Medicaid provides low-income individuals with access to medical care and healthcare services, dental care, counseling services, long-term care, prescription medications and nonmedical transportation. In California, the state Medicaid program is officially known as Medi-Cal and is available to eligible seniors, families, disabled individuals and pregnant women. Medi-Cal is funded jointly by the state and the federal government.
Seniors living in Los Gatos and throughout the state of California can apply for help with the cost of assisted living under one of two Medi-Cal waivers: the Assisted Living Waiver or the Multipurpose Senior Services Program. To qualify for either of these waivers, seniors must undergo a full care assessment to determine their level of need. Financially, individual applicants may not have an income higher than $1,242 per month or assets valued at more than $2,000. Couples may not have a monthly income higher than $1,682 or assets valued at more than $3,000.
Assisted Living Waiver
The Assisted Living Waiver provides financial assistance to seniors living in assisted living facilities. It pays for the cost of assisted living care and, depending on need, additional services may be covered as well. Other services may include medical care, dental care and transportation services. Room and board are not covered under this program, so seniors are responsible for paying these costs out of pocket.
To apply for the Assisted Living Waiver, seniors can contact the Institute on Aging at (408) 474-0679 or visit any Care Coordinator Agency in the Santa Clara County area.
Multipurpose Senior Services Program
The Multipurpose Senior Services Program offers financial support and care services to seniors who require a nursing level of care but continue to reside in an assisted living facility or at home. The program exists to reduce the stress on the Medi-Cal system when a high volume of seniors move into nursing care facilities, which are considerably more expensive when compared with assisted living and home care. In addition to the cost of assisted living or home care, this program may also provide services such as nurse visits, physical therapy, transportation services and respite care.
The program has a cap of 12,000 participants, which means there are frequently long waiting times for those who wish to participate. As such, most seniors are asked to reapply for the program annually.
To learn more about the application process or inquire about waiting times, seniors can contact the California Department of Health Care Services at (707) 565-4700.