• Personal attendant care , including help with eating, dressing, preparing meals, and protective supervision in your own home or apartment,
• Adult day care and health care programs , which provide activities, meals, therapy and on-site medical monitoring,
• Home health for nursing care,
• Care planning and case management , including a comprehensive assessment by a care professional and a network of professionals and programs appropriate for providing care,
• Respite care for family caregivers , including help on weekends, evenings and emergencies and temporary out of home care,
• Assistive technology , mechanical assistance and adaptive equipment, such as electric wheelchairs, lifts, special spoon or adapted phone,
• Emergency Response Systems in the home, such as emergency call buttons, and emergency attendant care,
• Home modifications to make homes, apartments or other living options accessible,
• Independent living training and habilitation including regaining independent living skills, help with money management or connections with community life, and
• Other help needed for someone to move out of an institution or stay in the community, such as assistance with moving costs and high utility bills due to a disability.

California includes in its Medi-Cal state plan the following home and community-based services, so Medi-Cal recipients should be able to obtain them in lieu of being institutionalized:

• Home health care
• Skilled nursing
• Attendant care
• Case management, medical social worker
• Medical supplies, equipment
• Therapy
• Hospice care
• Adult day care
• Rehabilitative mental health services
• And more

• Additional attendant care
• Crisis and emergency care
• Home modifications
• Residential care supports (assisted and supported living)
• Respite
• Special medical equipment
• Transportation
• Additional Therapy

*California has arbitrary caps on the number of people who can receive in-home and community-based waiver services and currently has a waitlist for many of these programs. Many people remain institutionalized waiting for these services to be made available to them.

• Your own home or apartment,
• Apartments designed for seniors or people with disabilities, including wheelchair access and roll-in showers,

• Residential services and assisted living facilities, including community-based supportive living and board and care homes,
• Government assisted housing and apartment complexes, of which at least 5% must be accessible and all newly constructed apartments must be fully accessible,
• Fair Share Voucher program through Section 8 which provides extra vouchers to local Public Housing Authorities — 15% of all vouchers are for households with a person with a disabilities and 3% or all vouchers go to people with disabilities on Medi-Cal Home and Community Based Waiver programs (New Freedom Initiative),
• The costs of building or rehabilitating an affordable, accessible housing unit ranges from $125K to $200K per unit.
• The additional cost to make a new housing unit accessible or adaptable is between 0 — 1.5% of the construction costs, compared to an inaccessible unit.