Assists participants receiving Medicaid; and have one or more documented physical disability, and two or more chronic conditions (e.g., asthma, diabetes). All participants must fit in the category of being unstably housed/or homeless, and high utilizers of Medicaid. Referrals are to be made by Hospitals, Managed Care Organizations, Medical Respites, Performing Provider Systems, or a Skilled Nursing Facility. Assist individuals with the eligibility process, locating and subsidizing housing units; and obtaining services necessary to support successful living in the community. Community Transition Services (CTS) are available, on a case by case basis, to assist with security deposits, moving expenses, startup utility payments, and household furnishings/items.