Community-based Care Transitions Program

As the region’s AAA, DRCOG is partnering with 7 local hospitals and more than 50 other community service providers on the Community-based Care Transitions Program (CCTP) for the Denver metro region. An early pilot project led to funding from the Centers for Medicaid & Medicare Services to implement this innovative program. CCTP coaches patients and caregivers to actively engage in self-management skill development as they make the transition from hospital back home.  
CCTP is a 30-day free program designed to improve quality of life for Medicare beneficiaries. Our staff helps Medicare patients understand and manage medications; avoid unnecessary re-hospitalization and improve health; and connect with supporting community services to get the care they need. Eligible patients receive assistance from transitions coaches who personally show and guide them to take charge of their health care. Qualifying patients also have access to supportive services needed to keep them healthy at home. The program saves Medicare money and helps patients maintain healthier lifestyles.

Please call 303-480-6799 for more information.


Partner Hospitals

  • Exempla Saint Joseph Hospital
  • Medical Center of Aurora
  • North Suburban Medical Center
  • Presbyterian/St. Luke's Medical Center
  • Rose Medical Center
  • Sky Ridge Medical Center
  • Swedish Medical Center