What changed
DHCS Policy Letter 26-002, dated September 25, 2026, clarifies how ALW claims are submitted and paid. Claims are payable only for enrolled participants and for approved services. The letter also addresses internal audits.
Care Coordination Agencies must verify each participant's ALW enrollment status in MedCompass and send an Informing Notice to the participant's facility or home health agency.
Who it affects
Care Coordination Agencies, and the assisted-living facilities and home health agencies that bill ALW.
What to do
Nothing changes for participants and families. Providers should read the letter, linked under Sources, and apply it to their claims.
Sources
- California DHCS, ALW Policy Letter 26-002, Assisted Living Waiver (ALW) Claiming, September 25, 2026
This post is a summary. The state's own notice controls. Nothing on this page changes anyone's place on the waitlist or their eligibility.
Changes to this post
- October 6, 2026 First published from the letter.