ua Tsev thiab Community-Based Alternatives Waiver
**DHCS is experiencing longer than normal processing times for WPCS requests and phone calls due to a high volume of
requests. Please allow additional time for processing and continue to work with the HCBA Waiver Agency assigned to your service area.**
HCBS Tus Muab Kev Pab Cuam Tshuam Yam Ntxim Saib Ntxim Ua Ntxiv
Vim yog tsab cai lij choj Senate Bill 3 tau tsim, cov nyiaj hli tsawg kawg nkaus thoob plaws lub xeev California yuav nce ntxiv ntawm $16.50 mus rau $16.90 rau txhua tus tswv haujlwm rau lub Ib Hlis 1, 2026. Vim yog California txoj kev nce nqi zog tsawg kawg nkaus, cov nqi them rov qab rau Cov Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog xyoo 2026 rau cov hom kev pabcuam thiab cov lej txheej txheem tshwj xeeb kuj yuav nce ntxiv. Hauv qab no yog daim ntawv teev cov nqi them siab tshaj plaws xyoo 2026 uas siv tau rau cov kev pab cuam HCBS.
| Txheej Txheem Cai | Hom Kev Pabcuam | Xyoo 2026 Tus Nqi Them Siab Tshaj Plaws | Chav tsev | Impacted Waivers/ Programs |
|---|---|---|---|---|
| T1019 | HHA (14) | $ 5.28 | 15 feeb | HCBA Waiver, ALW, CCT |
| T1019 | Lub Chaw Saib Xyuas Tus Kheej (66) | $ 5.28 | 15 feeb | HCBA Waiver, ALW |
T1019 | HCBS Tus Muab Kev Pabcuam | $ 5.28 | 15 feeb | HCBA Waiver |
| T1019 | Employment Agency (64) | $ 5.28 | 15 feeb | HCBA Waiver, ALW |
| T1019 | Professional Corporation (95) | $ 5.28 | 15 feeb | HCBA Waiver, ALW, CCT |
| T1005 | Lub Chaw Saib Xyuas Tus Kheej (66) | $ 5.28 | 15 feeb | HCBA Waiver, ALW |
| T1005 | Lub Chaw Saib Xyuas Tus Kheej (66) | $ 5.28 | 15 feeb | HCBA Waiver |
| T1005 | Employment Agency (64) | $ 5.28 | 15 feeb | HCBA Waiver |
Yuav kom tau txais nyiaj rov qab ntawm tus nqi tshiab, cov koom haum yuav tsum xa cov ntawv thov siv cov nqi siab dua teev saum toj no rau txhua qhov kev pabcuam uas tau muab txij li Lub Ib Hlis 1, 2026. Qhov no yuav tso cai rau koj lub koom haum kom tau txais nyiaj rov qab ntawm cov nqi tshiab tam sim ntawd, es tsis txhob xav tau rov xa cov ntawv thov dua.
Please email iscd-cmu-wa@dhcs.ca.gov with any additional questions.
Txheej txheem cej luam
Txoj Kev Hloov Hauv Tsev thiab Hauv Zej Zog (HCBA) Kev Zam Txim tau pom zoo los ntawm Lub Chaw rau Medicare & Medicaid Services (CMS) hauv tsib xyoos nce ntxiv thiab tau pom zoo tsis ntev los no rau Lub Ob Hlis 2, 2023 rau 2023-2027 lub sijhawm zam. Cov Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog (HCBS) Kev zam, suav nrog HCBA Waiver, raug tso cai raws li Tshooj 1915(c) ntawm Txoj Cai Xaus Saus; tswj hwm los ntawm Title 42, Code of Federal Regulations (CFR); thiab tswj hwm los ntawm CMS.
The HCBA Waiver provides care management services to persons at risk of nursing home or institutional placement. The care management services are provided by a multidisciplinary Care Management Team (CMT) comprised of a nurse and social worker. The CMT coordinates Waiver and State Plan services (such as medical, behavioral health, In-Home Supportive Services, etc.), and arranges for other 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.
Kev tso npe kawm
Cov ntaub ntawv teev npe tam sim no thiab cov npe tos rau HCBA Waiver tuaj yeem pom nyob rau ntawm daim ntawv teev npe nkag, uas tau hloov kho txhua hli.
Cov neeg thov tshiab rau HCBA Waiver yuav tsum paub tias qhov kev zov me nyuam tau mus txog qhov muaj peev xwm siab tshaj plaws thiab cov npe tos tau siv los pib lub Xya Hli 12 Ib., 2023.
Cov neeg thov tshiab raug txhawb kom thov thiab ua kom muaj kev tso npe nyob rau hauv daim ntawv tos tos nrog Lub Chaw Haujlwm Tso Cai Tso Cai hauv lawv thaj chaw nyob. Thaum muaj qhov qhib, cov neeg thov nyob rau hauv daim ntawv teev npe tos uas ua tau raws li Reserve Capacity cov txheej txheem yuav tau ua ntej rau kev ua tiav. Reserve Capacity cov txheej txheem suav nrog cov neeg thov kev hloov pauv los ntawm Cov Kev Pabcuam Hauv Tsev thiab Zej Zog (HCBS) Kev zam vim tias lawv cov kev xav tau tsis tuaj yeem ua tiav, cov neeg thov hnub nyoog qis dua 21 xyoos, lossis cov neeg thov uas tau nyob hauv lub tsev kho mob tsawg kawg 60 hnub ntawm lub sijhawm xa daim ntawv thov HCBA Waiver.
Ua tiav daim ntawv thov xa mus rau DHCS rau kev tshuaj xyuas kev tso npe nkag ua ntej Lub Xya Hli 12, 2023 yuav ua tiav nrog qhov tseem ceeb rau cov neeg thov kev pab tsim nyog Reserve Capacity. DHCS tam sim no tab tom ua cov kauj ruam tsim nyog los thov kom muaj peev xwm zam tau kom sai li sai tau. Yog tias koj muaj lus nug txog qhov xwm txheej ntawm koj daim ntawv thov, thov hu rau koj lub Chaw Haujlwm Waiver.
HCBA Waiver Renewal
HCBA Waiver Approval Letter
2023-2027 HCBA Waiver
Pom Zoo Hloov Kho
- Updated Telehealth and Early Periodic Screening, Diagnostic, and Treatment (EPSDT) Language (Effective December 1, 2025)
- Waiver Personal Care Service (WPCS) Providers Sick Leave Amendment (Effective July 1, 2024), this amendment increases the number of paid sick leave hours available for WPCS providers.
- Kev Kho Qhov Kho Kom Zoo Dua Ntxiv (Rau Lub Ib Hlis Ntuj Tim 1, 2024), qhov kev hloov kho no tshem tawm Waiver Personal Care Services (WPCS) raws li kev pom zoo hauv xov tooj. Qhov kev hloov kho no tseem tshem tawm qhov kev ntsuas kev ua tau zoo dua qub.
- Waiver Slot Nce (Tsev Pib Lub Ib Hlis Ntuj 1, 2024), qhov kev hloov kho no ua rau cov neeg tuaj koom tau txais kev zam rau xyoo 2-5.
- Kev Kho Kho Mob Kho Mob Kho Mob (Tsev Siv Lub Kaum Ib Hlis 12, 2023), qhov kev hloov kho no tshem tawm Waiver Personal Care Services (WPCS) raws li kev pom zoo hauv xov tooj.
- Telehealth Amendment (Nyob rau lub Kaum Ib Hlis Ntuj 12, 2023), qhov kev hloov kho no ntxiv telehealth raws li qhov kev xaiv xa mus tas li rau cov kev pabcuam zam hauv qab no: Case Management; Kev Pabcuam Kev Hloov Zej Zog; Kev Tswj Xyuas Kev Kho Mob; Kev cob qhia tsev neeg/tus neeg saib xyuas; thiab Transitional Case Management.
Kev Hloov Kho tas sij hawm
Kev Hloov Kho Hauv Tsev thiab Hauv Zej Zog Kev zam dhau tas sij hawm
Pom zoo Kev Hloov Kho Xwm Ceev
Pom zoo Cov Ntawv Ntxiv K Southern California Hluav Taws Xob hauv Los Angeles thiab Ventura Counties (Pib Lub Ib Hlis Ntuj 7, 2025) uas tso cai rau ib ntus tso cai tso cai rau kev saib xyuas ncaj qha rau cov koom nrog hauv lwm qhov chaw. Cov kev hloov pauv tau teev tseg tau tso cai nyob rau hauv qhov kev hloov pauv no siv rau kev zam cov neeg koom nrog cuam tshuam los ntawm Lub Xeev Xwm Ceev hauv Los Angeles thiab Ventura Counties.
DHCS obtained approval for flexibilities accepted under the federal 1135 waiver authority which will expire January 7, 2026, for Los Angeles and Ventura Counties. The following flexibilities are available immediately.
Permit evacuating facilities (such as ICF-DDs, SNFs) to be fully reimbursed for services rendered to affected beneficiaries in alternative physical settings, such as temporary shelters or other care facilities.
Permit some services to continue to be provided without a requirement for a new or renewed prior authorization.
Temporarily allow services to be provided in settings that have not been determined to meet the HCBS Settings Rule criteria.
Temporarily extend the timeframe to reinstate services and benefits to an individual who files a fair hearing request.
HCBA Waiver Agencies
Feem ntau cov chaw pabcuam raug txheeb xyuas los ntawm lub nroog thiab suav nrog txhua tus lej zip hauv lub nroog. Txawm li cas los xij, cov tib neeg nyob hauv Los Angeles thiab Lub Nroog Orange yuav tsum xa mus rau cov kev sib txuas hauv qab no txhawm rau txheeb xyuas Lub Chaw Haujlwm zam uas npog lawv tus lej zip.
Kev zam txim | Chaw Pabcuam |
|---|---|
Santa Barbara, Ventura, thiab ntu ntawm Los Angeles thiab Orange County | |
Alameda thiab Contra Costa Lub Nroog | |
| Butte, Colusa, Del Norte, El Dorado, Glenn, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Nevada, Placer, Plumas, Sacramento, San Francisco, San Joaquin, Shasta, Sierra, Sierra, Siskiyou, Solano, Sutter, Tehama, Trinity, Yolo | |
Riverside thiab San Bernardino Lub Nroog | |
Alpine, Amador, Calaveras, Fresno, Inyo, Kern, Vaj, Madera, Mariposa, Merced, Mono, Monterey, San Benito, San Luis Obispo, San Mateo, Santa Clara, Santa Cruz, Stanislaus, Tulare, Tuolumne thiab ntu ntawm Los Angeles thiab Orange County | |
Cov chaw hauv Los Angeles County | |
Imperial, San Diego Lub Nroog | |
Lub Nroog Sonoma |
Cov Ntaub Ntawv Nkag Mus Rau Cov Neeg Koom Tes
Yuav ua li cas xa daim ntawv thov rau HCBA Waiver:
- Xa mus rau lub rooj saum toj no kom pom tias Lub Chaw Haujlwm Zam Txim twg ua haujlwm rau koj lub nroog/zip code. Nyem rau ntawm lub npe Waiver Agency kom coj mus rau lawv lub vev xaib
- Hu rau Lub Chaw Haujlwm Waiver kom thov ib daim ntawv thov
- Ua kom tiav daim ntawv thov thiab xa mus rau Lub Chaw Haujlwm Waiver
Lwm cov ntaub ntawv sau npe rau cov neeg koom nrog thiab cov ntaub ntawv
HCBA Waiver Application (DHCS 1320)
HCBA Waiver Application in other languages: Arabic, Armenian (Eastern), Chinese (Simplified), Chinese (Traditional), Russian, Spanish (Latin), Tagalog (Filipino), Vietnamese
HCBA Kev Tsis Txaus Siab
Yog tias koj tsis txaus siab rau koj HCBA Care Management Team, lossis HCBA cov kev pabcuam uas koj tau txais, koj tuaj yeem xa daim ntawv tsis txaus siab raws li hauv qab no:
- Kev tsis txaus siab txog qhov zoo los yog rec lub HCBA services must be submitted to your Waiver Agency via email, mail, or telephone. Your Waiver Agency’s contact information can be found linked in the “HCBA Waiver Agencies” section above.
- Grievances regarding the coordination of care by your Waiver Agency must be submitted to DHCS via email at: ISCDCompliance@dhcs.ca.gov.
- Grievances regarding your Congregate Living Health Facility must be submitted to DHCS via email at: ISCDCompliance@dhcs.ca.gov.
For more information about HCBA grievances, please review the HCBA Grievance Fact Sheet.
Yog xav paub ntxiv txog HCBS kev tsis txaus siab thiab Kev Hais Plaub, thov siv lub vev xaib Home-and-Community-Based-Services-(HCBS)–Grievance-and-Hearings.
Cov peev txheej ntxiv
- HCBS-DD VS. HCBA Waiver Comparison Flier
- HCBA PL #24-002 Telehealth Txoj Cai
- 2018-2021 HCBA Waiver Agency Daim Ntawv Pom Zoo
- HCBA Waiver Agency TAR Submission Contacts
- HCBA Policy Letters
- 1915(c) Cov Kev Pabcuam Hauv Tsev thiab Zej Zog Waivers
- Daim Ntawv Teev Npe ntawm Cov Tsev Kho Mob Nyob Hauv Lub Koom Txoos
- Cov npe ntawm Pediatric Day Health Centers
- Cov ntaub ntawv COVID-19 rau cov kws kho mob & cov koom tes
DHCS tab tom ntsib ntev dua li lub sijhawm ua haujlwm ib txwm ua rau WPCS thov thiab hu xov tooj vim muaj kev thov ntau heev. Thov tso sijhawm ntxiv rau kev ua haujlwm thiab txuas ntxiv ua haujlwm nrog HCBA Waiver Agency uas tau muab rau koj qhov chaw pabcuam.
Waiver Personal Care Services Resources
Tiv tauj peb
Kev zam rau cov neeg koom nrog thiab cov neeg muab kev pab, thov xa email rau koj cov lus thiab cov lus nug txog HCBA Waiver rau: HCBAlternatives@dhcs.ca.gov lossis hu rau tus xov tooj hu dawb (833) 388-4551.
WPCS participants and providers can call the WPCS Hotline (916) 552-9214.
DHCS tab tom ntsib ntev dua li lub sijhawm ua haujlwm ib txwm ua rau WPCS thov thiab hu xov tooj vim muaj kev thov ntau heev. Thov tso sijhawm ntxiv rau kev ua haujlwm thiab txuas ntxiv ua haujlwm nrog HCBA Waiver Agency uas tau muab rau koj qhov chaw pabcuam.