THE ASSISTED LIVING WAIVER (ALW) PROGRAM goals are to: • Make affordable housing with personal and health-related services available to seniors and individuals with disabilities • Maximize dignity, privacy, independence and autonomy • Provide an alternative to long-term care placement in a nursing home The ALWP is designed to assist Medi-Cal beneficiaries to remain in their community as an alternative to residing in a licensed health care facility. The government (Medi-cal) would like to provide a better quality of life for elderly that are currently at or will be discharged to a medical bed in skilled facilities. They would like these patients to receive care in a community where they will get better care, have a better quality of life and the cost to the government will be significantly less. The government acknowledging that RCFEs provide the best care at the lowest cost is huge! Determination of care needs is done by registered nurses employed by a Care Coordination Agency (CCA) appointed by Medi-Cal. The cost is $600 per facility to apply for program approval in the Assisted Living Waiver Program. It seems that most RCFEs that are in compliance with DSS will meet criteria, but check with your CCA. This program has 5 different tiers of client needs/care and each tier will pay a specified day rate to the RCFE. We were told that the majority of clients currently getting discharged are in tiers 2 and 3. Tier 5 will be reserved for difficult patients, usually dementia clients with wandering and/or difficult behaviors. The tiers range from $52/ day to $200/day. If you become a provider you can expect monthly RN and occasional DHS visits, in addition to your DSS annual visits. This program is available in Alameda, Contra Costa, Fresno, Kern, Los Angeles, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, San Mateo, Santa Clara, and Sonoma Counties.