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Care Coordination Agencies (CCA) Provider Enrollment

Assisted Living Waiver Program 

CCAs are responsible for developing and implementing the Individualized Service Plan (ISP) to identify the participant's needs and the methodology to meet those needs while participating in the Assisted Living Waiver (ALW) program. They will explain to individuals or their legal representative, the services offered through the waiver.  CCAs can help individuals make decisions about their choices of living arrangements by explaining the differences between receiving long-term services and supports in a nursing facility, a Residential Care Facility (RCF), or the public subsidized housing (PSH) setting. The CCA is also responsible for informing individuals about resources available to them for determining financial eligibility for long-term services and supports.

CCA Basic Requirements

Enrolling agencies:

      • Must have completed 8-10 transitions over the previous 12 month period.
      • Must employ a Social Worker with either a master’s degree in social work, psychology, counseling, rehabilitation, gerontology,
        or sociology plus one year of related work experience.
      • Must employ a Registered Nurse (RN) to administer the Assessment Tool developed by the ALW program.  The RN must have
        and maintain a current, unsuspended, un-revoked license to practice as an RN in the State of California.  Work experience requirements include:
            • A minimum of 1000 hours of experience in an acute care setting providing nursing care to patients with
              similar care needs.
            • A minimum of 2000 hours experience in a home setting provider nursing care to patients with similar needs.
      • Are required to have mandatory in-service training programs for their staff. 
      • Are required to have a process for soliciting and/or obtaining feedback from clients regarding their satisfaction with service.
      • Must have a quality assurance program to track clients’ complaints and incidents reports.
      • Must maintain a service record/case file for each client containing all required program forms, completed assessments,
        signed care plans, and progress notes.  Agencies must make these records available to DHCS for audit upon request.
      • Must demonstrate existing relationship with 4-6 Skilled Nursing Facilities and 4-6 Assisted Living Facilities, one of which
        must be an Adult Residential Facility (ARF).

 

Service that CCA providers are responsible for supplying include:

      •  Enrolling clients
      • Conducting assessments and reassessments using the ALW Assessment Tool
      • Determining each client’s level of care
      • Developing Individualized Service Plans
      • Arranging for services as determined necessary by the individual assessment
      • Monthly visits to participants

 

CCA Enrollment Steps

1.  To be considered for enrollment as a CCA/ALW provider, the following preliminary application package is required:

 

 

2.  Enrolling providers are required to have a National Provider Identifier (NPI).  The unique 10-digit number allows universal recognition of individual health care providers.  Once enrolled as a Medi-Cal provider in the ALW program, the NPI number is used in administrative and financial (billing) transactions.  For more information and to apply for your NPI number, follow the link provided:

 

National Provider Identifier

 

3.  Upon review and approval of the initial ALW application, a site visit will be completed to verify applicants' qualifications.  Agencies will
receive notification of their enrollment status.  Medi-Cal applications received prior to program approval will not be considered. 

 

4.  Agencies will receive notification of their enrollment status.  Agencies that have met all program requirements will then be instructed
to enroll as a Medi-Cal provider. 
The complete enrollment package consists of the following:

 

  

Do not send any application to the Provider Enrollment Division.

 Send all application packets to:

 
Assisted Living Waiver Unit
Long-Term Care Division
Department of Health Care Services
1501 Capitol Avenue, MS 4503
P.O. Box 997437
Sacramento, CA 95899-7437
 
 

Provider Resources, Forms, and Memorandums

Residential Care Facilities (RCF) and Adult Residential Care Facilities (ARF) Provider Enrollment

Home Health Agency Provider Enrollment

ALW Enrollment for Medi-Cal Members

ALW Provider Enrollment

Assisted Living Waiver Home Page 

Last modified on: 1/25/2017 4:24 PM