Medicaid programs across the U.S. provide low-income Americans, including families, pregnant women and seniors, with access to healthcare, prescription medication and medical supplies. In California, the state Medicaid program is called Medi-Cal. It’s funded by the state with the support of the federal government.
Medi-Cal supports seniors who need help with the cost of assisted living in Oakland and throughout California through two waiver programs: The Assisted Living Waiver and the Multipurpose Senior Services Program. Seniors can only participate in one of these waivers. To qualify, seniors must submit to a comprehensive assessment that determines their level of need.
For all Medi-Cal programs, including the state plan and individual waivers, applicants cannot have an income higher than $1,242 (individual) or $1,682 (couple) per month or countable assets higher than $2,000 (individual) or $3,000 (couple). Exempt assets include the applicant’s home, household furnishings and personal belongings.
To apply for the state Medi-Cal plan, seniors can call (800) 300-1506.
Assisted Living Waiver
Seniors who reside in assisted living facilities can apply to have Medi-Cal pay for the cost of care under the Assisted Living Waiver. Covered services may include medical care, dental care and transportation services. The cost of room and board is not covered by Medi-Cal.
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 San Francisco area.
Multipurpose Senior Services Program
The Multipurpose Senior Services Program exists to provide low-income seniors with services that help them to avoid a nursing care facility. The program is available only to those who have reached a nursing level of care but can continue to safely live within an assisted living community or in their own home. The program covers services, including nurse visits, physical therapy and transportation.
The Multipurpose Senior Services Program is capped at 12,000 participants, so there is often a waiting list for those who wish to participate. Seniors are often required to be reassessed on an annual basis.
To learn more about how to apply or be added to the waiting list, seniors can contact the California Department of Health Services at (866) 262-9881.