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Home and Community-Based Alternatives (HCBA) Waiver

 Latest Updates:  

DHCS sent out informational notices to HCBA Waiver participants and service providers to inform them of changes to the administration of the waiver.  The notices informed the participants and providers that they will receive another notification with more information in approximately two months and that they do not need to do anything at this time.  The notices can be viewed by clicking on the following links:


DHCS now has a toll free number that Waiver participants and providers can call with questions: 1-833-388-4551

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. 

​HCBA Waiver Agencies 

Waiver Agency
Service Area
Access TLC
Santa Barbara County, and sections of Los Angeles and Orange Counties
Centers for Elders’ Independence
Alameda & Contra Costa Counties
Home Health Care Management
Butte, Glenn, Sacramento, San Joaquin, Shasta, Solano, Sutter, Tehama, Yolo, Yuba, Colusa, Del Norte, El Dorado, Humboldt, Lake, Lassen, Modoc, Nevada, Placer, Plumas, Sierra, Siskiyou, and Trinity Counties
Institute on Aging
San Francisco, San Mateo, San Bernardino, Riverside
Libertana Home Health
Kern, Fresno, Kings, Tulare, Madera, Mariposa, Merced, Stanislaus, Tuolumne, San Luis Obispo, Amador, Calaveras, Santa Clara, Santa Cruz, San Benito, Monterey, and sections of Los Angeles and Orange Counties
Partners in Care
Sections of Los Angeles County
San Ysidro Health
San Diego County
Sonoma County Human Services Department
Sonoma County
Ventura County Agency on Aging
Ventura County

Waiver Authorization

Participant Information

Additional Resources 

Contact Us

Please email your comments and questions regarding the HCBA Waiver to:    


Last modified on: 6/18/2018 12:40 PM