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Home and Community-Based Alternatives (HCBA) Waiver

HCBA Waiver Solicitation for Application (SFA) Award Announcement

The Department of Health Care Services (DHCS) would like to thank everyone who prepared and submitted an application to become an HCBA Waiver Agency, in response to SFA #17-0118. Thank you for your interest in the HCBA Waiver and for the time and effort you put in to the development of your applications. The DHCS’ Integrated Systems of Care Division (ISCD) has evaluated all of the applications and, pursuant to SFA #17-10118, is hereby announcing that it intends to award HCBA Waiver Agency Contracts to the following applicants:

Service Area
Access TLC
Santa Barbara County, and sections of Los Angeles and Orange Counties
(service area defined by zip codes)
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
(service area defined by zip codes)
Partners in Care
Sections of Los Angeles County
(service area defined by zip codes)
San Ysidro Health
San Diego County
Sonoma County Human Services Department
Sonoma County
Ventura County Agency on Aging
Ventura County

DHCS received seventeen applications in response to the HCBA Waiver SFA released on October 4, 2017. Through an extensive, multi-phase scoring process, DHCS has selected the highest scoring applicants within each service area for award.

The organizations selected for award will ensure:

  • 99% of current Waiver participants and members on the existing waitlist are included in the nine selected Awardees’ service areas
  • 87.9% of the state's counties are served by the selected Awardees; and the state will continue to provide Waiver case management to the following counties not covered by an awardee:

o   Alpine

o   Imperial

o   Inyo

o   Marin

o   Mendocino

o   Mono

o   Napa


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

Participant Enrollment

HCBA Waiver Application 

Contact Us

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

Last modified on: 2/14/2018 2:29 PM