater independence? Learn how Andrea’s Angels’ TCS services can help you!