The San Francisco Community-Living Support Benefit (CLSB) was created by Assembly Bill 2968 (Leno, Statues 2000, Chapter 830) which modifies Welfare and Institution (W&I) Code 14132.24 and requires the Department of Health Care Services (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 and County of San Francisco (SF).  These services may be rendered in licensed board and care facilities or publicly-funded housing operated by, or approved by, the San Francisco Department of Public Health (SF DPH.)  W&I 14132.24 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 implementation possibly by July 2011.