AIDS Medi-Cal Waiver Program
For Consumers
Who we are
The AIDS Medi-Cal Waiver Program (MCWP) provides comprehensive case management and direct care services to persons living with HIV 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 in order to keep the participant in their home and community.
The goals of the MCWP are to: (1) provide home and community-based services for persons with HIV 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 20 MCWP providers located throughout California. MCWP providers served about 1,500 participants during 2016.
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 (1) have a written diagnosis of HIV/AIDS, (2) have a health status to make home care appropriate, (3) be Medi-Cal eligible on date of enrollment and each month thereafter, and (4) have been certified to meet the Nursing Facility Level of Care or higher.
How to find a provider
To find a MCWP provider in your community, please see the MCWP provider list (PDF).
For Providers
Electronic Visit Verification
Electronic Visit Verification (EVV) is a telephone and computer-based solution that electronically verifies in-home service visits occur. EVV solutions must verify: Type of service performed; Individual receiving the service; Date of the service; Location of service delivery; Individual providing the services; and Time the service begins and ends.
The implementation of EVV for personal care services (PCS) is anticipated by January 1, 2022 and for Home Health Care Services (HHCS) by January 1, 2023. MCWP agencies and subcontractors must comply with EVV policies and procedures by these dates.
MCWP services impacted by EVV:
PCS:
- Services of home health/hospice aide in home health or hospice settings (G0156)
- Homemaker service (S5130)
HHCS:
- Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting (G0299)
- Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting (G0300)
For more information on EVV, please see the California Department of Health Care Services Electronic Visit Verification Phase II website.
Centers for Medicare and Medicaid Services Ā§1915(c) Home and Community-Based Services Waiver
2022-2026 AIDS Waiver Renewal - Public Comment Information
Staff Assignments
All Project Directors' Letters
MCWP-Related Websites
MCWP HIPAA Notice of Privacy Practices
The MCWP is a program covered by the Health Insurance Portability and Accountability Act (HIPAA). The HIPAA Privacy Rule provides individuals the right to be informed of how their protected health information may be used and disclosed. The HIPAA MCWP Notice of Privacy Practices website has more information pertaining to this. For questions about the MCWP Notice of Privacy Practices please contact the CDPH Privacy Office at:
California Department of Public Health
Privacy Office, Office of Legal Services
Email: privacy@cdph.ca.gov
Telephone: (877) 421-9634 or
(877) 421-9634 (toll-free)