Nursing Home Transition Program

The Nursing Home Transition Program (NHTP) offers support to Rhode Islanders who are eligible for Medicaid and are interested in returning home after a nursing home stay.  The program provides information and support to help a person evaluate his or her needs and develop a plan of care.  The Nursing Home Transition Team will help arrange for community services and supports at home and will also help find housing and move, if needed.   

The NHTP Team will:

  • Determine a person’s needs and develop a plan to address needs;
  • Provide services and supports;
  • Help find housing, including providing assistance with housing applications;
  • Coordinate and arrange for the community services;
  • Help obtain necessary household goods and assistive devices and
  • Help with the move.

A case manager in the community will provide ongoing support and assistance after the return home.

Services and supports available in the community may include:

  • Assistance with bathing, dressing, toileting, and other personal care needs
  • Homemaker services for meal preparation, shopping, laundry, and light housekeeping
  • Meals on Wheels
  • Medication management
  • Nursing for skilled care, when needed
  •  Personal emergency response system
  • Adaptive equipment
  • Minor home modifications, such as grab bars in the bathroom
  • Adult Day Services
  •  Assisted Living
  •  Shared Living

Click here to access the application form for NHTP.

The Money Follows the Person (MFP) program also provides supports and services when a person leaves the nursing home but has slightly different eligibility criteria than the Nursing Home Transition Program. A case manager can determine if a person is eligible  for this program.


  • Medicaid eligible
  • Currently living in a nursing home in RI
  • Age 21 or older

For More Information

To discuss options for returning to the community or for more information about this program, please contact the Nursing Home Transition Program at (401) 462-6393.