Assisted Living Waiver Program (ALWP)


Assisted living bridges the gap between independent living and nursing home. It provides personal support and services to provide more intensive care than is available through home care services or in-home support services. Assisted living typically offers assistance with the activities of daily living and ensures residents have access to staff 24 hours a day. It also is less expensive and less restrictive than a nursing home. The Assisted Living Waiver (ALW) program is one long-term care option for Medi-Cal recipients and offers an alternative to nursing facility placement. The program is a combination federal/state-funded program that allows eligible individuals to reside in and receive services from a California-licensed Residential Care Facility.

The goal of the Assisted Living Waiver (ALW) program is to enable low-income, Medi-Cal-eligible seniors and persons with disabilities who would otherwise require Skilled Nursing Facility services to remain in or relocate to a community setting in a Residential Care Facility for the Elderly (RCFE) or Assisted Living Facilities (ALF). This program is in partnership with the California State Department of Health Care Services (DHCS) and is funded with Medi-Cal funds. Residents pay monthly for room and board from their income to reside in an assisted living facility participating in the program.

(Monthly room and board fee ranges from $1,324.82 to $1,344.82/monthly. Rates subject to change per SSI rates)

For further information on the Medi-Cal Assisted Living Waiver Program, please click here.

Star Nursing is an approved Care Coordination Agency (CCA) providing an alternative to long-term placement in Skilled Nursing Facilities serving all approved counties:

  • Alameda
  • Contra Costa
  • Fresno
  • Kern
  • Los Angeles
  • Orange
  • Riverside
  • Sacramento
  • San Bernardino
  • San Diego
  • San Francisco
  • San Joaquin
  • Santa Clara
  • San Mateo
  • Sonoma

** Star Nursing can assist if you do not see your county listed and are interested in relocating to one of the approved counties above.

** 2024 plans to have the ALWP State-Wide

Who is eligible for ALWP?

  • Must be enrolled or have applied for Medi-Cal
  • Eligible for Medi-Cal with no share of cost
  • 21 years of age or older with a disability
  • Eligible for nursing home level of care
  • Requires some assistants with Activities of Daily Living (ADLs)

Care Coordination & Nursing Facility Transition Community Living

Star Nursing Case Management team is ready to assist with transiting participants from Nursing homes, hospitals, homes, or another Assistant Living Facility that is not on our approved list.

Our Care Coordination Services include:

  • Identifying
  • Assessing
  • Organizing
  • Coordinating
  • Monthly monitoring
  • We offer a personal approach
  • Person/Patient-centered
  • Individualized plan of care (ISP)
  • Education provided to facility and caregivers
  • On-going relationships with family members and administrators
  • Monthly assessments, re-evaluations, medication management
  • Comprehensive re-assessment every six months by a Registered Nurse
  • Special cases: Adult Protective Services (APS) or Homeless

Star Nursing Case Management Team of experienced Registered Nurses and License Social Workers assisting every step of the way!

Important notice:

There is no wait time if you are currently in a hospital or skilled nursing facility and would like to move to a more home-like environment.

If you have an open Adult Protected Services (APS) open case due to self-neglect, safety concerns, or unable to care for yourself at home, Star Nursing can help.

If you are currently at home or in an assisted living facility, we invite you to be added to the waitlist. Please note the waitlist is long; it may be 1+ years until your name reaches the top of the waitlist.

If you believe you meet all of the requirements and would like to be added to the ALW State-wide waitlist, please complete the Waitlist Request Form and email to: [email protected]

Tell us about yourself; please complete the pre-screening form here.

Contact Us

Star Nursing Inc.
[Tel]: 916-542-1445
[Fax]: 877-687-7400
[Email]: [email protected]

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