Seeking Community Input on Caseload Ratios

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Alta California Regional Center (ACRC) is seeking your input about our caseload ratios. A caseload ratio measures the number of clients assigned to one Service Coordinator. ACRC’s caseload ratios have been too high in some areas. This means, in some cases, too many clients are sharing a single Service Coordinator.

Of the six caseload ratio categories, ACRC met the ratio in three categories: 

  • Clients who are Movers within the last 12 months. A ratio of 1:4 was reported and the required ratio is 1:45.
  • Clients who have Complex needs. A ratio of 1:15 was reported and the required ratio is 1:25.
  • Clients who have Low to No Purchase of Service (POS). A ratio of 1:34 was reported and the required ratio is 1:40.

ACRC did not meet the ratio in the three caseload categories below (highlighted in yellow on the image):

  • Clients enrolled on the Home and Community-Based Services (HCBS) Waiver. A ratio of 1:71 was reported, and the required ratio is 1:62.
  • Clients under six years of age. A ratio of 1:43 was reported and the required ratio is 1:40.
  • Clients over 5 years of age, non-waiver, non-mover. A ratio of 1:72 was reported, and the required ratio is 1:66.

The Low or No POS category is highlighted in blue (on the image) because the data submitted by ACRC indicates five mixed Low to No POS caseloads. The Regional Center Contract prohibits mixed Low or No POS caseloads. ACRC will remediate the noncompliance with the composition of the Low or No POS caseloads and eliminate having mixed Low or No POS caseloads reflected in this category.

These are caseloads designed for movement across units, and at any given time, there are clients transitioning into or out of the low to no POS caseload category.  Due to data transmission delays, some clients remained in the low to no POS category, as they were transitioning into or out of another case management unit. March 1, 2026, is a mandatory point in time for this data pull and moving forward, ACRC will ensure all case movements are finalized before the reporting deadline. In practice, ACRC does not operate within or support mixed caseloads in this low to no POS category.

Please note that this category does not represent caseload ratio noncompliance.

Welfare and Institutions Code 4640.6(f) require the regional center to submit a plan of correction when caseload ratios are not met for two consecutive reporting periods. 

We need and want your input about ways to reduce caseload ratios and have a dedicated email address: ratioinput@altaregional.org to receive your ideas. The last day for community input is June 5, 2026.