Are you currently a patient at a skilled nursing facility or hospital?

Who can apply?

  1. Individuals who have been admitted to a skilled nursing facility or hospital for 45 days or more.

  2. Individuals with active Medi-Cal coverage.

  3. Individuals with the ability to pay rental fees

  4. Individuals who can either make their own decisions or have a written authorized representative to make decisions on their behalf
    (DPOA, AHCD, Conservator).

Steps to Apply:

  1. Complete the required SNF / Hospital Intake Packet.

  2. Return them to our office via email or fax.

  3. Instruct your discharge planner to send a current copy of a:
    • Face Sheet
    • History & Physical
    • Order Summary
    • Active Medications List

  4. Review the list of ALW Facilities to find facilities you are interested in for placement

Additional Forms (not required for initial submission):

Advanced Healthcare Directive (must be witnessed by two non-family members)

LIC602 Physician’s Report (to be completed by the resident/resident's responsible person; must be signed by a physician and sent to our office)

CCA Change Form (a CCA Change can ONLY be requested by the ALW participant or their legally authorized representative)

Are you at home/in the community?
CLICK HERE to apply.

Do you have an active Adult Protective Service Case? CLICK HERE to apply.

Contact our office with questions. 844-657-4748 | info@allhoursadultcare.com