65 Medi-Cal / Assisted Living Waiver homes in Fresno County

The Assisted Living Waiver (ALW) — the Medi-Cal program that pays for care in assisted living — has licensed participating homes on file in 16 California counties, and Fresno County is one of them. DHCS enrollment records as of August 9, 2026 list 65 currently licensed participating homes here, out of 290 licensed residential care homes countywide. Each is listed below with its state license number.

DHCS ALW enrollment records · CDSS licensing roster · August 9, 2026

Which homes in Fresno County take Medi-Cal through the Assisted Living Waiver?

65 licensed homes in Fresno County appear in DHCS Assisted Living Waiver enrollment records as of August 9, 2026. Of these, 56 are board-and-care homes licensed for six or fewer residents, 9 larger assisted-living communities (16 or more). Homes are listed alphabetically — never ranked — and each name links to its full state record, including inspection history and care approvals. Enrollment can change, so confirm current participation directly with the home.

DHCS ALW enrollment records · CDSS licensing roster · August 9, 2026

What is the Assisted Living Waiver?

The Assisted Living Waiver is a Medi-Cal program run by the California Department of Health Care Services (DHCS). For eligible Medi-Cal members who would otherwise qualify for nursing-facility care, it pays for care services in a participating home; room and board are generally paid separately. The list above reflects DHCS enrollment records as of August 9, 2026 — see how the waiver works and who qualifies.