Due to changes made by the Department of Healthcare Services to the assessment process,

the wait time for an RN assessment will be increased.

Assisted Living Waiver Program (ALWP) 

The Assisted Living Waiver (ALW) is a Home and Community-Based Services (HCBS) waiver that was created by legislation directing the California Department of Health Care Services (DHCS) to develop and implement the program to test the usefulness of assisted living as a Medi-Cal benefit. 

**Medi-Cal members who are enrolled in the Program of All-Inclusive Care for the Elderly, the PACE program, and Medi-Cal members who are enrolled in The Senior Action Network Health Plan SCAN are not eligible to enroll in ALW, or any of the 1915c Medi-Cal Waivers.• PACE and SCAN are both comprehensive care plans that cover all of an individual’s medically necessary needs, including home and community-based services.


FAQ’s

All Hours Care Coordinating Roll

  • To be eligible an ALW Participant, an individual must meet all of the following ALW eligibility criteria:

    • Age 21 or older;

    • Have full-scope Medi-Cal eligibility with zero share of cost; **If you have a Share of Cost (SOC), contact your local Medi-Cal office or an outside agency for assistance.

    • Have care needs equal to those of Medi-Cal-funded resident 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;

    • Ability and willingness to pay the rental fee charged by ALW facility (through social security or another form of income)

    • Willing to live in an assisted living setting located in one of the following 15 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

    All Hours Adult Care services ALL participating counties.

  • Care coordination services for the waiver program are free of charge to the applicant or advocate assisting with the application. Participants are required to pay the ALW Room & Board Rate to Assisted Living Facility each month.

    ALW Room & Board Rate as of January 2024 is $1,398.07 per month.

    Room & Board cost is determined each year based on the federal Social Security Administration (SSA) published maximum SSI benefits available to beneficiaries in different living arrangements. Most ALW participants use their Social Security Income/State Supplementary Payment (SSI/SSP) to pay for rent.

  • Adult Protective Services

    Time until assessment: Approximately 30 days

    Community (Anywhere at home, with family of friends, apartment or shelter, RCFE or ARF)

    Time until assessment: 18-24 months

    Skilled Nursing Facility or Hospital (Rehab or Convalescent)

    Time until assessment: 60-day admission. (Continuous healthcare stay)

  • Do not discharge before calling our office for further instructions to complete the SNF / hospital intake forms that will reduce your time on the waitlist

  • Yes. The facility must be on the approved waiver list and confirmed they can accommadate the care level before admission.

  • Under California Code Regs. Tit. 22, § 80091 clients who require health services and/or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a CCF.

    -Feeding Tube

    -Active, communicable TB

    -Conditions that require 24-hour nursing care and/or monitoring

    -Stage 3 and 4 dermal ulcers

    Any other condition or care requirements which would require the facility to be licensed as a health facility as defined by Sections 1202 and 1250 of the Health and Safety Code

  • ​Starting January 1, 2024, assets will no longer be counted to determine Medi-Cal eligibility!​​​​​​​​​

    Click for more details

  • Yes. You will be placed on a waitlist until you provide proof of Medi-Cal membership with no SHARE of COST.

    **We do not endorse but recommend calling one of the following fee for service agencies or locating one of your choosing to assist you with your Medi-Cal membership application.

    - Meeting Seniors’ Needs Hotline - http://msnhglobal.org

    - Senior Care Advocates - https://seniorcareadvocate.com

    - The Light for Seniors - https://www.lightsourceis.com/index.php/founder

  • Apply from:

    Adult Protective Services (APS)

    Community

    Skilled Nursing Facility or Hospital

    AHAC team assists applicants with the intake and processing required to receive a care assessment (performed by a Registered Nurse).

  • Waitlist Process

    • We ensure the application is complete before submitting to DHCS for approval.

    • Our waitlist is currently averaging 8-12 months.

    • Once name is released, our team will contact you to schedule Initial Assessment.

  • Assessment

    • One of our RN Care Coordinator’s will conduct an in-person or virtual assessment to evaluate and thoroughly review all your care needs.

    • We will submit complete assessment with signed Patients’ Rights form to DHCS for approval.

  • DHCS Review

    • Approval may take up to 45 days.

    • We have 180-days from the initial assessment submission date to secure placement at an ALW approved facility.

  • Housing Navigation to ALW Facility

    • Our housing navigation team will work with you and your advocates to make sure we secure placement at an ALW approved facility that can accommodate and provide the care you need.

  • Care Coordination

    • We will continue to monitor and oversee participants’ care throughout their enrollment.

    • An RN Care Coordinator or Social Worker will call and or visit on a monthly basis to check-in and ensure participants are receiving adequate care at the facility based on their ALW Individual Care Plan.

Need to Apply for Medi-Cal Membership?

Visit the DHCS Website or CMS
to begin the process.

Get Started!

Must identify 3 cities or facilities on your waitlist request form.

 Return documents if requested to info@allhoursadultcare.com

  • Advanced Healthcare Directive Form (must be signed by two NON-FAMILY witnesses) download and complete this form, and return it to our office with required ALW documents.

  • LIC602 A Physician’s Report (if completed, must be signed by the participant or legally authorized representative.)

  • LIC603 (ONLY needed from participants currently residing in an Assisted Living Facility)

If you have already had an assessment with another Care Coordinating Agency and would like to switch your services to our agency, please complete the CCA Change form linked below and send it to our office with the member’s Date of Birth and Medi-Cal number

Written requests are accepted by fax or email from the participant or their legally authorized representative. A facility change without authorization from these two individuals will not be accepted.

CCA Change Form