The Assisted Living Waiver Program is a program for those who have MediCal. Active enrollment in MediCal is required.
MediCal recipients applying for the Assisted Living Waiver Program coming from a skilled nursing facility/convalescent home or hospital will need to be placed on the ALWP wait list.
If you are a potential applicant who is currently in a skilled nursing facility or hospital, please provide the following so that you may be placed on the wait list for the Assisted Living Waiver Program:
- Face Sheet (from your nursing home/skilled nursing facility/hospital)
- Assisted Living Waiver Wait List Request (Attached in this email/packet)
- Patient Consent to be placed on the Assisted Living Waiver Wait List
(Attached in this email/packet) - Patient Consent to Receive Services and Certification (Attached in this email/packet)
- Authorization to Release Personal and Health Information (Attached in this email/packet)
If you are a potential applicant who is currently in an assisted living, apartment, family
member’s home, or own residence, please provide the following so that you may be placed on
the wait list for the Assisted Living Waiver Program:
The wait time for this program is subject to change. In order to be placed on the wait list, please
fill out the attached documentation in this email. Return it back to us as soon as possible. Upon
receipt, we will evaluate the forms for completion and compatibility with the Assisted Living
Waiver Program.
- Assisted Living Waiver Wait List Request (Attached in this email/packet)
- Patient Consent to be placed on the Assisted Living Waiver Wait List
(Attached in this email/packet) - Patient Consent to Receive Services and Certification (Attached in this email/packet)
- Authorization to Release Personal and Health Information (Attached in this email/packet)
We confirm with you when your wait list request has been sent to the state. If you do not get this
confirmation from us, please reach out. We recommend calling every 3 months to check in on
the status of your wait list request for the Assisted Living Waiver Program as changes occur
quite frequently.
If you have any questions, please us know.
Thank you.
