History of the Assisted Living Waiver Pilot Project (ALWPP)
The ALWPP 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. A key goal of the pilot project was to enable low-income, Medi-Cal eligible seniors and persons with disabilities, who would otherwise require nursing facility services, to remain in or relocate to the community. The ALWPP is now referred to as the Assisted Living Waiver Program (ALW).
Services that are required by state statutes and regulations to be provided or coordinated include:
- 24-hour awake staff to provide oversight and meet the scheduled and unscheduled needs of residents
- Provision and oversight personnel and supportive services (assistance with activities of daily living and instrumental activities of daily living)
- Providing personal care and assistance with ADLs sufficient to meet both the scheduled and unscheduled needs of the residents
- Health related services including intermittent skilled nursing (e.g., medication management services, treatments, wound care, etc.)
- Meals – Providing three meals per day plus snacks. Food must meet minimum daily nutritional requirements;
- Housekeeping and laundry- Washing, drying and folding all laundry
- Recreational Activities
- Performing all necessary housekeeping tasks
- Private room with a refrigerator and microwave provided by facility
- A resident has the right to make choices and receive services in a way that will promote the resident’s dignity, autonomy, independence, and quality of life.
To be eligible to participate in the ALW, you must be enrolled in the Medi-Cal program and be in need of the care provided by a nursing facility. If you meet these requirements, you may be eligible to choose to enroll in the ALW and receive services as an alternative to long-term placement in a nursing facility. To determine if you are eligible to participate, email us at firstname.lastname@example.org.