What is Assisted Living Waiver Program Facilities
The Medi-Cal or Assisted Living Waiver (ALW) is to provide assisted living services for elderly and disabled senior California residents. The ALW is for elderly individuals who require Nursing Home level of care but prefer to reside in an assisted living condition instead of a Nursing Home, CA.
The ALW provides personal care assistance to Adult Residential Facilities (ARF), Residential Care Facilities for the Elderly (RCFE) and Public Subsidized Housing (PSH). Some of the assisted living facilities also provide memory care like those suffering from Dementia or Alzheimer disease. In California the Assisted Living Waiver is a 1915 ( c ) Medicaid waiver called Medi-Cal.
Definition of California Medicaid Medi-Cal
Medicaid is a wide ranging and Federal Health Care. It is for low income individuals for any age. Medi-Cal covers their long term care. Besides Nursing Home care and assisted living care Medi-Cal pays for many non medical support services that assist elderly residents living in their homes.
What are the benefits of Medi-Cal Assisted Living Waiver
Recreational therapeutic and social activities
Personal care such as bathing toilet dressing and eating
Preparation of meals and snacks
On special need based skilled nursing or home health aides
Transitional assistance from nursing home facility to assisted living facility transportation
An individual must be eligible to receive all the services as an ALW participate by meeting the following criteria
Have full scope medical eligibility with zero share of cost
Having care needs like those of medical funded residents in nursing facilities
Willing to live in an assisted living environment as an alternative to a Nursing Home CA
Willing to live in an assisted living environment located in one of the following counties providing ALW services: Alameda, Contra Costa, Fresno, Kern, San Joaquin, San Mateo, Santa Clara, Sonoma counties Los Angeles, Orange, Riverside, Sacramento, San Bernardino, San Diego, and San Francisco.
Financial criteria income Assets and home ownership
The income limit of the applicant should be equivalent to 1:38% of the Federal Poverty Level which increases every January
Individual applicant’s monthly income limit should be $1564
If both spouses are applicants then income limit for them is $ 2106 per month
The maximum amount that can be transferred is $ 3435 per month
The cost of the resident’s assisted facility’s room and board is not paid by the Assisted Living Waiver.
For single applicant the asset limit is $ 130,000
If both spouses are applicant the asset limit is is $ 195,000
Assets that are not counted towards Medicaid’s limit are applicant’s primary home ,vehicle, furnishing, appliances etc
 Applicants cannot sell assets within 30 months of long term care Medi-Cal application
Ownership of home is the highest valued asset a medicaid applicant owns and the home is likely to be exempted while one is receiving Medi-Cal benefits.
The senior care providing agencies for senior California residents will determine the level of care and services necessary for each participant by using a standardized assessment tool. Care coordinates of senior care Contra Costa county CA will establish individualized service plans for each participant including services that are funded by Medi-Call.  Participating Residential Care Facility for the Elderly (RCFE) like Lafayette Gardens in Lafayette, CA or New Alamo Residence Home in Alamo, CA to render the service plan for each resident.Â
Participants select the senior care or elderly care facility or provider of their choice. Care Coordination Agencies will inform the participants about the availability of facilities. As the participants reach their twilight years there are lot of physical ailments that are taken care of by RCFEs like Lafayette, Garden or New Alamo Residence Home. They are licensed by Medi-Cal and wonderful assisted living facility for senior care. They also provide specialized service for memory care for Dementia and Alzheimer’s disease.