Beta Hospice Care is a Care Coordination Agency listed by the California Department of Health Care Services (DHCS).Beta is listed by DHCS. Here’s how to check
  1. Find Beta on the DHCS list. Beta is listed as a participating Care Coordination Agency under the name Beta Hospice Care. How to verify Beta
  2. No charge for care coordination. Medi-Cal pays Beta. Residents pay room and board. Costs and room and board
  3. Your choice. You may choose any Care Coordination Agency listed by DHCS and any participating home. Rights and complaints
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ALW paperwork for the facility office: the steps to remember

The short step lists from each lesson of The ALW paperwork flow for a facility office, from first notice to claims, on one page. Print it for the station or the break room. Each list points back to its lesson, where the sources are linked.

Open the coursePrint a poster with a QR code

Decision guide

Before you claim a day of ALW care

Is the home's signed HCBS Waiver and Medi-Cal Provider Agreement on file with the ALW Office?

  • Yes

    Do you have the resident's Informing Notice, and is the day on or after its effective date?

    • Yes

      Was the resident an inpatient of a hospital or a nursing facility for the whole day?

      • Yes

        Leave the day off the claim, and make sure the care coordinator knows about the stay. Waiver services are not furnished to hospital or nursing-facility inpatients.

      • No

        Is the care you are billing in the resident's current signed ISP?

        • Yes

          Do your care records show the service was given that day?

          • Yes

            Include the day in the end-of-month UB-04 claim for your home's assisted living services, at the tier DHCS determined. Keep the records at least three years.

          • No

            Do not bill that day, and raise the gap with your administrator. Claims are paid only for services provided, and DHCS reviews samples of paid claims.

        • No

          Do not bill it. Ask the care coordinator whether the ISP should change: claims are paid only for services in the approved plan.

    • No

      Leave the day off the claim. Ask the care coordinator for the Informing Notice: the home bills only for days the resident was enrolled.

  • No

    Do not bill yet. Ask the ALW Office about the provider agreement: it is signed, dated and returned before waiver services can be authorized.

This guide checks the paperwork behind a claim. It does not decide enrollment, the tier or payment: DHCS does. Follow your Medi-Cal billing instructions and read DHCS Policy Letter 26-002 on ALW claiming.

Step through it one question at a time: alwbeta.com/training/courses/alw-paperwork-flow#decision-guide

Lesson 1

Choice first, then the Informing Notice

A new ALW resident arrives with a stack of forms. Your office has to know which ones the person signs, which ones the care coordinator sends, and which date starts ALW. This lesson covers the choice forms and the Informing Notice, the DHCS form that states the enrollment date.

  1. Freedom of Choice (DHCS 0062): the person or representative signs; it goes to the care coordinator
  2. Amenity Form (DHCS 0060): the person may waive a private room, refrigerator or microwave
  3. Informing Notice (DHCS 0063): the date ALW enrollment takes effect
  4. Enrollment: assessment, eligibility check, signed Freedom of Choice, after the move
  5. On file: ISP, RN assessment, Informing Notice, Freedom of Choice, Amenity form

Lesson: alwbeta.com/training/courses/alw-paperwork-flow#lesson-flow-choice-and-informing-notice

Lesson 2

The assessment, the tier and the ISP

The tier and the service plan shape the care your home gives and how it is paid. Your office sets neither one, but it signs the plan and acts on it. This lesson shows who assesses, who decides the tier, what the ISP holds, who signs it, and what DHCS needs to authorize services.

  1. Assessment Tool: a CCA RN or social worker; DHCS decides
  2. The tier follows care needs; the office never sets it
  3. ISP: each service, how often, who provides it
  4. Every provider who carries out the ISP signs it
  5. Reviewed every six months, or when the participant asks
  6. DHCS needs: Medi-Cal check, scored assessment, signed ISP, signed Freedom of Choice

Lesson: alwbeta.com/training/courses/alw-paperwork-flow#lesson-flow-assessment-and-isp

Lesson 3

The home's own admission paperwork

ALW forms do not replace the paperwork every RCFE completes for every resident. Your office runs both sets at once. This lesson covers the interview and appraisal, the medical assessment and its form, the admission agreement and its signing deadline, and who pays what for an ALW resident.

  1. Interview and pre-admission appraisal before admission; no admission without consent
  2. Medical assessment made in the last year, signed by a licensed medical professional
  3. LIC 602A: Section I the home; II and III the resident; IV and V the medical professional
  4. Admission agreement signed by both sides within seven days; copy to the resident at once
  5. Payment section: payor, due date, billing procedures, itemized monthly statement
  6. Room and board: the resident pays the home; the care is billed to Medi-Cal

Lesson: alwbeta.com/training/courses/alw-paperwork-flow#lesson-flow-facility-admission

Lesson 4

Notices when something changes

A resident falls, goes to the hospital, or needs more help. Each change sets off a notice, and each notice has its own owner. This lesson shows who your office tells, what the care coordinator and DHCS do next, and the written notice your home owes before a rate changes.

  1. Change in condition: record it and tell the care coordinator
  2. Significant change: a licensed medical professional at once; tell the resident and representative
  3. Reappraisal: as often as needed, at least every 12 months
  4. Away more than 30 days: disenrolled; slot held 60 days
  5. Notice of Action: DHCS sends it; the participant decides on a hearing within 90 days
  6. Rate change: at least 60 days' written notice

Lesson: alwbeta.com/training/courses/alw-paperwork-flow#lesson-flow-notices-of-change

Lesson 5

How the home is paid: ALW claims

At the end of the month someone in your office bills Medi-Cal for ALW care. A claim is only as good as the paperwork behind it. This lesson shows what must be in place first, which days count, how claims flow and are checked, and where DHCS has asked homes to correct their claiming.

  1. Provider agreement signed and on file before services are authorized
  2. UB-04 to the fiscal intermediary; bill only your home's own waiver service
  3. End of the month; only the days enrolled (the Informing Notice date)
  4. Only care in the approved ISP that was given; no hospital inpatient days
  5. Paid claims are sampled and can be recouped
  6. Keep claim records three years; read Policy Letter 26-002

Lesson: alwbeta.com/training/courses/alw-paperwork-flow#lesson-flow-claims

Beta’s ALW team, course version 2026.10.3, text checked against its sources on October 22, 2026. Educational only. Not continuing-education, licensure or regulatory credit. Follow your employer’s current procedure and the person’s current plan. Call 911 for a medical emergency.

Call the ALW teamFit check