ALW Service

Scope of Program

The ALW is currently operating in the counties of Alameda, Contra Costa, Fresno, Kern, Los Angeles, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Joaquin, San Mateo, Santa Clara and Sonoma.
Overview

Participants in the ALW have access to the following services:
Assisted Living Services: The following is a list of some of the services that must be provided to ALW participants. These services may be provided in an RCFE, or by a licensed Home Health Agency to residents in public housing.

  • Assisting in developing and updating an individualized care plan for each resident
  • Personal care and assistance with activities of daily living
  • Laundry
  • Housekeeping
  • Maintenance of the facility
  • Providing intermittent skilled nursing care
  • Meals and snacks
  • Providing assistance with self-administration of medications
  • Providing or coordinating transportation
  • Providing recreational activities
  • Providing social services

Care Coordination: These services include identifying, organizing, coordinating and monitoring services needed by participants.


Nursing Facility Transition Care Coordination: These services help transition participants from a nursing home to the community.
Eligibility
Participants must be eligible for full-scope, no share-of-cost Medi-Cal benefits and require a nursing facility level of care. The latter requirement is key to eligibility because the program is designed to serve people who would otherwise need nursing home care. Contracted Care Coordination Agencies use a standardized assessment tool to determine the clients need for nursing home level of care. The project serves people age 21 and older.

People living in other counties can receive services if they are otherwise qualified, willing to relocate to one of the participating counties, and work with an enrolled care coordination agency.
Care Planning

Using the standardized assessment tool, care coordination agencies will determine the level of care and services necessary for each participant. Care coordinators will establish individualized service plans for each participant, including services that are covered by Medi-Cal and services funded by other sources. Participating RCFEs must develop a care plan to implement the service plan for each resident.

A licensed, Medi-Cal certified home health agency will implement care plans for participants who live at public housing sites. In this setting, the services provided are called Assisted Care.

Payment Rates

Participants pay for their room and board, and Medi-Cal pays for their care and services. In 2022, for participants with monthly SSI income of $1,365.77, the room and board rate is $1211.77. For participants with income over $1,365.77, the room and board rate is $1231.77. 


Once received we will provide you with additional forms to be filled out.

https://www.dhcs.ca.gov/services/ltc/Documents/DHCS-0060-ALW-Amenity-Form.pdf
https://www.dhcs.ca.gov/services/ltc/Documents/DHCS-0062-ALW-Freedom-of-Choice-Form.pdf
Assessment Tool

We will assist you with getting a person approved for the ALW program. Here are the requested documents

Please input the correct amount and your information in the form below, you will be emailed shortly confirming your payment.