What is TCLI?
In North Carolina, people diagnosed with serious mental illness are sometimes placed in institutions (like adult care homes) even though they would rather live in the community. In 2012, the State of North Carolina entered into a settlement agreement with the United States Department of Justice and created a program to help people transition out of adult care homes. This program is called the Transitions to Community Living Initiative (TCLI). This program helps people transition out of adult care homes and state hospitals, and helps to keep people from entering them in the first place. It is designed to give people who have a serious mental illness a chance to live, work, and participate in their communities.
If you are living in an Adult Care Home or other institution and are diagnosed with a serious mental illness, or a serious and persistent mental illness, the TCLI program might be able to help you.  It can give you the chance to live in your own home with the supports you need to help you find and maintain community housing and services.
TCLI services include:
- Supported housing, including vouchers or rental subsidies for community-based supported housing.
- Community-based mental health services and support such as Assertive Community Treatment (ACT)
- Supported employment services to prepare for, identify, and maintain integrated, paid, competitive employment
- Transition planning to assist with discharge and transition from institutional settings
If you have questions about whether you qualify for TCLI services or you wish to apply, contact your Local Management Entity / Managed Care Organization(LME/MCO). See the list below to find the MCO that covers your county.
People with a legal guardian of the person (not guardian of the estate) must notify the guardian before applying to the TCLI program. Your guardian must consider where you want to live before deciding whether you must stay in an institution or transition into the community. 
Learn more about TCLI
If you have trouble accessing the TCLI program, please contact us.
LME/MCO contact information by county (as of 2/1/2022)
Counties Served: Alamance, Alexander, Alleghany, Ashe, Avery, Buncombe, Caldwell, Caswell, Chatham, Cherokee, Clay, Franklin, Graham, Granville, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Person, Polk, Rowan, Stokes, Swain, Transylvania, Vance, Watauga, Wilkes, Yancey
Counties Served: Burke, Cabarrus, Catawba, Cleveland, Davie, Forsyth, Gaston, Iredell, Lincoln, Rutherford, Stanly, Surry, Union, Yadkin
Counties Served: Cumberland, Durham, Johnston, Mecklenburg, Orange, Wake
Counties Served: Anson, Davidson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond, Rockingham
Counties Served: Brunswick, Carteret, Columbus, Nash, New Hanover, Onslow, Pender, Beaufort, Bertie, Camden, Chowan, Craven, Currituck, Dare, Gates, Halifax, Hertford, Hyde, Jones, Martin, Northampton, Pamlico, Pasquotank, Perquimans, Pitt, Tyrrell, Washington
Counties Served: Bladen, Duplin, Edgecombe, Greene, Lenoir, Robeson, Sampson, Scotland, Warren, Wayne, Wilson