Chapter 830, Statutes of 2006 (AB 2968, Assemblyman Leno) requires DHCS to provide a new Medi-Cal community-living support benefit to increase access to needed health-related and psychosocial services for persons residing in the City or County of San Francisco (SF), to reduce their use of acute psychiatric and medical services or institutionalized long-term care services.  AB 2968 requires DHCS to submit a waiver application or state plan amendment to the federal Centers for Medicare & Medicaid Services (CMS) in order to provide the community living support benefit.  The target population will be eligible Medi-Cal beneficiaries who are residents of San Francisco and at risk of institutionalization at the nursing facility level of care.  This pilot project is still under development and DHCS projects submission of a waiver to CMS by July 2008, and implementation January 2009.