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5 lessonsAbout 33 minutesNo CE or licensure credit

The ALW waitlist and enrollment timing for care coordinators

Five lessons for Care Coordination Agency staff: how the Assisted Living Waiver (ALW) waitlist works as DHCS describes it, the slot release order and priority groups, the CCA's work from a released slot to enrollment, timing the move with the home and the participant, and keeping people informed without promising what no one controls.

Begin the courseSee the sourcesPrint the job aids

Written for

  • CCA professionals
Course version
2026.10.3
Text checked against its sources

Before you begin

What you will be able to do

  • Given a new waitlist request, screen it, submit it to DHCS and send the written notice within the Policy Letter 24-002 times, and record the placement date.
  • Given the requests on a CCA's list, sort each into its priority group, file the proof the first group needs, and explain the release order without quoting a split or a date.
  • Given a released slot, plan the contact attempts, the assessment, the home's appraisal, the move and a complete application inside the 60-day window.
  • Given a participant's or a family's question, state the stage, the timing and room and board in plain words, and correct any promise of a slot, a date, eligibility or a room.

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In this course

  1. How the waitlist works, as DHCS describes itAbout 6 minutes · Not yet
  2. Slot release order and priority groupsAbout 7 minutes · Not yet
  3. From a released slot to enrollment: the CCA's workAbout 7 minutes · Not yet
  4. Timing enrollment with the home and the participantAbout 6 minutes · Not yet
  5. Keeping the participant informed, and what never to promiseAbout 7 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 ALW eligibility criteria, room and board, enrollment and the waitlist, the current policy letters and memoranda, and the emergency amendments.

Where to look: The Eligibility, ALW Current Enrollment, Emergency Amendments (Appendix Ks) and Current Policy Letters and Memorandums sections.

Open the DHCS ALW page
California DHCS

ALW Policy Letter 24-002, Release of ALW slots and waitlist management (October 7, 2024)

The priority order for slot release, the 60-day institutional rule and its proof, screening and notice times, the 60-day application window and the no-contact rule.

Where to look: Definitions, Policy, CCA Responsibilities and footnote 1.

Open Policy Letter 24-002 (PDF)
California DHCS

Important information regarding prospective ALW enrollments (September 4, 2024)

The end of direct submission for institutional transfers: they go on the waitlist like every other request.

Where to look: The second paragraph.

Open the DHCS capacity memorandum (PDF)
California DHCS, approved by CMS

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)
California CDSS (regulation text on Cornell LII)

Title 22, section 87457: Pre-admission appraisal

The RCFE interview, consent and determination of suitability before admission.

Where to look: Subdivisions (a) to (c).

Open section 87457 on Cornell LII
Call the ALW teamFit check