GrandCare 
Assisted Living Services
GrandCare 
Assisted Living Services
  • GrandCare
  • Enrollment Process
  • Contact Us
  • FAQs
  • Resources
  • More
    • GrandCare
    • Enrollment Process
    • Contact Us
    • FAQs
    • Resources
(877) 405-6990
  • GrandCare
  • Enrollment Process
  • Contact Us
  • FAQs
  • Resources
(877) 405-6990
An Assisted Living Waiver Care Coordination Agency

Grand Care Assisted Living Services

 

The California Medi-Cal Assisted Living Waiver (ALW) was designed to create affordable housing options for seniors and individuals with disabilities at an affordable monthly rate.


Let us help you get approved to participate in the California Medi-Cal Assisted Living Waiver Program.


Our services are 100% free.


Get Started

About Grand Care Assisted Living Services

 GrandCare Assisted Living Services is a Care Coordination Agency (CCA) for the Assisted Living Waiver (ALW) program. 


We have been coordinating care for people in the Southern California region since 2008. 


Our team specializes in the enrollment process and is dedicated to helping participants find placement in a local assisted living facility that can best meet their care needs. 

Proudly Serving the Following Counties:

 We work with over 800 assisted living facilities that participate in the ALW program. Many have room availability to accept and care for our clients in all metropolitan areas of Southern California, including Los Angeles County, San Bernardino County, Orange County, Riverside County, and San Diego County. 

Apply Online Now

Enrollment Process

1. Apply: Pre-Eligibility

 

Complete and submit the application packet to determine if you meet the pre-eligibility criteria.


If all pre-eligibility criteria are met, GrandCare Assisted Living Services will assist you with the enrollment process for the ALW program at no cost.

Determining Medi-Cal Eligibility

2. Waitlist Process

 

All applicants are placed on the DHCS (Dept of Health Care Services) ALW Waitlist. Each Care Coordination Agency (CCA) has their own waitlist with DHCS, and you may only be on one waitlist at a time.


DHCS gives priority on the waitlist for different types of applicants. DHCS decides what the priority is for each type of applicant and the expected waitlist times. Waitlist times are subject to change monthly.


The types of applicants are Community, Institutional (SNF), Open Adult Protective Services case (APS), and Ombudsman referral (LTCO).


We can update an application type at any time with DHCS with the appropriate documentation. DHCS will honor the initial waitlist submission date when/if the application type is updated.

Learn More about applicant types

3. Assessment

 

Our Nurses will schedule to meet with you for an in-person assessment. They will review your specific care needs based on your medical documentation and your personal history.


The tool used during your assessment is provided by DHCS and will determine your Tier level of care.


If eligible, our team will review and submit the complete assessment to DHCS for approval. 

4. Review & Approval

 The Department of Health Care Services will review your application packet and provide a Pend (pre-approval) for the Assisted Living Waiver. 

5. Transition into an ALW Approved Facility

 

Once you have moved into an ALW approved facility we will request official enrollment into the ALW Program.


With over 800+ ALW Approved Facilities to choose from in Southern California, our team will work with you and your loved ones to make sure we secure placement at an ALW Approved Facility that can accommodate and provide the care you need.

List of RCFE & ARF Facilities​

6. Ongoing Care Oversight

 

As the Care Coordination Agency (CCA), we will continue to monitor and oversee participants’ care throughout their enrollment.


A Nurse or Social Worker will visit on a monthly basis to check-in and ensure participants are receiving adequate care at the facility based on their ALW Individual Care Plan.

Click Here to apply online

Frequently Asked Questions

Please reach us at alw@gcalw.com if you cannot find an answer to your question.

The Assisted Living Waiver (ALW) is limited to individuals eligible for Medi-Cal, without a Medi-Cal share of cost, who require a nursing facility level of care and wish to live in a residential care setting or in publicly funded senior and/or disabled housing. 


ALW participants must have sufficient funds to pay for their room and board, with some funds remaining to meet personal and incidental needs. 


In determining Medi-Cal eligibility for individuals who are applying for enrollment into ALW, institutional and spousal impoverishment prevention rules are applied.  


 

  • Age 21 or older
  • Have full-scope Medi-Cal eligibility with zero share of cost
  • Enrolled in SSI/SSP/SSD or receive enough income to pay the monthly room and board amount
  • Must meet ALW care criteria – Require assistance with 3 out of 5 activities of daily living
  • Able to reside safely in an assisted living facility or public subsidized housing
  • Willing to live in an assisted living setting located in one of the following counties providing ALW services: Alameda, Contra Costa, Fresno, Kern, Los Angeles, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Joaquin, San Mateo, Santa Clara, and Sonoma Counties.


Yes. As long as you provide us, your Care Coordination Agency (CCA), with your social security number and date of birth we can add you to the waitlist. You will need to have zero-share-of-cost Medi-Cal by the time we are requesting your enrollment in the ALW Program. 


ALW Services are funded through the participants' Medi-Cal. There are no out-of-pocket expenses due or payable to GrandCare from clients or family members. 


Participants are only required to pay ALW Room & Board Rate to Assisted Living Facility each month. 


 The ALW Room and Board is determined by SSI and the Non-medical Out of Home Rate. This typically increases yearly with the COLA increase. 


Most ALW participants use their Social Security Income/State Supplementary Payment (SSI/SSP) to pay for rent. 


Effective January 1, 2026, monthly Room and Board rate is $1,444.07.  

If income is greater than $1,626.07 a facility can charge an additional $20 totaling $1,464.07.


Yes! 


You have a choice of which ALW approved facility in which you wish to reside. Be advised, each facility must also confirm they can accommodate your care level before admission.   


No. 


Having Medi-Cal benefits allows you to participate in the program but does not mean that a participant is auto-enrolled. 


You still need to apply with a Care Coordination Agency (CCA) to be enrolled.


 DHCS Homepage 

 Medi-Cal 

California Department of Aging

Resources

ApplicationGrandCare ALW Program Waitlist and Eligibility InformationDepartment of Health Care Service – Assisted Living Waiver ProgramCreate online Medi-Cal account to apply for Medi-cal BenefitsAdvanced Healthcare DirectivesList of Care Coordination Agencies
Physician Report Form (LIC602A) (pdf)Download
Assisted Living Waiver Freedom of Choice Form (pdf)Download
Assisted Living Waiver Amenity Form (pdf)Download

Hear From Our Happy Families!

Contact Us

Grand Care Assisted Living Services

Hours: Monday - Friday 8:00am - 5:00pm Phone: (877) 405-6990 Fax: (877) 405-6991 Email us at: ALW@gcalw.com

Get the Care you need

Privacy Notice

Terms and Conditions

Copyright © 2026 Grand Care Assisted Living Services - All Rights Reserved.


Powered by

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept