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Home and Community-Based Alternatives (HCBA) Waiver

 Latest Updates:  

 How to Submit Applications for the HCBA Waiver:

  1. Refer to the table below to see which Waiver Agency serves your county/zip code. Click on the Waiver Agency name to be directed to their webpage
  2. Contact the Waiver Agency to request an application
  3. Complete the application and submit it to the Waiver Agency

If you live in one of the below counties, you will submit your application to the state. Use the HCBA Waiver Participant Application posted on this website under “Participant Information.” Follow the instructions on the application to mail it to DHCS.   

  • Alpine
  • Imperial
  • Inyo
  • Marin
  • Mendocino
  • Mono
  • Napa

Contact Us

Waiver participants and providers, please call us with your questions. Calls are toll-free: 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 

Most Service Areas are identified by County, and include all of the zip codes within the County.  However, individuals residing in Los Angeles and Orange Counties should refer to the links below to identify the Waiver Agency that covers your zip code.

Waiver Agency
Service Area
Santa Barbara County, and sections of Los Angeles and Orange Counties
Alameda and Contra Costa Counties
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
San Francisco, San Mateo, San Bernardino, and Riverside Counties
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
Sections of Los Angeles County
San Diego County
Sonoma County
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    

Last modified on: 8/20/2018 9:54 AM