If you have a family member or friend who is currently residing in a nursing home or rehabilitation center, Three Rivers Area Agency on Aging’s Options Counselors can assist individuals to safely transition back into the community.
TRAAA Options Counselors will conduct a person-centered option counseling session with each client to review available choices, facilitate the decision-support process, develop action plans and connect clients to services such as Nursing Transitions and Community Transitions.
Nursing Home Transitions focuses on removing transition barriers for individuals discharging from a nursing home, rehabilitation facility, or hospital. Program requirements include 20 consecutive days in the facility. Additionally, the individual must be 55 years of age or older, have an income of $6,175.00 or less, be a U.S. citizen, and meet a level of need determined by our Options Counselors. Based on individual determination of needs, NHT can provide services to support the immediate health and welfare of discharged clients to mitigate readmission risks. Available transition services include financial assistance to obtain medical equipment (i.e., grab bars, shower chairs), transportation, and basic home modifications.
The Community Transitions Program (formerly Money Follows the Person) focuses on removing transition barriers to ensure safety, health, and welfare of clients that want to live independently in the community. Program requirements include: must be a resident at a long term care facility for a minimum of 60 days, receive a minimum of one day nursing home Medicaid, and qualify for Community Medicaid once discharged. Community Transitions utilizes a person-centered approach to identify client needs and barriers to plan safe discharges. The program can provide financial assistance with transition support services such as security deposits, household furniture, specialized medical supplies (i.e. incontinence supplies), medical equipment, and home modifications. In addition, Community Transitions can provide community integration services such a life skills coaching and supported employment services. Clients in the program will receive monthly contact for a period of one year.
Three Rivers Area Agency on Aging is staffed with professionals to promote independence and well-being for older persons and adults with disabilities in a ten county region in West Central Georgia. The Aging & Disability Resource Connection (ADRC) provides information and assistance along with screening and referral for services that offer community-based support.
Please contact the Aging and Disability Resource Connection at 1(866) 854-5652.
For more information on Transitions Programs contact:
Emma Hemrick, Options Counselor: (770) 254-4504
Morgan Weaver, Options Counselor: (678) 552-2846
