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Northern California resources

The California Assisted Living Waiver

The Assisted Living Waiver, often shortened to ALW, is a California Medi-Cal program that can help cover care services for eligible participants living in participating licensed settings rather than a nursing facility.

What the waiver covers

The waiver addresses care services and care coordination. It does not cover the room and board portion of an RCFE, which the participant remains responsible for, typically from Social Security or other income.

Where it operates

The waiver operates in designated counties and only in facilities that have chosen to participate and have capacity. Availability differs across Northern California, and a community that participates may still have a waiting list.

What families should plan for

  • Enrollment is not instant. Plan for the period between application and placement.
  • Participating settings are a subset of the market — the search list will be shorter.
  • The participant still pays room and board, so income still matters to the plan.
  • A move may be required if the current community does not participate.

How CareWise helps

We identify which communities in the search area participate, confirm current availability directly rather than relying on directories, and help families sequence the search so they are not making a placement decision and a benefits decision at the same moment.

CareWise provides information and guidance about these programs. We do not determine eligibility, and program rules, limits, and availability change. Confirm current requirements with the administering agency or a qualified professional.

Talk through your situation with an advisor.

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