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Nursing Facility / Acute Hospital (NF/AH)

The Nursing Facility A/B Waiver was renamed the Nursing Facility/Acute Hospital Waiver effective January 1, 2007.  This waiver combines the following three prior Home and Community-Based Waivers: (1) NF A/B Waiver; (2) Nursing Facility Subacute (NF SA); and the In-Home Medical Care (IHMC) Waiver.  The purpose of the HCBS NF/AH Waiver is to provide Medi-Cal beneficiaries with long-term medical conditions, who met the acute hospital, adult, or pediatric subacute, nursing facility, distinct-part nursing facility (NF) Level of Care with the option of returning to and/or remaining in his/her home or home-like setting in the community in lieu of hospitalization.

The goals of the waiver are to: 1) facilitate a safe and timely transition of Medi-Cal eligible beneficiaries from a medical facility to his/her home and community utilizing NF/AH Waiver services; and 2) offer eligible Medi-Cal beneficiaries, who reside in the community, but are at risk of being institutionalized within the next 30 days, the option of utilizing the NF/AH Waiver services to develop a home program that will safely meet his/her medical care needs.

Type of Waiver

1915(c) Home and Community-Based Services Waiver

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Eligibility Requirements

  1. Must have full scope Medi-Cal Eligibility
  2. Physically Disabled (no age limit)
  3. Must meet the acute hospital, adult or pediatric subacute, nursing facility, distinct-part nursing facility, adult, or pediatrict Level B (skilled) nursing facility, or Level A (intermediate) nursing facility (NF) Level of Care with the option of returning to and/or remaining in his/her home or home-like setting in the community in lieu of institutionalization.
  4. Must meet other criteria and requirements listed in the waiver

Services Provided 

  • Private Duty Nursing, including Shared Nursing
  • Home Health Aide Services
  • Case Management
  • Transitional Case Management
  • Environmental Accessibility Adaptations
  • Personal Emergency Response Systems (PERS)
  • PERS Installation and Training
  • Medical Equipment Operating Expenses
  • Waiver Personal Care Services
  • Community Transition
  • Habilitation Services
  • Respite Care (home and facility)
  • Developmentally Disabled/Continuous Nursing Care Non-Ventilator Dependent Services
  • Developmentally Disabled/Continuous Nursing Care Ventilator Dependent Services 

Funding Source


State General Fund and Federal Medicaid Funds 

Enrollment Cap

Persons per Waiver Year (January 1 - December 31)

  • 2,392 –  2007
  • 2,552 –  2008
  • 2,712 –  2009
  • 2,872 –  2010
  • 3,032 –  2011
  • 3,276 -   2012
  • 3,448 -   2013
  • 3,620 -   2014
  • 3,792 -   2015
  • 3,964 -   2016

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Waiver Term 

December 1, 2012 through December 31, 2016

Links for Additional Information

Nursing Facility/Acute Hospital (NF/AH) Waiver Application
Social Security Act - Title XIX
1915(c) Home and Community-Based Services Waiver  
Contact Information

Data Current as of December 28, 2012

Last modified on: 6/8/2015 10:19 AM