This publication provides information about California programs that help people with disabilities, including children and seniors, who receive Medi-Cal stay in their home or return home from long-term care facilities like hospitals, nursing homes, and other medical facilities.
If you need help getting services to remain at home or move out of a facility, you can contact Disability Rights California toll free at or TTY: You can also visit our website at www. The In-Home Supportive Services IHSS program provides services for people with disabilities, including children, that allows them to remain safe at home instead of living in a long-term care facility like a nursing home, board and care, or other kind of facility.
IHSS is statewide and the largest home care program in California. The PACE program provides medical and social services to people 55 years of age and older who qualify for nursing home care but can live at home with help.
A primary care doctor works with a care team to coordinate PACE and other community services needed for an individual to remain at home. PACE is only provided in certain California zip codes. People who only have Medicare can pay for the portion of the monthly premium that Medi-Cal would normally pay in order for a person to get PACE services. HCBS waiver programs are Medi-Cal programs that waive certain Medi-Cal rules, so that people can get services they need to live at home or in the community instead of living in a hospital or long-term care facility.
Each waiver discussed below will contain a link where more information about the waiver can be found online. An individual can only be enrolled in one waiver at a time. However, individuals can be simultaneously enrolled in the Medicare Hospice program. The Assisted Living Waiver is a Medi-Cal program that pays for assisted living, care coordination, and other benefits provided to eligible seniors and persons with disabilities who qualify for placement in a nursing facility but are willing to live in an assisted living setting.
