How the Aids Medi-Cal Waiver can Help you get the Care you Need at Home Instead of in a Medical Facility

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This publication tells you about the HIV/AIDS Medi-Cal Waiver Program. The program has case management services. It has direct care services for people living with HIV/AIDS. These services are instead of living in a nursing home or hospital. You can use it to help you stay at home. You can use it to help you go home from a facility. The publication tells you who is eligible. It tells you about the services you can get.

What is the HIV/AIDS Medi-Cal Waiver Program?

The HIV/AIDS Medi-Cal Waiver Program (the “AIDS Waiver”) provides case management and direct care services to persons living with HIV/AIDS as an alternative to nursing facility care or hospitalization. You can use this service to help you stay at home, or to go home from a facility.

Who is eligible?

Eligible individuals must:

  • Have a written diagnosis of HIV disease or AIDS from his/her primary care provider; and
  • Have a qualifying health status to make home care appropriate; and
  • Be Medi-Cal eligible on the date of enrollment and each month thereafter; and
  • Be certified to meet the Nursing Facility Level of Care or higher and score 60 or less using the Cognitive and Functional Ability Scale Assessment tool.

What types of services are available under this waiver?

  • Nurse and social work case management
  • Homemaker services such as meal preparation and routine household care, grocery shopping, etc.
  • Attendant care
  • Minor physical adaptations to the home such as ramps, grab bars, widening of doorways, etc.
  • Specialized medical equipment/medical supplies
  • Skilled nursing – RN/LVN
  • Psychotherapy
  • Financial assistance for children/infants in foster care
  • Nutritional counseling
  • Non-emergency medical transportation
  • Meals delivered to your home

Additional Information:

AIDS Waiver services are provided at no cost to the client, however individuals with a Medi-Cal share of cost must meet that share of cost each month to be eligible for services. There is a $25,727 per year cost limit effective January 1, 2017.

Individuals MAY NOT be simultaneously enrolled in or receive services from any of the following programs: Medi-Cal Hospice Program; State Plan case management services; Targeted case management to supplement AIDS Waiver; or another Medi-Cal Home and Community-Based Services Waiver.

Individuals MAY be simultaneously enrolled in Medicare Hospice.

AIDS Waiver agencies can provide additional information regarding eligibility and program services, enrollment, and the direct provision of case management services by a nurse and social worker. If you are not eligible for the AIDS Waiver, you may be eligible for other programs within the same agency or its parent agency. For a list of agencies by county see below.  For other resources see https://www.cdph.ca.gov/Programs/CID/DOA/Pages/OA_care_mcwp.aspx.

For Information about getting AIDS Waiver Services, you can call your county agency, listed below.  If you need information about applying for Medi-Cal, you can go to http://www.dhcs.ca.gov/services/medi-cal/Pages/ApplyforMedi-Cal.aspx.

AIDS WAIVER PROVIDERS

California Department of Public Health
Office of AIDS, HIV Care Branch

Counties Served Agency Name Agency Address Agency Phone
Alameda AIDS Project of the East Bay 8400 Enterprise Way
Oakland, CA 94621
(510) 663-7979
Amador, Calaveras, Tuolumne Sierra HOPE 1168 Booster Way
Angels Camp, CA 95222
(209) 736-6792
Butte, Colusa, Glenn, Shasta, Sutter, Tehama, Trinity, Yuba Home and Health Care Management 1398 Ridgewood Drive
Chico, CA 95973
(530) 343-0727
Contra Costa Contra Costa County Health Services Department 597 Center Avenue
Martinez, CA 94553
(925) 313-6740
El Dorado, Nevada, Placer Sierra Foothills AIDS Foundation 12183 Locksley Lane
Auburn, CA 95602
(530) 889-2437
Lake, Mendocino, Sonoma Community Care Management Corporation 301 South State Street
Ukiah, CA 95481
(707) 468-9347
Los Angeles AIDS Healthcare Foundation 1001 North Martel Avenue
Los Angeles, CA 90046
(323) 436-5000
Los Angeles AIDS Project Los Angeles 611 South Kingsley Drive
Los Angeles, CA 90005
(213) 201-1600
Los Angeles AltaMed Health Services Corporation 5427 E. Whittier Boulevard
Los Angeles, CA 90022
(877) 462-2582
Los Angeles Minority AIDS Project 5149 West Jefferson Boulevard
Los Angeles, CA 90016
(323) 936-4949
Los Angeles St. Mary Medical Center 1045 Atlantic Avenue
​​​​​​​Long Beach, CA 90813
(888) 509-2187
Los Angeles Tarzana Treatment Centers 7101 Baird Avenue
Reseda, CA 91335
(888) 777-8565
Orange AIDS Services Foundation 17982 Sky Park Circle
Irvine, CA 94621
(949) 809-5700
Riverside, San Bernardino Desert AIDS Project 1695 North Sunrise Way
​​​​​​​Palm Springs, CA 92262
(760) 323-4197
Sacramento, Yolo Rx Staffing and Homecare, Inc. 4640 Marconi Avenue
​​​​​​​Sacramento, CA 95821
(916) 485-8200
San Luis Obispo Access Support Network 130 Nipomo Street
​​​​​​​San Luis Obispo, CA 93401
(805) 781-3660
San Francisco Westside Community Services 1153 Oak Street
​​​​​​​San Francisco, CA 94117
(415) 431-9000
Santa Cruz Santa Cruz County Health Services Agency 1060 Emeline Avenue
​​​​​​​Santa Cruz, CA 95060
(831) 454-4313
Stanislaus Stanislaus County Health Services Agency 830 Scenic Drive
​​​​​​​Modesto, CA 95350
(209) 558-7000
Ventura Ventura County Public Health Department 3147 Loma Vista Road
​​​​​​​Ventura, CA 93003
(805) 652-6267

 

 

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