How to read the result
The first figure is what Medi-Cal pays the home for care under the Assisted Living Waiver (ALW), for the days the person lives there as an enrolled participant. It is never billed to the resident. The second figure is what the resident pays the home for room and board. For a resident whose only income is SSI/SSP, California caps the charge for basic services at $1,444.07 a month in 2026. For a resident with other income, DHCS sets no cap, so ask the home for its rate in writing. The third figure is the monthly care coordination rate Medi-Cal pays the Care Coordination Agency (CCA), the state-listed organization that does the ALW paperwork and care planning with the resident.
What decides the tier
A registered nurse from the agency assesses how much help the person needs, day and night, and DHCS reviews the assessment. The tier comes from the person's needs, and it can be reviewed when needs change. No home or agency should promise a tier before the assessment. How the assessment works.
Where the figures come from
- ALW rates by tier: the 2026 daily rates and the rate history, with the DHCS rate sheet linked.
- What ALW pays for and what you pay: the resident's side, with the CDSS notice linked.
- For facilities: how a licensed home enrolls with DHCS and works with Beta.
