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
Español (inicio)
Assisted Living Waivercare coordination
(747) 293-5777Mon–Fri, 9 a.m.–6 p.m.
Menu
Request a callbackRefer a patient or client
5 lessonsAbout 35 minutesNo CE or licensure credit

Monthly monitoring, reassessment and tier changes

Five short lessons for CCA care coordinators and nurses on keeping an ALW plan current: the monthly contact the waiver requires, what to look for and record at each visit, the six-month reassessment and its packet, when a change in condition calls for an earlier reassessment, and how a tier change is assembled, decided and shared with the home and the participant.

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

  • Plan each participant's monthly contact so it meets the waiver: with the participant or responsible parties, in person or by a telehealth visit the participant chose, and recorded in the ISP's monitoring section.
  • Run a monthly visit that checks every ISP service, finds new risks, verifies Medi-Cal and reports abuse, neglect or other problems at once to the right agencies.
  • Keep each reassessment on schedule: at least every six months, inside the allowed window, with the full DHCS re-assessment packet and an updated ISP.
  • Decide when a change in condition or a request calls for an earlier reassessment or an ISP review, and leave the tier and service decisions to the Assessment Tool and DHCS.
  • Assemble a complete tier change packet on time, collect the signatures, and close the loop with the home and the participant once the plan changes.

Loading

In this course

  1. The monthly contact the waiver requiresAbout 7 minutes · Not yet
  2. What to look for and record at each visitAbout 7 minutes · Not yet
  3. The six-month reassessment and its packetAbout 7 minutes · Not yet
  4. When a change calls for an earlier reassessmentAbout 7 minutes · Not yet
  5. The tier change packet and closing the loopAbout 8 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, approved by CMS

ALW waiver application CA.0431.R04.01, 2024 to 2029, as amended March 1, 2025

Monthly care coordination contacts and telehealth, the six-month reassessment and its timing, reassessment on a change in condition, the tiers, monitoring of the ISP, reporting of abuse, neglect and problems, monthly eligibility checks, and Notices of Action.

Where to look: Main (telehealth, p. 16); Appendix B-6-e and B-6-h (p. 39); Appendix C, Care Coordination (p. 47) and Assisted Living Services (p. 56); D-1-c to D-1-g and D-2-a (pp. 80 to 84); F-1 (p. 98); G-1 (p. 102); I-2 (pp. 133 to 135).

Open the current ALW waiver (PDF)
California DHCS

Assisted Living Waiver Individual Service Plan Desk Guide (August 2024)

How a care coordinator completes each section of the ALW ISP workbook: strengths, personal goals, preferences, assessed needs and services, risk management, the back-up plan, care coordination monitoring, rights modifications and the Patient's Rights Form.

Where to look: The section for the part of the ISP you are writing; Rights Modifications (pages 29 to 32) and the Patient's Rights Form (pages 33 to 38).

Open the DHCS ISP Desk Guide (PDF)
California DHCS

DHCS 0063, Assisted Living Waiver Informing Notice (Revised 12/2019)

The notice of ALW enrollment and its effective date, what DHCS needs from the care coordinator to authorize services, the roles of the person, the waiver providers and DHCS, and the reasons services may end.

Where to look: Page 1 (the effective date), page 2 (the four items DHCS needs), page 3 (provider duties, including the provider agreement and change-in-condition notices) and pages 3 to 4 (when DHCS may end services).

Open the DHCS 0063 Informing Notice (PDF)
California DHCS

DHCS 1330, Assisted Living Waiver Re-Assessment Checklist (Revised 09/2023)

The documents a six-month re-assessment packet needs to be complete, who signs each one, and when the Assessment Tool reaches DHCS.

Where to look: The single page: the list of required documents and the signature and timing lines under each.

Open the DHCS 1330 Re-Assessment Checklist (PDF)
California DHCS

DHCS 1329, Tier Change Checklist (Revised 09/2023)

The documents a tier change needs to be complete, who signs each one, and when the Assessment Tool reaches DHCS.

Where to look: The single page: the list of required documents and the signature and timing lines under each.

Open the DHCS 1329 Tier Change Checklist (PDF)
Call the ALW teamFit check