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
- Must have full scope Medi-Cal Eligibility
- Physically Disabled (no age limit)
- 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.
- 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