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Home and Community-Based (HCB) Alternatives Waiver

The Home and Community Based Alternatives (HCBA) Waiver (formerly the Nursing Facility/Acute Hospital (NF/AH) Waiver) was approved by the Centers for Medicare and Medicaid Services (CMS) on May 16, 2017.  Medicaid's Home and Community-Based Services (HCBS) Waiver programs, including the HCBA Waiver, are authorized under Section 1915(c) of the Social Security Act; governed by Title 42, Code of Federal Regulations (CFR); and administered by CMS. 


The HCBA Waiver provides care management services to persons at risk for nursing home or institutional placement. The care management services are provided by a multidisciplinary care team comprised of a nurse and social worker. The care management team coordinates Waiver and State Plan services (e.g., medical, behavioral health, In-Home Supportive Services, etc.), and arranges for other available long-term services and supports available in the local community. Care management and Waiver services are provided in the Participant’s community-based residence. This residence can be a privately owned, secured through a tenant lease arrangement, or the residence of a Participant’s family member.

 Waiver Renewal Approval Letter  

Current Waiver - Approved 5/16/2017 

Provider Enrollment- HCB Alternatives Waiver   

Long-Term Care Alternatives (Home and Community Based Services Options) 

Last modified on: 9/14/2017 4:15 PM