They [TIC] provided me with a TV, dresser, recliner, fridge, dining set, microwave, and two lamps. They also filled my pantry with food. They helped me out immensely.
Marty
CTS & MI Choice Client
Help Someone Move Home From a Nursing Facility
Community Transition Services
If you work with adults who want to leave a nursing facility, The Information Center is your partner.
Hospital social workers, case managers, community organizations, nonprofits, and people already in our programs connect adults to Community Transition Services every day. We handle the move, the housing, the papers, the furniture, the food, and the follow-up.
Community Transition Services Recap
CTS helps adults living in nursing facilities move back to community living, a home, apartment, assisted living, or adult foster care.
TIC handles the transition end-to-end: housing, personal documents, furniture, food, transportation, and ongoing care coordination.
A transition navigator stays with the resident from referral through settling in at home.
CTS is paid for through Medicaid for eligible clients. Most clients have no out-of-pocket cost.
CTS is the move. MI Choice, PACE, Home Help, Home Health Care, Habilitation Supports Waiver and Dual Insurance Plans are the ongoing care options after the move. Many residents use both.
Why Partners Refer to TIC
End-to-end transition
One referral connects a resident to housing, documents, furniture, food, transportation, and ongoing care coordination. Partners do not have to track down each piece.
Named transition navigator
Every CTS client gets one TIC staff person who stays with them from the first call through settling in at home. Partners get a single point of contact, too.
Reduced readmission risk
Stable housing, replaced documents, stocked pantry, and connection to ongoing care reduce the conditions that send people back to the hospital.
Local, on-the-ground team
TIC staff work in person across Wayne County and the Downriver communities.
Bridge to Ongoing Care
Many CTS clients enroll in Programs like MI Choice, PACE, Home Help, Home Health Care, and others after they move home, which extends ongoing in-home support.
Decades of community trust
TIC has served Wayne County since 1975 and is the recognized name for transition support in the Downriver area.
For Hospital and Clinical Teams
When to think about CTS
A patient is being discharged to a nursing facility but hopes to return home later.
A patient is readmitted from a nursing facility and wants out for good.
A family asks how to get a parent or loved one out of a long-term care setting.
A patient is medically ready to leave a SNF or rehab but lacks housing, documents, or community supports.
How TIC supports your workflow
One referral covers the full transition, you do not have to coordinate housing and documents and furniture separately.
TIC handles Medicaid eligibility verification on intake.
For Community Organizations and Nonprofits
If you serve people in or near nursing facilities
Refer a client directly using the referral form or by phone.
Hand out CTS materials at intake or during outreach. We can supply printed materials.
Coordinate warm hand-offs with our intake team so your client never gets lost between systems.
If your organization wants to partner formally
Partner organizations get a named TIC point of contact for ongoing coordination.
Mission-aligned partnerships can include shared outreach and co-branded community events.
Real Outcomes
They [TIC] provided me with a TV, dresser, recliner, fridge, dining set, microwave, and two lamps. They also filled my pantry with food. They helped me out immensely.
Marty
CTS & MI Choice Client
Check out The Information Center's Blog
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August 3, 2026
For a lot of families, the conversation about a parent’s care ends before it ever really starts. And it ends on one word. Money. You start to wonder how your mom or dad will manage at home, and almost immediately the worry sets in. How much would help even cost? There is no way we can afford that. So you stop looking, you stretch yourself thinner, and you carry the whole load yourself, because you assume paid help is simply out of reach.
Finding Work When You Need It Most
July 24, 2026
Losing a job can knock the ground out from under you. Maybe you were laid off through no fault of your own. Maybe the company closed, or the hours dried up, or a season of your life ended and you are not sure what comes next. Whatever brought you here, the feeling is often the same.
A Caregiver’s Guide to Asking for Help
July 16, 2026
When was the last time you did something just for you? Not for your mom. Not for your dad. Not for your kids or your job or the dozen people who count on you. Just for you. If you had to think hard about the answer, or if you could not come up with one at all, this blog is for you.
Ready to Connect Someone to CTS?
When you refer someone to The Information Center, you do not just hand off a name. You connect a real person to a real plan to go home. Our team takes it from there.’
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Common Questions for Partners about CTS
The online referral form goes directly to our intake team. Phone referrals at 734-282-7171 are also routed to the same team. Use whichever fits your workflow.
Adults living in a nursing facility who want to return to community living, are located in or moving to Wayne County or the Downriver area, and have Medicaid, are eligible for Medicaid, or have a pending application. We handle eligibility verification on intake.
Every transition is different.
Timelines depend on housing availability, documentation needs, and the resident’s situation.
Your transition navigator will share a realistic timeline after the first meeting.
CTS is for residents currently in a nursing facility who want to move home.
MI Choice is for adults living in the community who need ongoing in-home care.
Many residents use both, CTS for the move, MI Choice for ongoing support after.
We route them to the right TIC program, MI Choice, Community Navigation, or PCOC, or to a trusted external partner.
Your referral is not wasted.
Yes. Residents and family members can call 734-282-7171 directly. The same intake process applies.
For eligible Medicaid recipients, there is no out-of-pocket cost for covered transition services.