What is a Medi-Cal Waiver Program?

​​​​​​​​​​Medi-Cal Waivers​ Medi-Cal waivers are programs that provide additional services to specific groups of individuals, limit services to specific geographic areas of the state, and provide medical coverage to individuals who may not otherwise be eligible under traditional Medicaid rules.

What is IHO waiver?

The IHO Waiver provides services to either 1) Medi-Cal beneficiaries who have been continuously enrolled in an In Home Operations administered waiver since prior to January 1, 2002 and require direct care services provided primarily by a licensed nurse; or 2) those who have been receiving continuous care in a hospital …

What is the 1115 waiver California?

Medi-Cal 2020 Overview Section 1115 of the Social Security Act allows states to waive certain federal statutory Medicaid program requirements or obtain federal matching funds for costs or investments that would not otherwise be allowed under the Medicaid program.

What is HCBS waiver California?

Home and Community-Based Services (HCBS) Waivers allow states that participate in Medicaid, known as Medi-Cal in California, to develop creative alternatives for individuals who would otherwise require care in a nursing facility or hospital.

Is Ihss a state Medicaid waiver program?

Your In-Home Supportive Services (IHSS) income may be exempt if you received income from a Medicaid waiver or IHSS program for providing care to an individual you lived with. Visit IRS’s Certain Medicaid Waiver Payments May Be Excludable from Income for more information.

What does institutional deeming mean?

Medicaid Waiver Institutional Deeming (ID) is a process to obtain full scope unrestricted Medi-Cal without a share of cost for developmentally disabled consumers under age 18.

What are community based services?

Community services often support people with multiple, complex health needs who depend on many health and social care services to meet those needs. They therefore work closely with other parts of the health and care system, such as GPs, hospitals, pharmacies and care homes.

Who is responsible for administering home and community based services in California?

The Home and Community-Based Services for the Developmentally Disabled (HCBS-DD) Waiver is administered by the California Department of Developmental Services (DDS) who will authorize home and community-based services for developmentally disabled persons who are Regional Center consumers.

Does Medicaid cover assisted living?

While each state has its own rules and regulations, Medicaid covers some costs of assisted living in most states. This Medicaid coverage may include the following: Long-term care provided by assisted living communities, residential care homes, and nursing homes.

Is IHSS income exempt for Medi-Cal?

IHSS can be excluded from taxes, housing, Medi-cal, CalFresh, and SSI.

What is the Assisted Living Waiver Program in California?

The state of California recognizes that individuals qualified for nursing home care can often receive the same level and quality of care in an assisted living residence at a lower cost. The Assisted Living Waiver Program (ALWP) serves seniors who need long term care assistance with personal care and household tasks.

What is a home and community based services Medicaid waiver?

Most states offer Home and Community Based Services Medicaid Waivers, also called 1915(c) Waivers, which enable persons to continue to live at home or in the community rather than be placed in a nursing home.

Do assisted living waivers cover room and board in memory care?

Assisted living waivers do not cover room and board in memory care, they only pay for care costs. Assisted living waivers DO NOT cover the cost of room and board. Rather, they cover the cost of benefits.

What is the Assisted Living Waiver pilot project?

Most seniors and their families prefer an assisted living environment rather than a nursing home facility. This creates a win-win scenario for the state and for families. The Assisted Living Waiver Pilot Project was initially approved in 2009 and was amended and approved for another 5 years in March of 2019.