Helping People Move Back Home
Roads to Community Living helps people leave institutions and return to their communities. It supports people with long-term care needs, including people with disabilities, who want to move back home. Some people live in a hospital, nursing home, or other facility for many months or years. Roads to Community Living gives support to help them move into a home of their choice.
Roads to Community Living offers person-centered services that support independence, dignity, and inclusion. See how this funding supports people moving out of institutions and back into their community.
Who We Support
Roads to Community Living is for people who meet all the following. This includes people in psychiatric hospitals if they are 20 or younger or 65 or older:
- Have resided at least 60 consecutive days in a hospital, nursing home, or Residential Habilitation Center
- Are eligible for Medicaid at least one day before transitioning into the community.
- Moving to a qualified community setting, which may include:
- A home or apartment you or a family member owns or leases.
- Assisted living facilities.
- DDA Group Home or Group Training Homes.
What Roads to Community Living Offers
Support is available before, during, and after the transition out of the facility. The team stays involved for one full year after the move, checking in often and adjusting services as needed to support a successful transition home.
RCL can help with:
- Planning the move.
- One-time moving costs.
- Assistive technology or devices.
- Home modifications for accessibility so it’s easier to move around.
- Job support or a path to employment.
- Training for you and any caregivers in the new home.
How the Transition Works
What you can expect:
1. Planning while in the institution
- Meet with a transition case manager.
- Talk about goals and needs.
- Create a plan for the move.
2. Moving
- Get help with moving costs.
- Receive extra services during the move.
- Learn about community resources.
3. Support for One Year
- Regular check-ins.
- Help adjusting services.
- Support for long-term success.
Resources
- Family Mentor Project
- Health-Related Social Needs Overview (PDF)
- Resources for Individual in Skilled Nursing Facilities (DSHS 22-2032 PDF | Additional Languages)
- Washington State’s Operational Protocol (PDF)
- Apple Health & Long-Term Services and Supports (DSHS 22-619 PDF | Additional Languages)
- Transitioning to a New Home Workbook (DSHS 22-1984 PDF | Additional Languages)
- Technology Support Services (DSHS 22-2033 PDF)
- Choose Your Own Path (Note: This is an interactive document that works best in Chrome) (DSHS 22-2023 PDF)
YouTube Videos
- Roads to Community Living: Home Starts Here (1:43 | YouTube)
- Out of the Nursing Home and into Community Living: Lisa's Story (4:13 | YouTube)
- Roads to Community Living Transitions Playlist (YouTube)
- Roads to Community Living (13 mins | YouTube)
- What to Expect When You Move (5:57 | YouTube)
Success Stories
Success stories of people living their best lives, thanks to the help of Roads to Community Living.
Contact Information
Roads to Community Living Contacts
Statewide Eligibility and Service Delivery Team helps people across Washington get timely eligibility decisions and connects them to needed services.
Call: 877-429-7019
Fax: 855-635-8305
By email: sesdcommunityinquiry@dshs.wa.gov
Become a Provider
Roads to Community Living partners with community providers across Washington. If you’re interested in becoming a provider, visit Contracting Opportunities for Potential Provider.
MFP Tribal Initiative
The MFP Tribal Initiative supports American Indian and Alaska Native communities. The state, Tribes, and counties work together to offer care that respects culture and community.
This work helps to:
- Find Tribal members living in institutions.
- Support their return to their chosen community.
- Build culturally respectful services.
- Strengthen Tribal long-term care programs.
Money Follows the Person began in 2007 as a five-year project. The Centers for Medicare & Medicaid Services has approved extensions through 2029. More information is available in the Washington state Money Follows the Person Operational Protocol (Version 1.9 PDF)
This website is supported by the Centers for Medicare & Medicaid Services and the U.S. Department of Health and Human Services with full federal funding. The information here does not represent official views or an endorsement by CMS, HHS, or the U.S. Government.