California’s protection & advocacy system

For legal assistance call 800-776-5746. For all other purposes call 916-504-5800 in Northern CA

or 213-213-8000 in Southern CA. TTY 800-719-5798.

 

How the AIDS Medi-Cal Waiver Can Help You to Get the Care You Need at Home Instead of in a Medical Facility

April 2009, Pub #5435.01

 

What is the AIDS Medi-Cal Waiver Program?

It provides home and community-based services to persons with HIV/AIDS in their own home rather than in a hospital or nursing facility. You can use this service to help you stay at home, or to go home from a facility.

 

Who qualifies for this program?

  • Individuals with a written diagnosis by an attending physician of HIV disease or AIDS with current signs, symptoms, or disabilities related to HIV disease or treatment;
  • Adults who are certified by the nurse case manager to be at the nursing facility level-of-care and score 60 or less using the Cognitive and Functional Ability Scale assessment tool;
  • Children under 13 years of age who are certified by the nurse case manager as HIV / AIDS symptomatic; and
  • Individuals with a health status that is consistent with in-home services and who have a home setting that is safe for both the client and service providers (e.g. structurally sound, clear exits during emergencies, etc.);
  • Medi-Cal eligibility requirements: Individual 1) whose health status qualifies them for nursing facility care or hospitalization; 2) in an "Aid code" with full benefits (excludes long-term care) and federal financial participation; and 3) not enrolled in the Program of All- Inclusive Care for the Elderly (PACE).

 

What types of services are available under this waiver?

  • Case management
  • Homemaker services such as meal preparation and routine household care, grocery shopping etc…
  • Minor physical adaptations to your home such as ramps, grab bars, and widening of doorways
  • Skilled nursing
  • Specialized medical equipment and supplies
  • Attendant care
  • Psychological counseling
  • Financial assistance for children/infants in foster care
  • Nutritional supplements
  • Non emergency transportation
  • Meals delivered to your home
  • Nutritional counseling

 

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 $13,209 per calendar year cost limit; certain service categories may have monthly or yearly maximum limits.

Individuals cannot be simultaneously enrolled in any of the following programs: CMP, State Targeted Case Management Services Program, or any other Medi-Cal Waiver Program.

Individuals may be simultaneously enrolled in Medicare Hospice or Medi- Cal Managed Care Plans except for PACE (Program for All-inclusive Care for the Elderly) Program.

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 http://www.hivinfo.org/links/lhj.htm; and http://www.cdph.ca.gov/programs/aids/Documents/FSCMS.pdf

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

AIDS WAIVER PROVIDERS,
California Department of Public Health
Office of AIDS

Alameda
Alameda County Medical Center

15400 Foothill Boulevard, Bldg. C, Second Floor
San Leandro 94578
(510) 895-4343

Bay Area Consortium for Quality Health Care, Inc.
5709 Market Street
Oakland 94608
(510) 652-3300

Amador
Sierra Health Resources, Inc.
d.b.a. Sierra HOPE

P.O. Box 159
Angels Camp 95222
(209) 736-6792

Butte
Home Health Care Management, Inc.

1398 Ridgewood Drive
Chico 95973
(530) 343-0727

Calaveras
Sierra Health Resources, Inc.
d.b.a. Sierra HOPE

P.O. Box 159
Angels Camp 95222
(209) 736-6792

Colusa
Home Health Care Management, Inc.

1398 Ridgewood Drive
Chico 95973
(530) 343-0727

Contra Costa
Contra Costa County Health Services
Department Public Health

597 Center Avenue, Suite 200
Martinez 94553
(925) 313-6771

Del Norte
St. Joseph Home Care Network – Humboldt County

721 E Street
Eureka 95501
(707) 443-9332

El Dorado
Sierra Foothills AIDS Foundation

12183 Locksley Lane, Suite 205
Auburn, CA 95602
(530) 889-2437

Fresno
Fresno Community Hospital and Medical
Center dba University Medical

Center 445 S. Cedar Avenue
Fresno 93702
(559) 459-4435

Glenn
Home Health Care Management, Inc.

1398 Ridgewood Drive
Chico 95973
(530) 343-0727

Humboldt
St. Joseph Home Care Network - Humboldt County

721 E Street
Eureka 95501
(707) 443-9332

Imperial
Imperial County Public Health Department

935 Broadway
El Centro 92243
(760) 482-4469

Kern
Kern County Department of Public Health

1800 Mount Vernon Avenue, 2nd Floor
Bakersfield 93306
(661) 868-0502

Kings
Kings County Department of Public Health Services

330 Campus Drive
Hanford 93230
(559) 584-1401

Lake
Community Care Management Corporation

301 South State Street
Ukiah 95482
(707) 468-0314

Lassen
Plumas County Public Health Agency

270 County Hospital Road, Suite 206
Quincy 95971
(530) 283-6337

Los Angeles
AIDS Healthcare Foundation

1001 North Martel Avenue
Los Angeles 90046
(323) 860-5200

AIDS Project Los Angeles
3550 Wilshire Boulevard, Suite 300
Los Angeles 90010
(213) 201-1600

AIDS Service Center
909 South Fair Oaks Ave.

Pasadena 91105
(626) 441-8495

AltaMed Health Services Corporation
5427 E. Whittier Boulevard
Los Angeles 90022
(323) 869-5449

Charles R. Drew University of Medicine and Science
Center for AIDS Research, Education and Services

1731 East 120th Street, Building M
Los Angeles 90059
(323) 563-4939

Minority AIDS Project
5149 West Jefferson Boulevard
Los Angeles 90016
(323) 936-4949

St. Mary Medical Center
d.b.a. St. Mary CARE Program

411 E. 10th St., Suite 107
Long Beach 90813
(562) 624-4900

Tarzana Treatment Centers
7101 Baird Avenue
Raseda 91355
(818) 996-1051

Marin
Hospice by the Bay

17 East Sir Francis Drake Boulevard
Larkspur 94939-172
(415) 927-2273

Mendocino
Community Care Management Corporation

301 South State Street
Ukiah 95482
(707) 468-0314

Modoc
Plumas County Public Health Agency

270 County Hospital Road, Suite 206
Quincy 95971
(530) 283-6337

Monterey
Natividad Immunology Division Outpatient (NIDO)

1441 Constitution Boulevard, Bldg. 760
Salinas 93906
(831) 755-4111

Napa
Queen of the Valley Medical Center,
Community Outreach, CARE Network

3448 Villa Lane, Suite 102
Napa 94558
(707) 251-2000

Nevada
Sierra Foothills AIDS Foundation

12183 Locksley Lane, Suite 205
Auburn, CA 95602
(530) 889-2437

Orange
AIDS Services Foundation Orange County

17982 Sky Park Circle, Suite J
Irvine 92614-640
(949) 809-5700

Placer
Sierra Foothills AIDS Foundation

12183 Locksley Lane, Suite 205
Auburn, CA 95602
(530) 889-2437

Plumas
Plumas County Public Health Agency

270 County Hospital Road, Suite 206
Quincy 95971
(530) 283-6337

Riverside
Desert AIDS Project

1695 N. Sunrise
Palm Springs 92262
(760) 323-2118

Inland AIDS Project
3767 Elizabeth Street
Riverside 92506-250
(951) 346-1910

Sacramento
Rx Staffing and Home Care, Inc.

4640 Marconi Avenue, Suite 1
Sacramento 95821-431
(916) 979-7300

San Benito
Natividad Immunology Division Outpatient
(NIDO)

1441 Constitution Boulevard, Bldg. 760
Salinas 93906
(831) 755-4111

San Bernardino
Desert AIDS Project

1695 N. Sunrise
Palm Springs 92262
(760) 323-2118

Inland AIDS Project
3767 Elizabeth Street
Riverside 92506-250
(951) 346-1910

San Diego
North County Health Services

150 Valpreda Road, Suite 101A
San Marcos 92069-291
(760) 736-6725

San Diego Hospice & Palliative Care
4311 Third Avenue
San Diego 92103-140
(619) 278-6400

San Francisco
California Pacific Medical Center

2333 Buchanan
San Francisco 94115
(415) 600-6000

Tenderloin Health
255 Golden Gate Avenue
San Francisco 94102
(415) 437-2900

Westside Community Mental Health Center, Inc.
dba Westside Community Services

245 11th Street
San Francisco 94113
(415) 355-0311

San Joaquin
San Joaquin County Public Health Services

1601 East Hazelton Avenue
Stockton 95205-622
(209) 468-3820

San Luis Obispo
San Luis Obispo County Public Health Department

2191 Johnson Avenue
San Luis Obispo 93401
(805) 781-5540

San Mateo
San Mateo County Health Services Agency

225 37th Avenue
San Mateo 94403
(650) 573-3904

Santa Barbara
Pacific Pride Foundation

126 East Haley Street, Suite A-11
Santa Barbara 93101
(805) 963-3636

Santa Clara Health Trust (The)
1701-A South Bascom Avenue
Campbell 95008
(408) 961-9850

Santa Cruz
Santa Cruz County Health Services Agency

1060 Emeline Avenue, Building F
Santa Cruz 95060
(831) 454-4730

Shasta
Home Health Care Management, Inc.

1398 Ridgewood Drive
Chico 95973
(530) 343-0727

Sierra
Plumas County Public Health Agency

270 County Hospital Road, Suite 206
Quincy 95971
(530) 283-6337

Siskiyou
Plumas County Public Health Agency

270 County Hospital Road, Suite 206
Quincy 95971
(530) 283-6337

Solano
Solano County Health and Social Services Older and Disabled Adults Services

275 Beck Avenue, MS 5-110
Fairfield 94533
(707) 784-8203

Sonoma
Face to Face, Sonoma County AIDS Network

873 Second Street
Santa Rosa 95404
(707) 544-1581

Stanislaus
Stanislaus County Health Services Agency

830 Scenic Drive, Bldg. #3
Modesto 95353-312
(209) 558-7400

Sutter
Home Health Care Management, Inc.

1398 Ridgewood Drive
Chico 95973
(530) 343-0727

Trinity
Home Health Care Management, Inc.

1398 Ridgewood Drive
Chico 95973
(530) 343-0727

Tulare
Tulare County Health and Human Services Agency

1150 South K. Street
Tulare 93274
(559) 687-6903

Tuolumne
Sierra Health Resources, Inc.

d.b.a. Sierra HOPE
P.O. Box 159
Angels Camp 95222
(209) 736-6792

Ventura
Ventura County Public Health Department

3147 Loma Vista Road Ventura 93003
(805) 652-6694

Yolo
Rx Staffing and Home Care, Inc.

4640 Marconi Avenue, Suite 1
Sacramento 95821-431
(916) 979-7300

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