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.
ALW waiver application CA.0431.R04.01, 2024 to 2029, as amended March 1, 2025
The level-of-care criteria and the Assessment Tool, who may give it and their training, the six-month reassessment and its window, DHCS review and audits, the tiers, the CCA service record and copies to the home, and the Notice of Action and State Fair Hearing.
Where to look: Appendix B-3-e (p. 29), B-6 (pp. 37 to 40) and its quality measures (pp. 40 to 44); Appendix C, Care Coordination (pp. 47 to 49) and Assisted Living Services (p. 56); D-1-d (p. 81), D-2-a (p. 84); F-1 (pp. 97 to 99); the Quality Improvement Strategy, Level One (p. 122).
Open the current ALW waiver (PDF)Assisted Living Waiver Individual Service Plan Desk Guide (August 2024)
The program goal of serving members who need nursing-facility level of care, how the tier and the ISP dates fill in from the assessment, and where the assessment needs the nurse's professional judgment.
Where to look: Introduction (page 3), Individual's Information (pages 5 to 7) and Assessed Needs and Services (pages 17 to 20).
Open the DHCS ISP Desk Guide (PDF)The Assisted Living Waiver (ALW) Program: description and eligibility (effective January 1, 2024)
The program description, room and board, the counties, the share-of-cost rule, where Medi-Cal applications go, and how level of care is assessed.
Where to look: The Determining Medi-Cal Eligibility and Determining Level of Care Eligibility sections. Its 2024 dollar amounts are dated.
Open the DHCS ALW description and eligibility sheet (PDF)Title 22, California Code of Regulations, section 51120: Intermediate Care Services
The Medi-Cal definition of intermediate care services, which the ALW waiver calls NF-A level of care.
Where to look: Subdivision (a)(1) to (a)(3).
Open section 51120 on Cornell LIITitle 22, California Code of Regulations, section 51124: Skilled Nursing Facility Level of Care
The Medi-Cal definition of skilled nursing facility level of care, which the ALW waiver calls NF-B, and the caution that one skilled procedure or a therapy need does not by itself show that level.
Where to look: Subdivisions (b), (d) and (e).
Open section 51124 on Cornell LIIDHCS 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)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)DHCS 0063, Assisted Living Waiver Informing Notice (Revised 12/2019)
The home's duty to tell the care coordinator about changes in condition, and the times DHCS may modify, reduce or end services, including a reassessment by the RN care coordinator below nursing-facility level of care.
Where to look: Page 3 (provider duties, including change-in-condition notices) and pages 3 to 4 (when DHCS may end services).
Open the DHCS 0063 Informing Notice (PDF)