California

California currently has five waivers that are open to children. All are HCBS 1915(c) Medicaid waivers. Four of these programs waive parental income; we do not know the status of the Pediatric Palliative Care Waiver. 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:

Programs in California

PEDIATRIC PALLIATIVE CARE

Also called PPC Waiver

  • Target Population: Children who are medically fragile or technology dependent with life-limiting conditions, and who live in the following counties: Alameda, Fresno, Los Angeles, Marin, Monterey, Orange, San Diego, San Francisco, Santa Clara, Santa Cruz, Sonoma and Ventura. 
  • Ages: 0-20
  • Levels of Care: Hospital
  • Income Waiver: Unknown
  • Waiver Type: 1915(c)
  • Spots: 1800
  • Expiration Date: 3/28/2017; amended 7/1/2017; proposed renewal to start 7/1/2018
  • 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: First apply for Medi-Cal. Then contact Partners for Children in your county or call 1-866-418-2933 to apply for the waiver.
  • Waiting List: California has 1800 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 1800 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: 213.897.8774
    • WPCS Hotline at 916.552.9214
  • Waiting List: California has 1800 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: 120,000 (will increase to 150,000)
  • Expiration Date: 3/28/2017; amended 7/1/2016; renewal pending
  • Description from medicaid.gov: Provides behavioral intervention, community living arrangements, day service, home health aide, homemaker, prevocational services, respite care, supported employment (enhanced habilitation), chore, communication aides, community-based training, dental, environmental accessibility adaptations, FMS, non-medical transportation, nutritional consultation, optometric/optician services, PERS, prescription lenses and frames, psychology services, skilled nursing, specialized medical equipment and supplies, specialized therapeutic services, speech/hearing and language services, transition/set up expenses, vehicle mods 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.
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
  • 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 65 people with HIV/AIDS on its waiting list.
OTHER PROGRAMS