California Assisted Living Waiver Pilot Project

 

Looking For A Provider?

Click on a county link to obtain a list of current ALWPP providers (Residential Care Facilities for the Elderly, Home Health Agencies and Care Coordination Agencies):

 

Sacramento County
San Joaquin County
Los Angeles County

Download Provider Contact List, as of 9/07 (Excel)

 

Already A Provider?

Visit our Provider Resources page to access the resources you will need to provide services.

All Medi-Cal providers must register for a National Provider identifier number. The website for registration is:
http://files.medi-cal.ca.gov/pubsdoco/npi/npi.asp?hURL=npi_reginfo.htm

 

Interested In Becoming A Provider?

Residential Care Facilities for the Elderly, Home Health Agencies and Care Coordination Agencies interested in becoming ALWPP providers should click on the appropriate link below to download information on eligibility and expected services. 

• Residential Care Facilities for the Elderly:  Eligibility Criteria and Assisted Living Bundle Service Description (PDF, 2 pages)*
• Home Heath Agencies:  Eligibility Criteria and Assisted Care Service Description (PDF, 2 pages)*
• Care Coordination Agencies: Eligibility Criteria and Care Coordination Service Description (PDF, 2 pages)*

 

Interested providers may also want to download and review the Participant Profiles (PDF) that were developed to help potential providers understand the tier structure on which reimbursement for the assisted living and assisted care services are based. The ALWPP includes four service tiers, each with different Reimbursement Rates. The Participant Profiles provide a brief summary of the background and care needs of two randomly selected participants at each tier.

Potential providers may also download and review the self-scoring ALWPP Assessment Tool in order to gain a better understanding of the tier structure.

Interested providers should also download and review the Billing Process (PDF, 1 page)*

To become an ALWPP provider, you must first complete the Provider Application. If your application is accepted, you will be invited to attend an ALWPP training workshop. After you attend the workshop, you will be required to complete the Medi-Cal Provider Application.  These steps are outlined below.

 

Step 1:  Download the Provider Application

• Residential Care Facilities for the Elderly Provider Application (PDF, 2 pages)*
• Home Health Agencies Provider Application (PDF, 2 pages)*
• Care Coordination Agencies Provider Application (PDF, 2 pages)*

 

The completed Provider Application is to be returned to:

Mark Mimnaugh, R.N., CCRN, MPA
Nurse Consultant III
Home and Community-Based Services Branch
1501 Capitol Avenue, MS 4503
PO Box 997419
Sacramento, CA 95899-7419

 

Step 2:  Attend a Provider Training Workshop. 

DHS will send you notice of the next workshop date.

 

Step 3:  Complete a Medi-Cal Provider Application

 

All provider applicants are required to complete the forms below.  A complete application package includes the application, provider agreement, disclosure statement and all required attachments as stated on the forms.  Please read and follow all instructions on each form carefully. Incomplete application packages will be returned and will delay your enrollment in the Medi-Cal program.  Only current forms will be accepted as part of the complete application package.  Previous versions will not be accepted.  The application forms listed below have been recently revised are are available on the Medi-Cal website:
http://files.medi-cal.ca.gov/pubsdoco/forms.asp (under "Provider Enrollment")

• Medi-Cal Provider Application (DHS 6204)
• Medi-Cal; Provider Agreement (DHS 6208)
• Medi-Cal Disclosure Statement (DHS 6207)