Decision guide
Could ALW be worth asking about?
Is the person 21 or older?
This guide helps you decide whether to ask. It does not decide eligibility, a waitlist place or a home: the county, the agency, DHCS and the home each decide their own part, and the person chooses.
Step through it one question at a time: alwbeta.com/training/courses/what-alw-is#decision-guide
Questions to ask
Questions worth asking
- To the county office: Is her Medi-Cal full scope, and does it have a share of cost?
- To the agency: When will you do the phone pre-screen and the assessment, and who will do them?
- To the agency: On what date did you send the waitlist request to DHCS, and when will we get your letter?
- To the agency: How will you reach us if a slot is released, and what do you need from us then?
- To the home: Do you take part in ALW, and how much will you charge her each month for room and board?
- To the home: How will you decide whether you can meet her needs?
- To the care coordinator: Who writes her service plan, and how often will you meet with her?
- To the agency or DHCS: If ALW is denied, cut or stopped, where is the notice, and how do we ask for a State Hearing?
Lesson 1
What ALW pays for, and what it does not
You may have heard that ALW can help someone you love move to assisted living. Before you plan a move, it helps to know what the program pays for. This lesson gets you ready to answer one question in your family: what will ALW pay, and what will we still pay?
- ALW is a Medi-Cal program for care in assisted living
- ALW pays for care services and care coordination
- The person pays the home for room and board
- Care happens in an RCFE, an ARF or public subsidized housing
- Ask the home what it charges for room and board
Lesson: alwbeta.com/training/courses/what-alw-is#lesson-fam-alw-what-it-pays
Lesson 2
Who may qualify, and where ALW is offered
DHCS publishes the criteria for ALW, so you can read them yourself. Reading them helps you see whether ALW is worth asking about. It does not decide anything. This lesson gets you ready to check your loved one's situation against each criterion and to see which ones are still open.
- 21 or older
- Full-scope Medi-Cal with no share of cost (ask the county)
- Care needs like a Medi-Cal nursing home resident (DHCS decides)
- Able to live safely in assisted living
- Willing to live in assisted living in one of the 15 counties
- Say "may meet the criteria" until the decision is made
Lesson: alwbeta.com/training/courses/what-alw-is#lesson-fam-alw-who-may-qualify
Lesson 3
The waitlist: what it means and what it does not
Most families meet ALW as a wait. The wait is real, and no one can tell you how long it will be. This lesson gets you ready for two things: to understand what "on the waitlist" means, and to plan your loved one's care while you wait.
- A slot is a place in the program; slots are limited
- On the waitlist is not in ALW
- Keep the agency's letter with your waitlist date
- Priority changes the order, not the decision
- No one can give a date; keep your phone number current
- Keep other care plans going while you wait
Lesson: alwbeta.com/training/courses/what-alw-is#lesson-fam-alw-waitlist
Lesson 4
Who decides each step, and what the agency does
Many people take part in ALW, and each one decides a different thing. Knowing who decides what saves you calls and false hopes. This lesson gets you ready to ask the right person each question, and to know where to go if you disagree or have a concern.
- The person: ALW or not, the agency, the home; may stop at any time
- The agency: assessment, application, care plan, monthly visits
- The county: Medi-Cal and share of cost
- DHCS: level of care, waitlist, slots, enrollment
- The home: admission, with the person's consent
- Denied, cut or stopped? Read the Notice of Action; legal aid is listed
Lesson: alwbeta.com/training/courses/what-alw-is#lesson-fam-alw-who-decides