We assist those at risk of institutionalization by locating and putting into place services in the home which allow elderly people to remain in their own homes in their own communities. By working with families and addressing needs on a case-by-case basis, the case manager locates services, explains services, applies for services, sees that the services are put in place and monitors the situation. Also, MEOC, under sub-contract from local housing authorities, is the care coordinator for residents of public housing. Virginia uses a Uniform Assessment Instrument for all of its community-based services thereby making it less cumbersome to share information among service providers while protecting the confidentiality of the older person. MEOC is involved in a new web based case management system called “No Wrong Door” which allows elderly people and their family caregivers to enter the long term care system at a myriad of places and tell their stories only once.  This is a one-stop shop for seniors, persons with disabilities, and their caregivers and can be accessed by persons in and out of the State. Through No Wrong Door, individuals may obtain information on a full range of long term care options and can receive screening for entry into long term support services.