Assisted Living Waiver Program

The following is a list of some of the services that can be provided to ALW participants. These services may be provided in a Residential Care Facilities for the Elderly (RCFE) or by a licensed Home Health Agency to residents in public housing.

• Assisting in developing and updating an individualized care plan for each resident
• Personal care and assistance with activities of daily living
• Laundry
• Housekeeping
• Maintenance of the facility
• Providing intermittent skilled nursing care
• Meals and snacks
• Providing assistance with self-administration of medications
• Coordinating transportation
• Providing recreational activities
• Providing social services

Care Coordination: These services include identifying, organizing, coordinating and monitoring services needed by participants.

Nursing Facility Transition Care Coordination: These services help transition participants from a nursing home to the community.

To be eligible to receive services as an ALW Participant, an individual must meet the following ALW eligibility criteria:

• Be age 21 or older
• Have Medi-Cal coverage
• Require assistance with activities of daily living (ADLs) including, but not limited to, assistance with personal hygiene, toileting, dressing, and/or bathing
• Meet the SSI/SSD eligibility criteria
• Willing to live in an assisted living setting located in one of the following California counties: Alameda, Contra Costa, Fresno, Kern, Los Angeles, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Joaquin, San Mateo, Santa Clara, and Sonoma.
• If applying from an institutional setting, you must reside there for 60 consecutive days before applying

Income

While the Assisted Living Waiver Program has no income limits, participants must be eligible for full-scope Medi-Cal coverage with no Share of Cost. In rare circumstances, people who exceed the Medi-Cal income limits can still be eligible for the Assisted Living Waiver Program.