California’s state Medicaid Managed Care program is called Medi-Cal. Medi-Cal provides financial support, assistive services and access to health care to low-income Californians, including seniors and individuals who are living with disabilities. Medi-Cal programs are funded in part by the state with support from the federal government. In order to apply for financial support and access necessary services, seniors who reside in assisted living facilities must apply to either the Assisted Living Waiver program or the Multipurpose Senior Services Program.
To be eligible for these waivers, seniors must be assessed for their level of need and be determined to require daily care. Financially, individual applicants can’t have an income that exceeds $1,242 or assets valued at more than $2,000, while couples combined income shouldn’t exceed $1,682 or have assets valued at more than $3,000.
The Assisted Living Waiver provides financial aid and services to seniors who reside in assisted living facilities. Some of the services that are covered by the Assisted Living Waiver include nurse visits, medical and dental care, physical therapy and nonemergency transportation. This waiver program only covers the cost of care and services in assisted living facilities and doesn’t cover room and board fees.
To apply for the Assisted Living Waiver, seniors can contact their nearest care coordination agency in person or call (800) 991-6147.
The Multipurpose Senior Services Program (MSSP) is another waiver program that operates under California’s Medi-Cal system. The waiver was created to reduce the number of seniors living in nursing homes throughout the state and reduce the stress this causes on the state’s Medicaid programs. The MSSP provides additional support to seniors who reside in assisted living facilities or at home and require a nursing level of care. The program covers a range of services including daily nurse visits, nonmedical transportation and respite care.
The MSSP is capped at 12,000 participants, and waiting lists are common. In addition to the aforementioned eligibility requirements, seniors must be able to reside safely in an assisted community or in their home.
To learn more about the application process, seniors can contact the California Department of Health Care Services at (916) 440-7548.