ALW Forms, Guides and Official Sources

Every official Assisted Living Waiver (ALW) form and page, in one place. Next to each one is Beta's plain-language guide, so you know what the document is for before you open a government PDF. Not sure which you need? Ask Beta's ALW team.

Apply for ALW

Important: These are links to the official sources; they open on state or federal sites. A rate sheet is not a resident housing price list, and the facility roster does not establish live availability. Beta's ALW team can explain what a form is for and when it applies; the state's current version always controls.

Getting started

Both from the California Department of Health Care Services (DHCS).

Resource	Use it when	Open
DHCS Assisted Living Waiver page	You want the state's own page on eligibility, counties, the waitlist, policies and rates.	Official page · Beta's start-here guide
Participating Care Coordination Agencies	You're choosing a Care Coordination Agency and want its counties and contact details.	DHCS publishes the current CCA list · What a CCA does

Eligibility and applying

All from DHCS.

Resource	Use it when	Open
ALW eligibility	You want the six requirements explained in everyday terms.	Beta's eligibility guide
Waitlist policy (Policy Letter 24-002)	You need the state's rules on priority groups, screening deadlines and how openings are released.	Policy Letter 24-002 · Plain-language waitlist guide
Nursing-home transition checklist	Someone is leaving a nursing home for ALW.	SNF transition checklist · Transition guide
Existing facility resident checklist	Someone already living in a participating home is enrolling in ALW.	Current checklist · Guide for current residents

Costs and rates

Resource	Use it when	Open
2026 ALW reimbursement rates (DHCS)	You need the rates Medi-Cal pays providers for covered services, not a resident housing price list.	Current rate sheet · What ALW pays and what you pay
2026 SSI/SSP and NMOHC guidance (California Department of Social Services, CDSS)	You need the current room-and-board and personal-needs amounts for someone on SSI/SSP.	Current CDSS notice · Beta's cost explanation

Facilities and providers

All from DHCS.

Resource	Use it when	Open
Participating ALW facilities	You want the official roster of homes that take ALW; it does not establish live availability.	Official roster · Search participating facilities
RCFE/ARF provider enrollment	You run an assisted-living home and want to enroll as an ALW provider.	Official enrollment page · Beta's provider-enrollment guide
ALW provider resources, forms and memorandums	You need the current forms on assessment, reassessment, incidents, tiers, transitions and rights.	Current provider resources

Rights, choice and changes

All from DHCS.

Resource	Use it when	Open
Participant rights form	You want the state's own statement of your rights in ALW.	Official rights form · Your rights and how to complain
Freedom of choice form	Your coordinator asks you to sign the form recording your choice of setting and providers.	Current form
Grievance fact sheet	You want to know where to send a complaint about ALW services, a coordinator or a home.	Official fact sheet · Rights and complaints guide
Change of CCA form	You want to switch to a different Care Coordination Agency.	Current change form · How to switch

Healthcare coordination

Resource	Use it when	Open
Medicaid hospice benefit (CMS / Medicaid.gov)	You need the federal scope of the Medicaid hospice benefit.	Official Medicaid hospice page
Medicare hospice coverage (Medicare)	You want to know what Medicare hospice covers and its limits on room and board.	Official Medicare page · ALW and hospice coordination guide

Your next step

Two Beta checklists you can use now: the waitlist readiness checklist and the ALW document checklist. Can't find it? Apply for ALW and we'll point you to the right form.

Apply for ALW

Refer a patient or client