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Community Living Support Benefit Waiver

The San Francisco Community Living Support Benefit (CLSB) Waiver implements Assembly Bill 2968 (Chapter 830, Statutes of 2006, Leno) which amends Welfare and Institution (W&I) Code 14132.24.  The Centers for Medicare & Medicaid Services approved the CLSB Waiver for a five-year period, with an effective date of July 1, 2012.  

The San Francisco Department of Public Health (SFDPH) will assist eligible individuals to move into available community settings and to exercise increased control and independence over their lives.  A person eligible for the CLSB Waiver must:

  1. Be a resident of the city and county of San Francisco.
  2. Be at least age 21 years or over.
  3. Be determined to meet nursing facility level of care as defined in relevant sections of the California Code of Regulations.
  4. Be either homeless and at imminent risk of entering a nursing facility, or, reside in a nursing facility and want to be discharged to a community setting.
  5. Have one or more medical co-morbidities.
  6. Be capable of residing in a housing setting with the availability of waiver services that are based on a Community Care Plan.

CLSB Waiver community settings are limited to State-approved housing, which includes community care facilities licensed by the California Dpartment of Social Services, Community Care Licensing, and Direct Access to Housing (DAH) sites operated by SFDPH.

CLSB Waiver community settings are limited to State-approved housing, which includes community care facilities licensed by the California Dpartment of Social Services, Community Care Licensing, and Direct Access to Housing (DAH) sites operated by SFDPH.

CLSB Waiver community settings are limited to State-approved housing, which includes community care facilities licensed by the California Dpartment of Social Services, Community Care Licensing, and Direct Access to Housing (DAH) sites operated by SFDPH.

CLSB Waiver services consist of:

  • Care Coordination
  • Enhanced Care Coordination
  • Community Living Support Benefit in licensed settings and DAH sites
  • Behavior Assessment and Planning
  • Environmental Accessibility Adaptations in DAH sites
  • Home delivered meals in DAH sites
  • The organizational structure for the CLSB Waiver includes the California Department of Health Care Services as the Single State Medicaid Agency and SFDPH as the local/regional non-state entity.  SFDPH will operate the waiver in accorfance with the terms of the Scope of Work, Roles and Responsibilities agreement with DHCS.

    Key Waiver Documents
    Last modified on: 6/3/2015 4:39 PM