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Transition goals

After you fill out the TRAQ and go over it with your care team, pick 2–3 goals to work on. At your next visit we'll check in: Did you reach them? What got in the way? What did you learn? Then you'll pick new ones.

Pick what interests you

Any goal you commit to builds skills that carry over to other areas, so choosing one you'll actually do matters more than which one it is. Your lowest TRAQ area is a good place to start, but it's your choice. You can always make up your own goal.

Going to college

Congratulations! Are you ready to manage your own care?

College comes with new responsibilities, including your health care. Work through this checklist with your doctor and family before you start school. If anything on it feels hard, schedule a transition visit with your care team.

If you're going away to school

  • Find a primary care provider in your college town.
  • Ask your care team to help with referrals to specialists near campus.
  • Check whether the school accepts your insurance or offers its own plan.
  • Learn about your campus health center and its services.
  • Plan transportation: bus routes, or whether first-year students can have a car.
  • Visit healthcare.gov if you might lose coverage.

Can you do these on your own?

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Youth with disabilities or on an IEP

More moving parts, and more help available.

For youth with physical or intellectual disabilities, transition can involve school planning, Social Security, and decisions about how the young adult will be supported in making choices. These steps can take years, so start early. Ask your doctor which paths fit your family best.

School & education transition

Federal law requires transition planning in the IEP by age 16, and often earlier. Your state's Parent Training and Information Center can give one-on-one guidance on school-to-work or school-to-college planning.

Find your Parent Center ↗

Decision-making at 18

At 18, young adults become legally responsible for their own decisions. Learn about supported decision-making, powers of attorney, and guardianship or conservatorship, from least to most restrictive.

Decision-making & guardianship resources ↗

SSI redetermination at 18

Youth receiving SSI are re-evaluated under adult rules at 18. The Social Security "Red Book" covers SSI and work incentives in detail. It's long, so ask for help working through it.

SSA Red Book ↗

Health insurance

Coverage rules change between 18 and 26. Plan ahead for Medicaid eligibility changes, staying on a parent's plan, or marketplace coverage.

Coverage for young adults ↗

Overwhelmed about where to start? Schedule a health care transition visit with your care team to talk through steps, options and help.