5 lessonsAbout 30 minutesNo CE or licensure credit

California ALW: the stages, and who decides at each one

Five short lessons on the path from a first question to enrollment in the Assisted Living Waiver (ALW), and on keeping eligibility, the waitlist, a released slot, a facility’s participation, an opening and placement apart.

Written for

  • Facility leadership
  • Healthcare and referral professionals
  • CCA professionals
  • Education and workforce partners
Course version
2026.10.3
Text checked against its sources

Before you begin

What you will be able to do

  • Given a family’s or a referrer’s question, separate the published criteria, waitlist status, a released slot, facility participation, a current opening and enrollment, and state none of them as done before it is.
  • Given a common ALW question, name who decides it (DHCS, the CCA, CDSS, the home or another provider) and send it to that owner.
  • Explain the criteria and the costs to a family or a colleague without deciding eligibility or promising enrollment, an opening or placement.
  • Record a case’s stage from the evidence in hand, so that a request sent is never written as a confirmed status.
  • Before using an emergency amendment, check its event, place, people and dates, and apply only the requirements it changes, inside that scope.

Loading

In this course

  1. Six questions that sound like oneAbout 7 minutes · Not yet
  2. Explain the criteria without deciding the caseAbout 7 minutes · Not yet
  3. Give each decision to its ownerAbout 7 minutes · Not yet
  4. Map the path from inquiry to enrollmentAbout 7 minutes · Not yet
  5. Treat a temporary exception as temporaryAbout 6 minutes · Not yet
  6. Course check · 10 questions0 of 5 lessons done

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.

California DHCS

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 page
California DHCS

ALW provider resources, forms and memoranda

The current provider forms, the service-plan training and the program memoranda, including the incident-reporting materials.

Where to look: The Forms and Program Memorandums list; the Incident Reporting links.

Open the DHCS provider page
California DHCS

ALW participating facilities

The state’s list of participating homes. It is not a list of openings and not an admission decision.

Where to look: The RCFE and ARF participating-facility table.

Open the DHCS participating-facility list
California DHCS

Care Coordination Agency enrollment and responsibilities

What a CCA must be and do: qualifications, assessment, service planning, monitoring, training and records.

Where to look: The CCA provider requirements and responsibilities.

Open the DHCS CCA page
California CDSS

Residential-care regulations

The current licensing regulations for each residential facility type.

Where to look: The RCFE or ARF chapter and its current revision.

Open the CDSS regulation library
Centers for Medicare & Medicaid Services, posted by DHCS

CMS approval letter, Appendix K for the Orange County chemical incident (CA 0431.R04.04)

The approval, dated July 14, 2026, of the temporary amendment in force from May 21, 2026 to May 21, 2027.

Where to look: The effective dates and the list of changed requirements.

Open the CMS approval letter (PDF)
Call the ALW teamFit check