Medi-Cal Waiver Program
For Consumers
Who We Are
The Medi-Cal Waiver Program (MCWP) provides comprehensive case management and direct care services to people living with HIV (PLWH) as an alternative to nursing facility care or hospitalization. Case management is a participant centered, team approach consisting of a registered nurse and social work case manager. Case managers work with the participant and primary care provider(s), family, caregiver(s), and other service providers, to assess care needs to keep the participant in their home and engaged with their community.
The goals of the MCWP are to: (1) provide home and community-based services for PLWH who may otherwise require institutional services, (2) assist participants with HIV health management, (3) improve access to social and behavioral health support, and (4) coordinate service providers and eliminate duplication of services.
What We Provide
There are 15 MCWP providers located throughout California. MCWP providers served about 1,400 participants during 2025.
MCWP participant services include: attendant care, nurse and social work case management, home-delivered meals, homemaker services, minor physical adaptions to the home, non-emergency medical transportation, nutritional counseling, psychotherapy, skilled nursing (RN/LVN), specialized medical equipment/medical supplies, and nutritional supplements.
Who is Eligible
Participants must have (1) a written diagnosis of HIV/AIDS, (2) a health status and home environment to make home care appropriate, (3) full-scope Medi-Cal benefits, and (4) been certified to meet Nursing Facility Level of Care.
How to Find a Provider
To find a MCWP provider in your community, please see the
MCWP provider list.
For Providers
Centers for Medicare and Medicaid Services §1915(c) Home and Community-Based Services Waiver
Current Waiver
On February 16, 2023, the Centers for Medicare and Medicaid Services (CMS) approved the renewal of the §1915(c) Home and Community-Based Services (HCBS) Waiver for the Medi-Cal Waiver Program (MCWP) for the period of January 1, 2023 to December 31, 2027. The MCWP Waiver is retroactively effective to January 1, 2023.
Approved Amendments
On November 1, 2023, CMS approved an amendment to the §1915(c) HCBS MCWP Waiver to add telehealth as a permanent service delivery option for Psychotherapy, Case Management, and Nutritional Counseling, effective starting November 12, 2023.
Approved Emergency Amendments
On July 14, 2026, CMS approved an amendment to the §1915(c) HCBS MCWP Waiver to add Emergency Preparedness and Response Appendix K in response to the Orange County chemical leak incident, effective from May 21, 2026 to May 21, 2027