Home and Community-Based Care
Adult Day Health Care – Adult day health care that provides some medical care, plus physical, occupational and speech therapy.
Regulation – Licensed and Medi-Cal certified by CDPH. These programs also receive oversight from the Department of Aging.
Payment – Primarily Medi-Cal.
Community Care Facilities – Community care facilities also includes Residential Care Facilities for the elderly (RCFE) and Adult Residential facilities (ARFs). ARFs may serve persons with developmental disabilities who are clients of regional centers via the Home and Community Based Services Waiver.
Regulation – Licensed by Dept of Social Services, Community Care Licensing Division.
Payment – Funding through home and community-based Medi-Cal waiver program. Regional Center funding for the developmentally disabled, or private pay.
Congregate Housing – Housing with a common living area and non-medical support services to meet basic needs of older people.
Regulation – Dept of Social Services, Community Care Licensing Division.
Payment – Grants provided through the Federal Government (Housing & Urban Development). Some funding through SSI/SSP for those eligible.
Home Health Care – Home health care provides medically-oriented care for acute or chronic illness in the patient’s home, usually as a follow-up to acute or other facility discharge.
Regulation – Licensed and Medicare and Medi-Cal certified by California Department of Public Health.
Payment – Funded primarily through Medicare, with limited coverage through Medi-Cal, private insurance and private payments.
Hospice – Hospice provides care and support for terminally ill people and their families. Can be provided in a facility setting or at home.
Regulation – Hospice license required for in-home care. Dual license required in a facility setting. Medicare certification required for Medicare or Medi-Cal payments.
Payment – Funded through Medicare, Medi-Cal, private insurance and private payments.
Personal Care Services – Personal care services are provided for people who need assistance with daily living but do not require nursing.
Regulation – No separate license required.
Payment – Primarily funded through In-Home Supportive Services for those eligible. Some Medi-Cal, for those eligible and private payments.
Respite Care – Respite care provides short term inpatient or home care delivered to an elderly person as a substitute for their regular caregiver.
Regulation – No separate license required of existing licensed providers.
Payment – Funding through home and community based waivers and the Department of Aging.