California

California currently has six waivers that are open to children, including a new waiver for developmental disabilities. However, the Pediatric Palliative Care Waiver is ending and all participants will be transitioned in 2019. All other waivers are HCBS 1915(c) Medicaid waivers, and these programs waive parental income. For general information on California's waivers, see this list of waivers.

California also has several adult-only waivers, including Assisted Living, Multipurpose Senior Services Program, and San Francisco Community Living Support Benefit.

California Advocacy Organizations:

Last updated 10/17/18

Programs in California

PEDIATRIC PALLIATIVE CARE

Also called PPC Waiver

Note: This waiver is slated to be ended, with transition beginning in 2019.

  • Target Population: Children who are medically fragile or technology dependent with life-limiting conditions, and who live in the following counties: Alameda, Los Angeles, Marin, Monterey, Orange, San Francisco, Santa Clara, Santa Cruz, Sonoma.
  • Ages: 0-20
  • Levels of Care: Hospital
  • Income Waiver: Unknown
  • Waiver Type: 1915(c)
  • Spots: 1800
  • Expiration Date: 12/27/2017; on extension through 11/11/18
  • Description from medicaid.gov: Provides care coordination, home respite care, personal care, expressive therapies, family counseling, family training, out of home respite care, pain and symptom management for medically fragile and technology dependent individuals, ages 0-20.
  • Online State Information: PPC Waiver Page
  • Official Federal Information
  • How to Apply: Waiver is ending.
  • Waiting List: California has 2100 people with physical disabilities and 20 children on its waiting list.
  • Advocacy/Support Group: Coalition for Compassionate Care of California
HOME AND COMMUNITY BASED ALTERNATIVES WAIVER

Also called Nursing Facility A/B Waiver; NF/AH Waiver

  • Target Population: Children and adults who are medically fragile or technology dependent. This waiver is designed to transfer individuals out of institutions, or prevent imminent institutionalization.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility, Nursing Facility, Hospital
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 9871
  • Expiration Date: 12/31/2021
  • Description from medicaid.gov: Provides case management, habilitation services, home respite, waiver personal care services, community transition services, comprehensive care management, continuous nursing and supportive services, developmentally disabled/continuous nursing care (DD/CNC) non-ventilator dependent services, developmentally disabled/continuous nursing care- ventilator dependent services, environmental accessibility adaptations, facility respite, family/caregiver training, medical equipment operating expense, PERS installation and testing, personal emergency response systems (PERS), private duty nursing - including home health aide and shared services, transitional case management for medically fragile and technology dependent individuals, ages 0 to no maximum age.
  • Online State Information: HCBA Waiver Page
  • Official Federal Information
  • How to Apply: First apply for Medi-Cal. Then contact your county social services department to apply for the waiver.
  • Waiting List: California has 2100 people with physical disabilities and 20 children on its waiting list.
IN HOME OPERATIONS

Also called IHO Waiver

  • Target Population: Children and adults who are medically fragile or technology dependent.
  • Ages: all ages
  • Levels of Care: Nursing Facility
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 106
  • Expiration Date: 12/31/2019
  • Description from medicaid.gov: Provides case management/coordination, habilitation services, home respite, waiver personal care, community transition, environmental accessibility adaptations, family/caregiver training, medical equipment operating expense, PERS-installation and testing, PERS, private duty nursing-including shared services, and transitional case management for medically fragile and technology dependent individuals, ages 0 - no max age.
  • Online State Information: IHO Waiver
  • Official Federal Information
  • How to Apply: First apply for Medi-Cal. Then contact the following numbers:
    • Northern California: 916.552.9105
    • Southern California: 213.897.6774
    • WPCS Hotline at 916.552.9214
  • Waiting List: California has 2100 people with physical disabilities and 20 children children on its waiting list.
HCBS WAIVER FOR CALIFORNIANS WITH DD

Also called HCBS-DD Waiver

  • Target Population: Children and adults with developmental or intellectual disabilities, including autism.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 150,000
  • Expiration Date: 12/31/2022
  • Description from medicaid.gov: Provides behavioral intervention services, community living arrangement services, day service, homemaker, prevocational services, respite care, supported employment individual, dental services, home health aide, occupational therapy, optometric/optician services, physical therapy, prescription lenses and frames, psychology services, speech, hearing and language services, financial management service, chore services, communication aides, community-based training service, environmental accessibility adaptations, family support services, family/ consumer training, housing access services, non-medical transportation, nutritional consultation, personal emergency response systems (PERS),skilled nursing, specialized medical equipment and supplies, transition/set up expenses, and vehicle modifications and adaptations for individuals with autism, DD, IID, ages 0 to no maximum age.
  • Online State Information: HCBS-DD Page
  • Official Federal Information
  • How to Apply: First apply for Medi-Cal. Then contact your Regional Center to apply for the waiver.
  • Waiting List: California has 20 children on its waiting list.
SELF-DETERMINATION PROGRAM FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
  • Target Population: Children and adults with developmental or intellectual disabilities, including autism.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 2500
  • Expiration Date: 6/30/2023
  • Description from medicaid.gov: Provides community living supports, employment supports, homemaker, live-in caregiver, prevocational supports, respite services, acupuncture services, chiropractic service, dental services, home health aide, lenses and frames, occupational therapy, optometric/optician services, physical therapy, psychology services, speech, hearing and language services, financial management service, independent facilitator, behavioral intervention services, communication support, community integration supports, crisis intervention and support, environmental accessibility adaptations, family support services, family/consumer training, housing access supports, individual training and education, massage therapy, non-medical transportation, nutritional consultation, participant-directed goods and services, personal emergency response systems (PERS), skilled nursing, specialized medical equipment and supplies, technology, training and counseling services for unpaid caregivers, transition/set up expenses: other service, vehicle modifications and adaptations to individuals with autism, DD, IID, ages 0 to no maximum age.
  • Online State Information: Self-Determination Program
  • Official Federal Information
  • How to Apply: Attend an informational meeting to get on the interest list. See this Enrollment Page for more information.
  • Waiting List: California has 20 children on its waiting list.
HIV/AIDS WAIVER

Also called Acquired Immune Deficiency Syndrome (AIDS) Waiver

  • Target Population: Children and adults with mid to late stage HIV/AIDS.
  • Ages: all ages
  • Levels of Care: Nursing Facility, Hospital
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 1948
  • Expiration Date: 12/31/2021
  • Description from medicaid.gov: Provides enhanced case management, homemaker, skilled nursing (licensed vocational nurse), skilled nursing (registered nurse), attendant care, home-delivered meals / nutritional supplements, Medi-Cal supplements for infants and children in foster care, minor physical adaptations to the home, non-emergency medical transportation, nutritional counseling, psychotherapy, specialized medical equipment and supplies to HIV/AIDS individuals, ages 0 to no maximum age.
  • Online State Information: HIV/AIDS Waiver Page or the AIDS office
  • Official Federal Information
  • How to Apply: First apply for Medi-Cal. Then contact the AIDS office to apply for the waiver.
  • Waiting List: California has 70 people with HIV/AIDS on its waiting list.
OTHER PROGRAMS