Transitions of Care

WMEC’s Options Counselors provide information and support to consumers with questions about living in the community or nursing home. The Options Counselor assists with questions and concerns about in-home services and other resources to help live independently in the community.

Individuals, regardless of their income or age, have the opportunity to receive Options Counseling in their home, nursing home, rehabilitation facility, or hospital.

We can help with questions such as:

Can I live in the community safely and independently?
Should I consider nursing home, assisted living, supportive housing or other living environment?
What services and/or assistive devices/home modifications are available to support me living in my home?
Does my current insurance cover any services and/or home modification? If not, what funding, loans or donations may be available?
Can I privately pay for services and/or home modifications?

The Options Counselor offers:

Phone or in-person counseling services.
A discussion about your personal goals, your ability to function, your support network, and your financial situation.
To explore all options available to you, including programs and services, funding options, and more.
An unbiased approach to services and supports.
Written material regarding long term care options.
Assistance as needed to connect with resources, and
Follow up contact to determine if your needs were addressed.

Learn More About Our Options Counseling Program

Hospital To Home Program

WMEC’s new Hospital to Home program, in partnership with Holyoke Medical Center and funded through a grant from the MA Executive Office of Health and Human Services (EOHHS), provides support and procures services for those who want to return home after a hospital stay rather than going to a rehab facility. WMEC’s Hospital Liaisons join daily rounds at the hospital to provide in-person support to the medical team to increase discharges to home.

Community Transition Liaison Program

The CTLP team will work with residents who are in a nursing facility to understand their interest in returning to the community. The CTLP team will provide help with discharge plans, connect residents to state programs and local community supports, and will help the resident advocate and work to resolve concerns related to transitioning to the community.

This program is available to all nursing facility residents who are 22 years old and older, regardless of insurance type, who are interested in living in the community.