​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Assisted Living Waiver

COVID-19 Hotspot Enrollment

The pilot program was determined to be successful during the first three years in a limited trial in three counties.  In March 2009, the Centers for Medicare and Medicaid Services approved a waiver renewal for an additional five years and expansion of the program into additional counties.  The current, five-year waiver term is approved for March 1, 2019 – February 28, 2024.

• Age 21 or older;
• Have full-scope Medi-Cal eligibility with zero share of cost;
• Have care needs equal to those of Medi-Cal-funded residents living and receiving care in Nursing Facilities;
• Willing to live in an assisted living setting as an alternative to a Nursing Facility;
• Able to reside safely in an assisted living facility or public subsidized housing;
• Willing to live in an assisted living setting located in one of the following counties providing ALW services: Alameda, Contra Costa, Fresno, Kern, Los Angeles, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Joaquin, San Mateo, Santa Clara, and Sonoma counties.

The goal of the ALW is to:

2) offer eligible seniors and persons with disabilities, who reside in the community, but are at risk of being institutionalized, the option of utilizing ALW services to develop a program that will safely meet his/her care needs while continuing to reside in a RCF, ARF, or public subsidized housing.

Medi-Cal Member Enrollment Information 

Provider Enrollment Information

Provider Resources, Forms, and Memorandums ​

Assisted Living Waiver Current Enrollment

Current enrollment and waitlist information for the Assisted Living Waiver can be found on the enrollment dashboard, which is updated monthly. New applicants to the ALW should be aware the number of available slots is limited and there is a waitlist. Open waiver slots are release to Care Coordination Agencies on a regular basis. Please contact the Care Coordination Agency of your choice for the information. A current listing of Care Coordination Agencies can be found here.

Additional Program Resources:

• Assisted Living Waiver Fact Sheet
• List of RCFE & ARF Facilities
  
• List of Care Coordination Agencies​
  
• Description of Public Subsidized Housing
  
• List of Public Subsidized House Agencies
• Assisted Living Waiver Renewal Approval Letter
  
• Assisted Living Waiver - Approved 3/1/19 to 2/29/24
  
• ALW Enrollment and Waitlist - January 2019 through February 2021​
  
• Reimbursement Rates
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