5 lessonsAbout 30 minutesNo CE or licensure credit

Should your RCFE or ARF join ALW? What enrollment means, pays and does not promise

Five short lessons for owners and administrators weighing the Assisted Living Waiver (ALW): what it pays and does not pay, the three DHCS steps, what a participating facility provides, a readiness check, and what enrollment does not guarantee.

Written for

  • Facility leadership
  • Education and workforce partners
Course version
2026.10.4
Text checked against its sources

Before you begin

What you will be able to do

  • When an owner or a family asks about cost, separate what ALW pays the facility for care from what the resident pays for room and board, using the 2026 figures exactly as DHCS and CDSS state them.
  • For a facility planning to apply, put the three DHCS steps in order, name both applications and the verification visit, and promise no date.
  • Before a facility applies, check it against the five readiness areas and the DHCS service and setting requirements, and name each gap with the fix it needs.
  • After listing, explain to an owner, a staff member or a family what enrollment does not guarantee, and who decides the choice of facility, admission and the care tier.

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In this course

  1. What ALW pays your facility, and what it does notAbout 7 minutes · Not yet
  2. The three DHCS stepsAbout 7 minutes · Not yet
  3. What a participating facility providesAbout 7 minutes · Not yet
  4. Run the readiness check before you applyAbout 7 minutes · Not yet
  5. After enrollment: what the listing does not promiseAbout 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

Provider enrollment for RCFEs and ARFs

The two applications, the verification visit, the services a participating facility provides and the setting requirements.

Where to look: The enrollment steps, the current application form and the facility requirements.

Open the DHCS provider enrollment 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

2026 ALW reimbursement rates

The maximum payable rates per participant per day for 2026, by care tier.

Where to look: The rate table by tier and its effective date.

Open the 2026 ALW rates (PDF)
California CDSS

PIN 25-19-CCLD, 2026 SSI/SSP and NMOHC rates

The 2026 payment standard for an SSI/SSP resident in a licensed care home: the basic rate, its room-and-board and care components, and the personal-needs amount.

Where to look: The rate table effective January 1, 2026 and the allowed additional charges.

Open PIN 25-19-CCLD
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 CDSS (regulation text on Cornell LII)

Title 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 LII
Call the ALW teamFit check