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: HCBAlternatives@dhcs.ca.gov