MFP Transition Coordination Provider

MFP Transition Coordination Provider services include, but are not limited to, the development of a transition plan; the provision of information about services that may be needed, in accordance with the timeframe specified in federal law, prior to the discharge date, during and after transition; the coordination of community-based services with the case manager, if case management is available; linkage to services needed prior to transition such as housing, peer counseling, budget management training, and transportation; and the provision of ongoing support for up to 12 months after discharge date.



A vital component of the "Money Follows the Person" program is Transition Coordination. A Transition Coordination Provider (TCP) is a provider enrolled with the Virginia Department of Medical Assistance Services (DMAS) who is responsible for supporting the individual and family/caregiver, as appropriate, through the activities associated with transitioning from an institution to the community using the "Elderly or Disabled with Consumer Direction (EDCD)" waiver that provides supports for living in the community. To qualify for TCP services, an individual must demonstrate a need for transition coordination and be authorized by DMAS or its designated agent to use supports.