WA Senior Resources
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Transition support · nonprofit

ACRS Care Transitions

Asian Counseling and Referral Service

ACRS Care Transitions provides short-term support to adults returning to their communities after a hospital stay, helping them follow discharge plans, manage medications, attend follow-up appointments, and connect to ongoing community resources. It complements ACRS's Health Home program, which provides longer-term Medicaid care coordination through person-centered health action plans.

Who qualifies

Adults discharging from hospital; coordinated with Medicaid Health Home eligibility for ongoing care.

Cost

No out-of-pocket cost; funded through Medicaid/Health Home and grant programs.

How to apply

Hospital discharge planner or self-referral via ACRS main line.

Where to get this in Washington

3 organizations deliver this program. Coverage varies, so check the area each one serves.

Source acrs.org/health-home-care-transitions/