Plain-language ALW guide

You're enrolled. Here's what a normal month looks like, and who to call when it isn't.

You are enrolled in ALW. What the monthly visit is for, who does what, which changes to report, and who to call when something is not right.

After Assisted Living Waiver (ALW) enrollment, three things stay constant: you live in the home you chose, the home provides the services in your care plan, and your Beta care coordinator visits every month. Almost everything else starts with a call to that coordinator.

Contact Your ALW Care Coordinator

Important: A re-assessment can confirm the plan or change it, including the care tier, and we can't promise in advance what it will decide. If a move is ever needed, a safe transfer takes Beta, the home and the providers working together; a directory search alone doesn't arrange one.

Your first two weeks

Confirm before the first monthly visit:

The monthly visit

Every month your Beta care coordinator visits to check that the services in the plan are happening, that you're safe, and that the home still fits. Say anything you're unsure about. If the plan needs to change, the coordinator starts that.

Tell your coordinator right away if…

Keep this list on the fridge. Call when any of these happens:

  1. A hospital or emergency-room visit, or a fall.
  1. More help needed with moving or transfers, or a new wound, oxygen or treatment.
  2. A change in memory, mood or behavior.
  1. A medication change.
  2. New home health or hospice involvement.
  1. A notice from the home, or any talk of discharge.
  2. A change of representative, income or Medi-Cal.
  1. A move, or a planned move, including into or out of a hospital or nursing facility.
  2. A service in the plan that isn't happening.
  1. Anything that makes you feel unsafe.

If the home stops being the right fit

The first response is usually a plan change: new services or equipment, a care-tier review, or a different provider. If that isn't enough, options include another home that takes ALW or a nursing facility. You can search participating facilities; your coordinator arranges any move with the home and the providers.

If you ever want a different Care Coordination Agency: how to change your CCA.

Who to call about what

What's wrongWho to call
Something in your care plan isn't happeningYour Beta care coordinator
A concern about how Beta is coordinating your careThe state's complaint process (the official word is "grievance")
A concern about the home or how you're treatedCommunity Care Licensing (California Department of Social Services) or the Long-Term Care Ombudsman, a free, independent advocate
Someone is in danger right now911, then Adult Protective Services

Review rights and complaints

Your next step

Your Beta care coordinator is the first call for almost everything on this page.

Contact Your ALW Care Coordinator

Review Your Rights

Official sourcesChecked against the official sources

Use the official sources below to confirm time-sensitive program details.

California Department of Health Care ServicesCare Coordination Agencies Provider EnrollmentOpen official source ↗California Department of Health Care ServicesALW Provider Resources, Forms and MemorandumsOpen official source ↗California Department of Health Care ServicesALW Patient RightsOpen official source ↗California Department of Health Care ServicesALW Change of Care Coordination Agency FormOpen official source ↗

This page provides general California ALW information. It is not an eligibility decision or a promise of enrollment, and it is not a guarantee of facility placement. You may choose any Care Coordination Agency listed by DHCS and any participating facility.