Alta California Regional Center: Services, History, and How to Get Started

For more than five decades, Alta California Regional Center (ACRC) has helped people with developmental disabilities live, learn, and work in their own communities. Today it serves tens of thousands of children and adults across 10 Northern California counties, from Sacramento to Lake Tahoe.

Here’s what ACRC does, where it came from, and how to get started.

At a glance

Alta California Regional Center

  • 36,760people servedas of Dec. 31, 2025
  • 10countiesacross Northern California
  • 8local officesfrom Sacramento to Lake Tahoe
  • 1 of 21regional centersin California’s statewide system

ACRC’s vision: “A community where individuals with developmental disabilities are valued members who are treated with dignity and respect.”

What Is Alta California Regional Center?

ACRC is one of 21 regional centers in California. Each is a private nonprofit that contracts with the state Department of Developmental Services (DDS). Regional centers don’t provide most services directly. Instead, they confirm who’s eligible, plan services with each person and family, pay for services when no one else will, and connect families with local programs.

Every eligible person is assigned a service coordinator. That person is your main contact at ACRC and helps build and update your plan.

A short history

California’s regional centers grew out of a movement led by families who wanted their loved ones to live at home, not in crowded state institutions. Tap through the timeline to see how the system, and ACRC, came to be.

From state hospitals to community: a timeline

Tap any year to read what happened.

Sources: ACRC, the Association of Regional Center Agencies, DDS, and IRS records via ProPublica. Full list at the end of this article.

Where ACRC serves

ACRC serves Alpine, Colusa, El Dorado, Nevada, Placer, Sacramento, Sierra, Sutter, Yolo, and Yuba counties, with eight offices across the region. That covers big cities, farm towns, and mountain communities. Find the office for your county below.

Find your ACRC office

Tap your county.

Your office’s address and phone number will show here.

Office hours are Monday to Friday, 8 a.m. to 5 p.m. For an after-hours emergency, call (916) 978-6400 and follow the prompts. Office details from ACRC; check ACRC’s site for any changes.

ACRC is making a difference. Visit Alta California Regional Center.

What ACRC does

Services depend on each person’s needs and goals. Depending on age and needs, ACRC may help with:

Two friends walking and talking together in a park
Regional center services are built around a simple goal: helping people live full lives in their own communities.
  • Early Start services for babies and toddlers with delays or at risk of them
  • Service coordination and individual planning for children and adults
  • Respite care so family caregivers can rest
  • Behavioral services and other supports
  • Independent and supported living
  • Employment, internships, and day programs
  • Transportation and assistive technology
  • The Self-Determination Program, which gives people more control over their services and budget


Before paying for a service, ACRC must first look to other sources, like private insurance, Medi-Cal, school services, or IHSS. That’s why many ACRC families also use IHSS for in-home care.

Who can get services and how to apply

  • Under age 3: babies and toddlers with a developmental delay, or at risk of one, may qualify for Early Start.
  • Ages 3 and 4: children can qualify provisionally, based on significant delays, without a final diagnosis.
  • Age 3 and up: people qualify if they have a substantial disability that began before age 18 and is expected to continue, such as intellectual disability, cerebral palsy, epilepsy, or autism, or a closely related condition.


To apply, call ACRC at (916) 978-6400 and ask for intake, or contact the office for your county.

Worth knowingThere’s no charge to be assessed for regional center eligibility. Once someone is eligible, most services are free regardless of age or income. There are two exceptions: some services can carry a family co-payment, and parents may share costs if a child under 18 lives in 24-hour care outside the home.

If ACRC says no

Families have the right to disagree with ACRC’s decisions about eligibility or services. ACRC must explain its decision in writing, and you can ask for an informal meeting, mediation, or a fair hearing.

FlagWhen ACRC denies, reduces, or ends a service, it must send you a written Notice of Action. To keep your current services while you appeal, appeal within 30 days of getting the notice and before the change takes effect. You have 60 days to appeal at all. Read our regional center appeal guide

ACRC and IHSS Connect

We’re proud to work alongside ACRC. Together, we’re hosting a free webinar series for families and caregivers, open to everyone in California.

Many ACRC families also rely on IHSS or a regional center’s caregiver programs. These guides can help:


Looking for help at home? Search caregivers on IHSS Connect for free.

Sources

  1. Alta California Regional Center — About UsCounties served; nonprofit under contract with DDS; main office and hours
  2. ACRC — OfficesAll eight office addresses, phone numbers, and the counties each serves
  3. ACRC — End of Year 2025 Summary (PDF)36,760 people served as of Dec. 31, 2025; new Sacramento office in March 2025
  4. ACRC — History of Regional Centers & the Lanterman Act1964 conditions; 1966 pilots and 559 people served; 1973, 1976, 1992, and 2014 changes
  5. Association of Regional Center Agencies — History of the System1965 law authorizing pilots; Lanterman Act signed Sept. 4, 1969; 21 regional centers
  6. ProPublica Nonprofit Explorer — Alta California Regional Center IncIRS tax exemption issued June 1970
  7. ACRC — Mission, Vision & ValuesVision statement
  8. ACRC — ServicesService coordination; IPP and IFSP; using other resources first
  9. ACRC — Publications & BrochuresFamily guides and languages
  10. Department of Developmental Services — Eligibility AssessmentsEligibility; Early Start; provisional eligibility for ages 3–4; no charge for assessment
  11. Department of Developmental Services — Information About Regional CentersWhat regional centers do; costs and exceptions
  12. DDS — Provisional Eligibility for Regional Center Services (PDF)2021 provisional eligibility for children ages 3 and 4

ACRC and the Department of Developmental Services are the primary sources. History dates follow ACRC and the Association of Regional Center Agencies.

About this article

This article introduces Alta California Regional Center: its history, the communities it serves, and how families can get started. It’s an update of our April 2026 article, with current office locations, figures, and history checked against ACRC, state, and IRS records.

IHSS Connect has received grant funding from ACRC. IHSS Connect is an independent, free registry for families and caregivers. We are not part of any state agency, county, or regional center, and this article is general information, not legal advice.

Spot something out of date? Let us know and we’ll check it.

If you’re just getting started, don’t hesitate to reach out—support is available, and you don’t have to navigate it alone.

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