Transitions to Community Living

Transitions to Community Living (TCL) gives eligible adults living with serious mental illness or severe and persistent mental illness the opportunity to choose where they live and work.

The initiative connects people to wraparound mental health care and other services and supports that help them maintain a home in their own name, instead of living in a facility. Participants develop person-centered plans and are linked to mental and physical healthcare providers in the community to support whole-person care. TCL also helps individuals identify their interests and refers them to supported employment services. 

Vaya Health manages the TCL program in our region. Anyone, including providers, may refer an individual to the program.

Who is eligible for TCL?

Individuals must meet all of the following criteria to be eligible for TCL. Participants must be: 

  • Diagnosed with a serious and persistent mental illness (SPMI) or a serious mental illness (SMI)
  • Being considered for admission to an adult care home (ACH) or family care home (FCH) OR being discharged from a state psychiatric facility into homelessness or unstable housing
  • An NC Medicaid beneficiary, eligible for Medicaid OR earning a monthly income of $2,000 or less
  • At least age 18 AND willing to accept a minimum of one tenancy support service per month

How do I make a referral?

A new process is in place for referring individuals to TCL: the Referral Screening Verification Process, also known as RSVP. Referrals can be made three ways:

Learn more about TCL in our region by calling 1-800-962-9003 or sending an email to Admin.TransitionHousing@vayahealth.com.