Roads to Community Living Transition Services

Contact your local Home and Community Services office, case manager, or care coordinator to learn more about available services and whether you may qualify. Eligibility requirements apply. 

Personal Care

Caregiving provided to support you in daily living activities. Personal care is available to anyone who meets functional and financial eligibility. Learn about Care Options.

Helps with 

• Bathing.
• Dressing. 
• Eating.
• Taking medication.
• Other daily activities.

Services can be provided:

• In your home by an agency or individual provider.
• In an adult family home.
• In an assisted living facility.

Remote Caregiving

Get support from a qualified personal care provider through a interactive video device in your home. Visit our webpage for more information.

Can help with:

• Medication reminders.
• Task prompts and guidance.
• Daily routines.
• Other activities that do not require hands-on care.

Available:

• As a standalone service.
• Combined with in-person care for hands-on assistance.

Personal Emergency Response System

Get help in an emergency with the push of a button on a portable device. 

May be available if:

• You live alone.
• You are alone for long periods of time.
• The people you live with cannot contact emergency services.

How it works:

• Uses a device connected to a phone.
• May include a wearable help button.
• Connects you to a response center.
• Staff can call 911 or follow a response plan you set up in advance.

 

How to Get a Personal Emergency Response System

Many DSHS Medicaid programs include PERS as part of their service package. Your case manager or care coordinator can help you understand whether your Medicaid program covers PERS and how to request one.

 

Other Ways to Access Personal Emergency Response System

People who are not eligible for Medicaid can still explore PERS through community providers, private companies, or local senior programs. Your case manager or care coordinator can help you find options in your area.

Wellness Newsletter

Wellness Education is a customized monthly newsletter, with new information every month, about health and well-being topics relevant to you.

Durable Medical Equipment

Specialized equipment and supplies can help you manage a medical condition, injury, or recovery at home.

Examples include:

• Oxygen equipment
• Bathroom safety equipment
• Wheelchairs
• Hospital beds
• Walkers
• Nebulizers
• Home dialysis machines

Specialized Equipment and Supplies

Tailored equipment and supplies designed to help you safely manage:

• Daily living activities.
• Communication.
• Controlling or navigating your environment independently.

Home Delivered Meals

Nutritious meals delivered to your home.

Features:

• Ready to heat and eat.
• Delivered to your home.
• May be available for people who cannot shop or cook easily.

Adult Day Care and Adult Day Health

A daytime program that provides health and therapy services. 

Services may include:

• Skilled nursing care.
• Physical therapy.
• Occupational therapy.
• Speech therapy.
• Short-term counseling and support.
• A structured, rehabilitative program available to people for 4+ hours per day.

Skilled Nursing 

Nursing care provided by a licensed nurse.

Services may include:

• Giving injections.
• Changing dressings.
• Drawing blood.
• Managing medications.
• Other medical care ordered by a healthcare provider.

Nurse Delegation

Allows trained caregivers to perform certain health care tasks under the supervision of a registered nurse.

Tasks may include:

• Giving medications.
• Checking blood glucose.
• Other approved health care tasks.

Community Transition Goods

Essential furnishings and household items required to set up a home when transitioning from an institutional setting. These non‑recurring essential goods ensure that you can live safely and independently in the community.

Community Transition Services

One-time support to help you move from a care facility into your own home.

May include:

• Moving and packing services
• Utility deposits
• Deep cleaning
• Pest treatment
• Other move-in expenses

Community Choice Guide

One-on-one support to help you move from a care facility into your home and settle into the community.

Can help with:

• Transition planning
• Finding services and supports
• Purchasing approved items
• Setting up your home safely

Client Training: Medical and Non-Medical

Life skills training or consulting services to help prepare you to live in the community again.

Client Training: Behavior Supports 

Support from professionals to help you live safely and successfully in your home and community.

Can help with:

• Strengthening interpersonal skills.
• Promote safe, person-centered supports.
• Staying stable in your home and community.

Environmental Modifications

 Modifications to your home may help you adapt to your changing ability and needs.

Examples include:

• Threshold ramp
• Keypad entry systems
• Video doorbells
• Safety lighting
• Automatic stove shut-off devices

Non-Medical Transportation

Transportation helps you get to the community services, activities, and resources included in your service plan.

This service is designed to support your therapeutic goals and is separate from standard medical or Medicaid rides.

Vehicle Modifications

Adaptations or modifications such as a wheelchair lift or hand controls to help gain accessibility to your community.

Assistive Technology and Adaptive Devices

Adaptive devices and assistive technology may help increase your independence or substitute for human assistance, with personal care, household or health-related tasks.

Examples include:

• Reachers and grabbers
• Hand-held shower heads
• Magnifiers
• Tablets for health care appointments
• Other devices that support daily activities and safety

Technology Support Consultation and Technical Assistance

An assistive technology professional can assist with understanding what assistive technology may be helpful for you in your daily life. 

The support of these professionals may include: 

• Choosing assistive technology
• Finding adaptive devices
• Learning how to use equipment
• Getting support with setup and training

Smart Care Device

AI device that provides reminders, engages, and support to help with daily activities.

Can help with:

• Medication and appointment reminders
• Daily routines and tasks
• Health-related activities
• Staying connected to community supports

Features:

• Personalized prompts and guidance
• On-screen instructions and reminders

Short Term Rental Assistance

If you are facing immediate eviction due to unpaid rent, a one-time payment can be made directly to your landlord on your behalf. 

Pantry Stocking

One time purchase of food and pantry items can help when moving back into your own home to assist with the transition from a hospital or skilled nursing facility.

General Utility and Repair

Minor repairs and updates to help make your home safe and functional.

May include:

• Plumbing repairs
• Electrical repairs
• Heating system repairs
• Safety improvements
• Accessibility upgrades