Medicaid HCBS Waiver in San Francisco, California

What is Medicaid HCBS Waiver?

Home and Community-Based Services (HCBS) waivers allow Medicaid to pay for home care, personal assistance, and support services instead of nursing home care. These waivers enable elderly and disabled individuals to remain in their homes and communities while receiving the care they need. Each state administers its own HCBS waiver programs with different names and eligibility requirements, but all share the common goal of supporting aging in place.

In California, this program is known as Medi-Cal In-Home Supportive Services (IHSS). California's IHSS program is one of the largest home care programs in the nation, serving over 650,000 recipients. It pays for personal care services provided by an authorized caregiver, which can be a family member. Recipients receive monthly hours based on assessed need.

Eligibility Requirements in California

How to Apply in San Francisco, California

1. Contact California Department of Health Care Services at (916) 445-4171 to begin the application process
2. Request a functional eligibility assessment
3. Gather financial documentation (tax returns, bank statements, Social Security award letter)
4. Complete the Medicaid application through your state's portal or in person
5. If approved, work with a care coordinator to develop your care plan
6. Online application: You can start the application process online at California Department of Health Care Services's website.

Your local Area Agency on Aging - the San Francisco Department of Aging & Adult Services at (415) 355-6700 - can also help you navigate the application process at no charge.

Frequently Asked Questions About Medicaid HCBS Waiver in San Francisco

• What is the income limit for Medi-Cal In-Home Supportive Services (IHSS) in California?
  In California, the income limit for Medi-Cal In-Home Supportive Services (IHSS) is typically $2,982/month for a single person and $5,964/month for a married couple. Some income may be disregarded in calculations.
• How long is the waitlist for Medi-Cal In-Home Supportive Services (IHSS) in California?
  Waitlist times vary significantly. Contact California Department of Health Care Services at (916) 445-4171 for current waitlist status. Some states have open enrollment while others have waitlists of several months to years.
• What services does Medi-Cal In-Home Supportive Services (IHSS) cover in California?
  Covered services typically include personal care assistance, homemaker services, adult day health services, respite care, home health aide services, and skilled nursing visits. Specific services vary by program.
• Can I keep my Medicare coverage while on Medi-Cal In-Home Supportive Services (IHSS)?
  Yes. Medicaid HCBS waivers supplement but do not replace Medicare coverage. You may qualify for both programs simultaneously if you meet eligibility requirements for each.
• How are Medicaid assets calculated in California?
  In California, asset limits for Medicaid are typically $2,000 for an individual. Your primary home, one vehicle, personal belongings, and certain other assets may be exempt from this calculation.

Other Subsidies Available in San Francisco

Medicaid Waiver in Other California Cities