California assisted living waiver 2025

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  1. Click ‘Get Form’ to open the California Assisted Living Waiver in our editor.
  2. Begin by entering the date at the top of the form, followed by the member's name and facility details including address, city, state, and zip code.
  3. In the section regarding Medi-Cal eligibility, ensure that you verify that the client retains eligibility with an appropriate Aid Code.
  4. Complete the ALW Assessment section to establish the Level of Care (LOC) for the client. This is crucial for determining service needs.
  5. Fill out the Individualized Service Plan (ISP) detailing all necessary waiver and non-waiver services required for community living.
  6. Lastly, ensure that a signed Freedom of Choice (FOC) document is included before submitting your completed waiver form.

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Most people pay for assisted living with current income from social security and pensions coupled with the use of savings, including the proceeds from selling a home. Long Term Care Insurance is more and more widely used to offset the cost of assisted living.
The Home and Community-Based Services (HCBS) Waiver programs serve persons with disabilities who live at home or in non-medical facilities (like Assisted Living or Board and Care facilities) instead of a nursing home (a.k.a. long-term care facility).
Who is Eligible? Have Medi-Cal eligibility with zero share of cost; Have health and personal care needs that are the equivalent of the needs of Medi-Cal-funded residents living and receiving care in nursing facilities; Willing and able to safely live in an assisted living setting as an alternative to a nursing facility.
California has a Social Security supplement for assisted living residents, which the state refers to as RCFEs or Residential Care Facilities for the Elderly. The state pays approximately $400 per month above the federal SSI payment.
California has a limited Medi-Cal waiver program called the Assisted Living Waiver (ALW) which allows Medi-Cal to pay for residential care facilities for the elderly (RCFEs).

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Assisted Living Waiver 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;

ca assisted living waiver program