A clear relocation plan that turns “I want to move” into real steps and dates
Help coordinating housing options based on your needs, budget, and preferences
Support setting up services for the community (home care, waiver planning once eligible, mental health supports, etc.)
Coordination with the facility discharge planner so the move plan stays realistic
Help connecting to benefits and community resources tied to a safe discharge
Support organizing paperwork, appointments, and follow-through so nothing important gets missed
Ongoing check-ins and plan updates as things change
We do not provide therapy or treatment
We do not provide legal services
We do not provide outreach services
We do not “guarantee” housing approval or a specific move date
We do not replace your county, tribal nation, or managed care care coordinator (we coordinate with them)
Submit a copy of our referral form.
County/tribal authorization and eligibility confirmation (MA + eligible institution).
We build the relocation plan and coordinate the move supports.
RSC-TCM is a Medical Assistance (MA) benefit when you qualify. You must have MA and be living in an eligible institution at the time of service.
To start, you (or someone acting on your behalf) request services through your local county agency or tribal nation. They assign a case manager to meet with you within 20 working days and provide a list of RSC-TCM provider options in your area. You have a choice of provider from the available options.
RSC-TCM is time-limited. People typically have up to 180 consecutive days per eligible institutional admission, and the clock can start when any targeted case management service is first billed.
A resident in a nursing facility wanted to move into the community but felt stuck. Here is what we coordinated:
Met with the resident and supports to confirm goals, needs, and a realistic timeline
Built a relocation plan (housing plan + services plan + follow-up dates)
Coordinated with the facility discharge planner to align paperwork and next steps
Helped connect to community services needed for safe living after discharge
Kept communication moving between the resident, supports, and system partners so tasks did not stall
Outcome: The resident moved into a community setting with services in place and a plan for ongoing support.