Sometimes getting individuals home means involving multiple programs and services in their discharge plan. Programs and services available to an individual in the community can vary depending on one's circumstances and care needs. The Case Manager at Transitional Care Services will work closely with you and your family to determine the services available to you upon discharge. A few of the Community Based Programs that may be available to you include, but are not limited to:

• Elderly Services Program
• PASSPORT
• Care Star
• Lifeline
• Home Delivered Meals
• Medicaid Assisted Living Waiver
• Private Duty Home Care