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Home and Community-Based Services Waiver for the Developmentally Disabled (HCBS-DD)

Provides home and community-based services to developmentally disabled persons who are Regional Center consumers as an alternative to care provided in a facility that meets the Federal requirement of a intermediate care facility for the mentally retarded (ICF/MR); in California, they are the Intermediate Care Facility/Developmentally Disabled-type facilities, or a State Developmental Center.


Type of Waiver

1915(c) Home and Community-Based Services Waiver

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Eligibility Requirements

  • Must have eligibility for full scope Medi-Cal
  • Must have a formal diagnosis of a developmental disability that originates before an individual attains the age of 18, as defined in the California Lanterman Developmental Disabilities Services Act, Welfare and Institutions Code, Section 4512(a)
  • Must be a Regional Center consumer
  • Must meet the level of care of the Federal intermediate care facility for the mentally retarded (ICF/MR), or in California, the ICF/DD-type facilities

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Services Provided 

  • Homemaker
  • Home Health Aide Services
  • Respite Care
  • Habilitation:
    • Residential habilitation for children services
    • Day habilitation
    • Prevocational services
    • Supported employment services
  • Environmental Accessibility Adaptations
  • Skilled Nursing
  • Transportation
  • Specialized Medical Equipment / Supplies
  • Chore Services
  • Personal Emergency Response System (PERS)
  • Family Training
  • Adult Residential Care:
    • Adult Foster Care
    • Assisted Living
    • Supported Living Services
  • Vehicle Adaptations
  • Communication Aides
  • Crisis Intervention:
    • Crisis Intervention Facility Services
    • Mobile Crisis Intervention
  • Nutritional Consultation
  • Behavior Intervention Services
  • Specialized Therapeutic Services
  • Transition / Set-Up Expenses
  • Habilitation
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Funding Source

State General Fund and Medicaid Federal Funds

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Enrollment Cap

Persons Per Waiver Year (October 1 – September 31)

  • 100,000 – 11/12
  • 105,000 – 12/13
  • 110,000 – 13/14
  • 115,000 - 14/15 
  • 120,000 - 15/16 


Waiver Term

October 1, 2011 through September 30, 2016


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Links for Additional Information

DD Waiver Application October 2011 - September 2016

Social Security Act - Title XIX
1915(c) Home and Community-Based Services Waiver
Contact Information


Data Current as of September 18, 2013

Last modified on: 9/18/2013 2:41 PM