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Assisted Living Waiver Program

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

To be eligible to receive services as 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;
  • 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;
  • Able to reside safely in an assisted living facility or public subsidized housing;
  • Willing to live in an assisted living setting located in one of the following 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.

Additional Benefits

Low Income Senior Housing

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