What Programs Are Available To Assist Elderly Adults in California?

What Medicaid Waiver Programs are in California? California currently has seven Home and Community Based Services 1915(c) waivers.

What state department operates the California Medicaid waiver program for aging adults? The Home and Community-Based Services waivers for elderly persons are administered by the California Department of Health Care Services.

What programs assist older adults in California? California's waiver for elderly adults is called The Multipurpose Senior Services Program (MSSP) waiver. It provides Home and Community-Based Services (HCBS) to Medi-Cal eligible individuals who are 65 years or older and disabled as an alternative to nursing facility placement. The MSSP waiver allows the individuals to remain safely in their homes. This waiver is a 1915(c) Home and Community-Based Services Waiver. Other waivers that may assist elderly persons include: CA Nursing Facility/Acute Hospital Waiver and The CA Assisted Living Waiver.

What is the best number to call to get started? Call (916-552-9200) For general inquiries.
* The first step to accessing Medi-Cal waiver services is to establish Medi-Cal eligibility. To apply for Medi-Cal, call or visit your local county social services office and request a Medi-Cal application.

Is there a website? http://www.dhcs.ca.gov

Who Qualifies For Assistance?

Who qualifies for the CA Multipurpose Senior Services Program (MSSP) in California?
To qualify for the CA Multipurpose Senior Services Program (MSSP) you must meet the following requirements:

  • Receives Medi-Cal
  • Requires the Nursing Facility (NF) level of care.
  • Aged 65 years or older
  • Not enrolled in any other HCBS waiver at this time.
  • Resides in a county with an MSSP Site

Is There a Waiting List For Services?

How long is the waiting list in California? There is not a waiting list for elderly waiver services in California, however, there is a 45 day application process.

What Services Are Offered & What Are The Service Limitations?

What services does the Medicaid waiver program offer in California? CA HCBS Waiver for Californians Services Provided Include: Case Management; Personal Care Services; Respite Care (in-home and out-of-home); Environmental Accessibility Adaptations; Housing Assistance/ Minor Home Repair, etc.; Transportation; Chore Services; Personal Emergency Response System (PERS)/ Communication Device; Adult Day Care / Support Center / Health Care; Protective Supervision; Meal Services - Congregate / Home Delivered; Social Reassurance / Therapeutic Counseling; Money Management; and Communication Services: Translation / Interpretation.

How Do You Select A Provider?

Who will provide my services? Services must be provided by Medicaid approved providers. Adult children can be paid as caregivers for elderly parents (call 800-541-5555 or 800-427-1295).

Additional Information:

California Assisted Living Waiver (ALW) - The waiver offers Assisted Care Services in three settings: Residential Care Facilities for the Elderly, Adult Residential Facilities and Public ally Subsidized Housing as well as Care Coordination, Residential Habilitation, and Nursing Facility Transition services. Qualified participants have full-scope Medi-Cal eligibility with zero share of cost and are determined to meet the Skilled Nursing Facility Level of Care, A or B. The ALW is currently implemented in the following counties: Alameda, Contra Costa, Fresno, Kern, Los Angeles, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, San Mateo, Santa Clara and Sonoma Counties. Additional Counties may be added in the future. There is no Waitlist.

Nursing Facility / Acute Hospital (NF/AH) - This waiver offers services in the home to Medi-Cal beneficiaries with a long-term medical condition for who, in the absence of this waiver, would otherwise receive care for at least 90 days in an intermediate care facility, a skilled nursing facility, a subacute facility, or an acute care hospital. Services include: Shift Nursing; Home Health Aide; Waiver Personal Care Service;s Transitional Case Management; Case Management; Home Care Training; Emergency Response Systems; Home Modifications; Respite Care; Utility Reimbursement; and Community Transition. There is a wait list for individuals assessed at the intermediate care facility and skilled nursing facility level of care unless those individuals are currently residing in one of those facilities. Family members may provide Waiver Personal Care Services.

CA Providers & Assisted Living

California Providers


North Coast Mobility (415) 457-1664
Serving California
We supply items from: Pride, Jazzy, Golden Technologies, Karma mobility solutions and more.

Inland Regional Center (909) 890-3000
Serving San Bernardino & Riverside Counties, California
Largest regional center in the State of California


California Resources