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Home and Community-Based Alternatives Waiver

Solicitation for Application (SFA)

The Department of Health Care Services (DHCS) has released a Solicitation for Application (SFA) to invite eligible organizations to apply to become Home and Community-Based Alternatives (HCBA) Waiver “Waiver Agencies.”  

Applicants selected to become Contracted Waiver Agencies will receive funding to perform waiver administrative functions within a defined service area and to provide Comprehensive Care Management services to Waiver participants. 

Waiver Agencies will be responsible for local waiver administration functions including, but not limited to:

  • Reviewing person-centered Plans of Treatment (POT)
  • Establishing an adequate network of service providers
  • Authorizing requests for services based on medical necessity
  • Billing the Medi-Cal Fiscal Intermediary for authorized services
  • Reimbursing contracted home- and community-based service provider within their service area
  • Monitoring provider performance, and
  • Ensuring the health and safety of participants receiving waiver services in the community.

 

SFA Resources

HCBA Waiver Overview

The 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 privately owned, secured through a tenant lease arrangement, or the residence of a Participant’s family member.

Waiver Authorization

Contact Us

Please email your comments and questions regarding the HCBA Waiver to: HCBAlternatives@dhcs.ca.gov    

Last modified on: 10/25/2017 12:24 PM