Job aids

Joining ALW as a facility: the steps to remember

The short step lists from each lesson of Should your RCFE or ARF join ALW? What enrollment means, pays and does not promise, on one page. Print it for the station or the break room. Each list points back to its lesson, where the sources are linked.

Lesson 1

What ALW pays your facility, and what it does not

Two separate streams of money reach an ALW facility, and mixing them is the most common early mistake. This lesson prepares the answer you give at every admission talk: which part ALW pays the facility, and which part the resident pays.

  1. ALW pays the facility for care, by care tier: $95.69 to $270.80 a day in 2026
  2. The resident pays room and board from their own income
  3. SSI/SSP alone, 2026: $1,444.07 a month ($706.07 room and board, up to $738.00 care and supervision)
  4. The resident keeps at least $182.00
  5. Private room: up to 10% of room and board, by agreement; no other basic-services charge
  6. Bill nothing that ALW already covers

Lesson: alwbeta.com/training/courses/joining-alw-as-a-facility#lesson-two-money-streams

Lesson 2

The three DHCS steps

You file two applications, one for the ALW program and one to become a Medi-Cal provider, and then you pass a visit. DHCS says both applications are required, and completing one is not completing both. This lesson prepares you to say exactly where your facility stands.

  1. Step 1: initial ALW application by email to ProFacWAIVER@dhcs.ca.gov, on the current DHCS form
  2. Step 2: complete and return the Medi-Cal provider packet DHCS mails you
  3. Step 3: pass the DHCS verification visit at your facility
  4. Then DHCS lists the facility; DHCS controls the timing
  5. Two applications: completing one is not completing both
  6. No CCA, Beta included, approves, speeds up or predicts enrollment

Lesson: alwbeta.com/training/courses/joining-alw-as-a-facility#lesson-three-dhcs-steps

Lesson 3

What a participating facility provides

Before you apply, you decide whether your facility can offer what DHCS describes. DHCS sets out the services and the setting. This lesson prepares that decision, and shows where to take the exact requirements and the forms from: the DHCS pages, not another facility’s packet.

  1. Provide or arrange the services DHCS lists, within your license
  2. Setting: rooms, bathrooms, staffing, nursing availability, accessibility and safety, privacy, community integration
  3. Take requirements from the DHCS page, not another facility’s packet
  4. After enrollment: provide and document the ISP services assigned to you
  5. Forms, ISP desk guide, memoranda: the DHCS provider resources page

Lesson: alwbeta.com/training/courses/joining-alw-as-a-facility#lesson-what-a-participating-facility-provides

Lesson 4

Run the readiness check before you apply

Five areas, confirmed before the first email to DHCS, save months of back and forth. This lesson prepares the go or not-yet decision: is your facility ready to apply today, and if not, which area needs work first?

  1. Licensing: current, right type, good standing, in an ALW county
  2. Ownership and records: names match; tax and provider records current; signer and maintainer named
  3. Operations: staffing model, on-call nursing, medication policies, written processes
  4. Physical setting: rooms, bathrooms, accessibility, emergency planning
  5. Finance and billing: know the rates, keep charges separate, bill nothing twice

Lesson: alwbeta.com/training/courses/joining-alw-as-a-facility#lesson-readiness-check

Lesson 5

After enrollment: what the listing does not promise

Being listed by DHCS changes what your facility may do. It does not change who chooses a facility, or promise that anyone will choose yours. This lesson prepares the conversations after listing, with owners, staff, coordinators and families.

  1. Listing: no promise of referrals, occupancy, a tier or visibility
  2. The participant chooses, on the DHCS Freedom of Choice form
  3. Admission is your decision, separate from enrollment
  4. Monthly coordinator visits; tier changes follow the DHCS process
  5. Keep the license in compliance, describe the facility accurately, document ISP services, report changes
  6. No resident records by personal text or ordinary email

Lesson: alwbeta.com/training/courses/joining-alw-as-a-facility#lesson-after-enrollment

Beta’s ALW team, course version 2026.10.4, text checked against its sources on August 27, 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