Sources
Sources behind this course
Each lesson lists the sources it uses. Open the original for the exact rule, form or instruction that applies to your work. The source library describes each one in more detail.
Assisted Living Waiver program page
The program description, the eligibility criteria, the counties, the current waiver and its amendments, grievances and enrollment information.
Where to look: The Eligibility, Current Waiver, Approved Amendments, Emergency Amendments and Current Enrollment sections.
Open the DHCS ALW pageThe Assisted Living Waiver (ALW) Program: description and eligibility (effective January 1, 2024)
The program description, room and board, the counties, the share-of-cost rule, where Medi-Cal applications go, and how level of care is assessed.
Where to look: The Determining Medi-Cal Eligibility and Determining Level of Care Eligibility sections. Its 2024 dollar amounts are dated.
Open the DHCS ALW description and eligibility sheet (PDF)ALW waiver application CA.0431.R04.01, 2024 to 2029, as amended March 1, 2025
The waiver's target groups, selection of entrants, level-of-care criteria and assessment, the tiers, and freedom of choice.
Where to look: Appendix B-1 (target groups), B-2 (cost limit and safety), B-3 (selection of entrants), B-6 (level of care) and B-7 (freedom of choice).
Open the current ALW waiver (PDF)PIN 25-19-CCLD, 2026 SSI/SSP and NMOHC rates
The estimated SSI/SSP payment standard effective January 1, 2026 for a person in a licensed care home (NMOHC): the SSI and SSP parts, the room-and-board and care-and-supervision parts, the amount for basic services, the personal and incidental needs allowance, couples, and the extra $20 for a resident with other income.
Where to look: Page 2: the rate table and note 1 (the extra $20 by admission agreement). The PIN is dated December 8, 2025.
Open PIN 25-19-CCLDTitle 22, California Code of Regulations, section 87464: Basic services
The basic services every RCFE must give, and the rule that an SSI/SSP resident gets them at the basic rate with no extra charge, with the private-room, special-food and voluntary-contribution exceptions.
Where to look: Subdivision (e), items (1) to (3), and subdivision (f).
Open section 87464 on Cornell LIITitle 22, section 87101: Definitions
The RCFE definitions, including admission agreement, basic rate and basic services.
Where to look: Subdivisions (a)(2) and (b)(1) to (b)(2).
Open section 87101 on Cornell LIIChoosing a Residential Care Facility for Seniors in California: A Guide for Consumers (version 06/01/2022)
The state's consumer guide for choosing an RCFE: what an RCFE is, basic services, the license, identifying needs, the facility search and public file, visits, complaints and the visit checklist.
Where to look: Sections 1, 2 and 4 to 8, and section 10 (Facility Visit Overview).
Open the CDSS guide to choosing an RCFE (PDF)Resources for Residents and Families (Senior Care Licensing)
What an RCFE is, how to review a facility file, and where to report elder abuse or get help from the Long-Term Care Ombudsman.
Where to look: Senior Care Facility Types, How to Review a Facility File, Elder Abuse and Neglect Reporting, Resident Advocacy.
Open the CDSS page for residents and families