Cov Kev Pabcuam Hauv Tsev thiab Zej Zog rau Kev Txhim Kho Cov Neeg Tsis Muaj Peev Xwm
The Home and Community-Based Services for the Developmentally Disabled (HCBS-DD) Waiver is administered by the California Department of Developmental Services (DDS) who will authorize home and community-based services for developmentally disabled persons who are Regional Center consumers. Twenty-one regional centers throughout California purchase and coordinate services and supports for individuals with developmental disabilities. The Waiver services make it possible for consumers to live in the community instead of an Intermediate Care Facility for the developmentally disabled or a State Developmental Center. The DD Waiver is currently the largest HCBS waiver in California as well as the nation.
Yog xav paub ntxiv txog Daim Ntawv Tso Cai no, mus saib nplooj ntawv 1915 (c) Cov Kev Tso Cai.
The rate table linked below contains a list of reimbursement rates by procedure code that have been extracted from the current rates as of September 2021, in accordance with a State Plan Amendment. This table is for informational purposes only and may not reflect current reimbursement rates. For current rates, use the Medi-Cal Rates page to access the current Medi-Cal rate table.
Cov Nqi Medi-Cal, pib lub Kaum Hlis 1, 2021, hloov kho raws li Lub Xeev Txoj Kev Hloov Kho 21-0002
2023-2027 HCBS ReneWal
Thaum Lub Rau Hli 23, 2023, Lub Chaw rau Medicare & Medicaid Services (CMS) tau pom zoo rau kev rov ua dua tshiab ntawm HCBS- DD Waiver. Qhov kev zam tau raug pom zoo rau lub sijhawm tsib xyoos nrog rau hnub pib rov pib lub Ib Hlis 1, 2023.
Tam sim no Waiver
Pom zoo HCBS-DD Amendments
- Kev Hloov Kho Kev Zam HCBS-DD CA.0336.R05.10 (Siv Tau Txij Lub Ib Hlis 1, 2025) qhov kev hloov kho no yog siv qhov kev nce tus nqi kawg los ntawm kev tshawb fawb txog tus nqi xyoo 2019, ntxiv ib qho kev pabcuam tshiab hu ua Kev Npaj Yav Tom Ntej Rau Tus Neeg, nce tus nqi rau Cov Kev Pabcuam Tswj Nyiaj Txiag, thiab tso cai rau cov neeg koom nrog kev taw qhia rau Cov Kev Pabcuam Npaj Nyob Hauv Zej Zog.
- HCBS-DD Waiver Amendment CA .0336.R05.05 (Pib Lub Xya Hli Ntuj 1, 2024) qhov kev hloov kho no ntxiv telehealth raws li ib txoj hauv kev xa mus rau cov kev pabcuam tshwj xeeb, ntxiv pab pawg tsev rau cov menyuam yaus uas xav tau kev kho mob tshwj xeeb raws li tus neeg muab kev pabcuam tshiab hauv zej zog cov kev pabcuam kev noj qab haus huv, thiab ntxiv cov neeg koom nrog-qhia raws li kev pabcuam kev pabcuam rau tus kheej.
- Kev Tsim Nyog Kev Tsim Nyog, Kev Pabcuam Cov Neeg Koom Tes, CIE Incentive Payments (Xyoo Lub Ib Hlis 10, 20 24) qhov kev hloov pauv no ntxiv cov ntsiab lus ntawm cov pej xeem lub hom phiaj kom suav nrog cov menyuam yaus hnub nyoog qis dua 5 xyoos, cov neeg koom-qhia cov kev pabcuam raws li kev pabcuam tshiab, thiab nyiaj txhawb ntxiv rau kev pab tib neeg kom tau txais kev sib tw ua haujlwm.
- Coordinated Family Supports Amendment (Effective December 1, 202 3 ) this amendment adds the new service of Coordinated Family Supports (CFS), a service for adults to continue living in the family home, navigating existing services and supports.
Pom zoo Kev Hloov Kho Xwm Ceev
Approved Appendix K CA.0336.R05.42– Orange County Chemical Incident (effective May 21, 2026 through May 21, 2027) addresses the Orange County Chemical Incident in Orange County that occurred in May 2026. The approval of this Appendix K allows the state to authorize retainer payments for the following services:
- Kev Nyob Zoo - Cov Kev Pabcuam Npaj Nyob Hauv Zej Zog
- Cov Kev Pabcuam Tiv Thaiv Kev coj cwj pwm
- Cov Kev Pabcuam Thaum Nruab Hnub
Several Appendix Ks have been approved in response to state of emergencies declared by California’s Governor as it relates to multiple disasters. The first approved CA.0336.R05.37 Appendix K (effective September 27, 2025 – October 27, 2025), addresses the late September 2025 Storm in Imperial County, which caused severe flooding and damaged roads and bridges throughout the County, resulting in an imminent threat to life and safety. The second approved CA.0336.R05.38 Appendix K (effective November 13, 2025 – December 14, 2025), addresses the November 2025 Storm in Santa Barbara and Santa Cruz Counties, which caused damage to roadways and a mudslide throughout the Counties, resulting in an imminent threat to life and safety. The third approved CA.0336.R05.39 Appendix K (effective December 16, 2025 – January 26, 2026), addresses the late December 2025 Storms in Mendocino, Sonoma, and Ventura Counties, which caused flooding and damage to state highways throughout the Counties, resulting in an imminent threat to life and safety. The fourth approved CA.0336.R05.40 Appendix K (effective December 31, 2025 – February 4, 2026), addresses the early January 2026 Storms in Sonoma County, which caused significant flooding throughout the County, resulting in landslides and damage to roads and public facilities. The fifth approved CA.0336.R05.41 Appendix K (effective January 2, 2026 – February 2, 2026), addresses the Arcata Fire in the City of Arcata, which caused several large structures and roads throughout the County, resulting in an imminent threat to life and safety. These Appendix Ks allow the state to authorize retainer payments for the following services:
- Kev Nyob Zoo - Cov Kev Pabcuam Npaj Nyob Hauv Zej Zog
- Cov Kev Pabcuam Tiv Thaiv Kev coj cwj pwm
- Cov Kev Pabcuam Thaum Nruab Hnub
Several Appendix Ks have been approved in response to state of emergencies declared by California’s Governor as it relates to multiple disasters. The first approved CA.0336.R05.30 Appendix K (effective January 7, 2025 – February 8, 2025), addresses the January 2025 Windstorm Event in the city of Rancho Cucamonga in San Bernardino County, which caused severe damage to public infrastructure and private property throughout the city, resulting in an imminent threat to life and safety. The second approved CA.0336.R05.31 Appendix K (effective July 30, 2025 – August 30, 2025), addresses the 2025 July Tsunami in Del Norte County which caused structural failures and damage to waterways, resulting in an imminent threat to life and safety. The third approved CA.0336.R05.32 Appendix K (effective August 1, 2025 – October 28, 2025), addresses the Gifford Fire in San Luis Obispo and Santa Barbara Counties, which caused damage to highways and multiple infrastructures throughout the Counties, resulting in an imminent threat to life and safety. The fourth approved CA.0336.R05.33 Appendix K (effective August 24, 2025 – September 25, 2025), addresses the 2025 August Monsoon Storms in Imperial County, which caused significant damage to the electrical infrastructure and multiple public structures throughout the County, resulting in an imminent threat to life and safety. The fifth approved CA.0336.R05.34 Appendix K (effective August 23, 2025 – September 27, 2025), addresses the 2025 Late August Storms and Mudslides in Sierra County, which caused flood warnings and multiple road closures throughout the County, resulting in an imminent threat to life and safety. The sixth approved CA.0336.R05.35 Appendix K (effective September 18, 2025 – October 18, 2025), which addresses the 2025 Mid-September Storm in San Bernardino and Imperial Counties, which caused damage to roads and other infrastructures throughout the Counties, resulting in an imminent threat to life and safety. The seventh approved CA.0336.R05.36 Appendix K (effective December 23, 2025 – January 23, 2026 ), which addresses the 2025 Late December Storms including Los Angeles, Orange, Riverside, San Bernardino, San Diego, and Shasta Counties which caused potential flooding, rockslides, mudslides, and landslides throughout the Counties, resulting in an imminent threat to life and safety. These Appendix Ks allow the state to authorize retainer payments for the following services:
- Kev Nyob Zoo - Cov Kev Pabcuam Npaj Nyob Hauv Zej Zog
- Cov Kev Pabcuam Tiv Thaiv Kev coj cwj pwm
- Cov Kev Pabcuam Thaum Nruab Hnub
Tau Pom Zoo Ntxiv K CA.0336.R05.29 Cov Lus Qhia Ntxiv K - Hluav Taws Kub Pack (Siv Txij Lub Kaum Ib Hlis 13, 2025 txog Lub Kaum Ob Hlis 13, 2025) yog teb rau hluav taws kub Pack hauv Mono County uas tau tshwm sim rau lub Kaum Ib Hlis 2025, uas ua rau muaj kev puas tsuaj loj heev rau US Route 395 thiab ntau lub tsev thoob plaws lub nroog. Kev pom zoo ntawm Daim Ntawv Ntxiv K no tso cai rau lub xeev tso cai rau cov nyiaj them rov qab rau cov kev pabcuam hauv qab no:
Kev Pabcuam Kev Nyob Hauv Zej Zog
Kev Pabcuam Tiv Thaiv Kev Coj Tus Cwj Pwm
Kev Pabcuam Thaum Nruab Hnub
Approved CA.0336.R05.27 Appendix K Amendment Cov Lus Qhia Ntxiv K - TCU Complex Fire (Cuaj Hlis 2, 2025) teb rau Tuolumne County thiab Calaveras County qhov hluav taws uas tau tshwm sim rau lub Cuaj Hlis 2024, uas ua rau muaj kev puas tsuaj loj heev rau cov tsev thiab cov khoom siv tseem ceeb. Kev pom zoo ntawm Daim Ntawv Ntxiv K no tso cai rau lub xeev tso cai rau cov nyiaj them rov qab rau cov kev pabcuam hauv qab no:
Kev Pabcuam Kev Nyob Hauv Zej Zog - Kev Pabcuam Npaj Nyob Hauv Zej Zog
Kev Pabcuam Tiv Thaiv Kev Coj Tus Cwj Pwm
Kev Pabcuam Thaum Nruab Hnub
Several Appendix Ks have been approved in response to state of emergencies declared by California’s Governor. The first approved CA 0336.R05.25 Appendix K Amendment Appendix K – February Storms (Effective January 31, 2025 through March 17, 2025), addresses the 2025 February Storms in Humbolt, Mendocino, Modoc, Napa, Shasta, Sonoma, and Trinity Counties which resulted in excessive rainfall, landslides, and widespread flooding affecting roads and waterways that caused conditions of extreme peril to the safety of persons and property. The second approved CA 0336.R05.26 Appendix K Amendment Appendix K – 2025 Late-March Winter Storms (Effective March 30, 2025 through May 1, 2025), is in response to the Winter Storms in Trinity County which caused heavy rain, mudslides, debris flows and fallen trees, damaging roads and highways resulting in extreme peril to the safety of persons and property. These Appendix Ks allow the state to authorize retainer payments for the following services:
- Habilitation – Community Living Arrangement Services
- Kev Pab Cuam Cwj Pwm
- Hnub Kev Pabcuam
Several Appendix Ks have been approved in response to state of emergencies declared by California’s Governor. The first Appendix K – Trinity County Storms (Effective December 15, 2024 through January 29, 2025), addresses the 2024 December Storms in Trinity County which caused severe damage to roads and bridges throughout the County, resulting in an imminent threat to life and safety. The second Appendix K – Victoria Island Levee incident (Effective October 21, 2024 through November 21, 2024), is in response to the Victoria Island Levee Incident in San Joaquin County which caused displacement and release of water resulting in residential property damage and conditions of extreme peril to the safety of persons. The third Appendix K – Franklin Fire (Effective December 9, 2024 through January 18, 2025), is in response the Franklin Fire in Los Angeles County which caused severe damage to homes and critical infrastructure throughout Los Angeles County. These Appendix Ks allow the state to authorize retainer payments for the following services:
- Habilitation – Community Living Arrangement Services
- Kev Pab Cuam Cwj Pwm
- Hnub Kev Pabcuam
Tau Pom Zoo Ntxiv K Cua daj cua dub ntawm ntug dej hiav txwv Santa Cruz (Siv tau txij lub Kaum Ob Hlis 3, 2024 txog Lub Ib Hlis 23, 2025), los teb rau cua daj cua dub ntawm ntug dej hiav txwv ntawm Santa Cruz uas tau tshwm sim rau lub Kaum Ob Hlis 2024, nrog rau nthwv dej loj heev, dej hiav txwv nce siab, thiab dej hiav txwv siab, ua rau muaj dej nyab ntawm ntug dej hiav txwv, cuam tshuam los ntawm nthwv dej, thiab kev puas tsuaj raws ntug dej hiav txwv. Daim Ntawv Ntxiv K no tso cai rau lub xeev kom nthuav dav cov chaw uas cov kev pabcuam yuav muab tau thiab tso cai rau kev them nyiaj rau cov kev pabcuam hauv qab no:
Kev Pabcuam Kev Nyob Hauv Zej Zog
Kev Pabcuam Tiv Thaiv Kev Coj Tus Cwj Pwm
Kev Pabcuam Thaum Nruab Hnub
Pom zoo Cov Lus Qhia Ntxiv K Palisades Hluav Taws (Tshwj xeeb Lub Ib Hlis 7, 2025), teb rau Los Angeles thiab Ventura Lub Nroog Hluav Taws Xob, uas tau hlawv ntau dua 70,000 daim av, ceeb toom kom khiav tawm thiab kaw txoj kev, thiab txuas ntxiv hem cov qauv, tsev, thiab cov vaj tse tseem ceeb. Qhov kev hloov kho no muab cov lus qhia tsis tuaj yeem them nqi thiab nthuav dav cov chaw uas cov kev pabcuam tuaj yeem muab tau thaum Lub Xeev Muaj Xwm Ceev.
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.
- Approved Appendix K Northern California Earthquake (Effective December 5, 2024) California’s Governor declared a State of Emergency in Del Norte, Humboldt, and Mendocino Counties in response to a magnitude 7.0 earthquake that occurred off the Northen California coastline near the city of Ferndale. It is anticipated that approximately 2,500 waiver participants may be impacted, either directly or indirectly by the earthquake. Regional Centers are assigned private agencies that are responsible for coordinating services for waiver consumers in the affected areas that impacted both consumers and providers. The purpose of this Appendix K is for absence billing directive during a State of Emergency.
- Several Appendix Ks have been approved in response to state emergency fires declared by the Governor. The first Appendix K – Pier Fire (Effective April 25, 2024), addresses the fire in the city of Oceanside, in San Diego County. The second Appendix K – Shelly Fire (Effective July 3, 2024), is in response to a fire that impacted waiver participants in Siskiyou County. The third Appendix K – Bear Fire (Effective September 2, 2024), is in response to a fire in Sierra County. Finally, the fourth Appendix K – Mountain Fire (Effective November 6, 2024), is in response to a fire in Ventura County.
- Approved Appendix K Lake County (Effective September 29, 2024) in response to the Boyles Fire, which has prompted evacuation orders for thousands of residents, threatening structures, homes, and critical infrastructure, ultimately damaging or destroying over 30 structures. It is anticipated that approximately 1,700 waiver participants may be impacted, either directly or indirectly by the fire. This amendment provides absence billing directive during a State of Emergency.
- Pom zoo Cov Ntawv Ntxiv K Los Angeles County thiab San Bernardino County Choj Hluav Taws Xob thiab Lub Nroog Orange thiab Riverside County Tshav Dav Hlau Hluav Taws Xob (Tsib Hlis Ntuj 11, 2024), teb rau Choj thiab Tshav Dav Hlau Hluav Taws Xob, uas ua ke tau hlawv ntau dua 70,000 daim av, thiab tau hais kom khiav tawm mus rau ntau txhiab leej thiab txuas ntxiv hem cov tsev, cov tsev, thiab cov vaj tse tseem ceeb. Qhov kev hloov kho no muab cov lus qhia tsis tuaj yeem them nqi thaum lub Xeev Muaj Xwm Ceev.
- Pom zoo Cov Ntawv Ntxiv K San Bernardino Lub Nroog Kab Hluav Taws Xob (Tsib Lub Cuaj Hli 5, 2024), teb rau Kab Hluav Taws Xob, uas tau hlawv ntau dua 7,000 daim av, ceeb toom kev soj ntsuam kev txiav txim thiab kaw txoj kev, thiab txuas ntxiv hem cov qauv, tsev, thiab tseem ceeb infrastructure. Qhov kev hloov kho no muab cov lus qhia tsis tuaj yeem them nqi thaum lub Xeev Muaj Xwm Ceev.
- Pom zoo Cov Lus Qhia Ntxiv K Rancho Palos Verdes, Los Angeles County Land Movement (Siv lub Cuaj Hli Ntuj 3, 2024), teb rau cov av nrawm, uas tau nrawm dua tom qab xyoo 2023 thiab 2024 muaj cua daj cua dub loj heev. Qhov kev hloov kho no muab cov lus qhia tsis tuaj yeem sau nqi thaum lub Xeev Xwm Ceev.
- Pom zoo Cov Lus Qhia Ntxiv K Park thiab Kub Complex Hluav Taws Xob, Lub Xya Hli 2024 (Siv Lub Xya Hli 26, 2024), teb rau Lub Xeev Xwm Ceev hauv Plumas County, Butte County, thiab Tehama County teb rau Gold Complex thiab Park Fires, uas tau hlawv ntau dua 300,000 daim av, cuam tshuam rau ntau txhiab tus neeg, kev thauj mus los, kev sib txuas lus, thiab kev txiav txim siab hauv tsev. cov chaw, thiab cov kab sib kis. Txuas ntxiv qhov kub thiab txias, qhuav qhuav thiab cua muaj zog tau ua rau muaj kev kub ntxhov thiab kev sib kis ntawm hluav taws, ua rau muaj kev hem thawj rau lub neej. Qhov kev hloov kho no muab cov lus qhia tsis tuaj yeem sau nqi thaum lub Xeev Xwm Ceev.
- Pom zoo Cov Ntawv Ntxiv K Borel Hluav Taws, Lub Xya Hli 2024 (Siv Lub Xya Hli 30, 2024), teb rau Lub Xeev Kev Kub Ntxhov hauv Kern County hauv kev teb rau Borel Fire, uas tau hlawv ntau dua 80,000 daim av, thiab tau hais kom khiav tawm thiab hem cov tsev, cov tsev, thiab cov vaj tse tseem ceeb. Qhov kev hloov kho no muab cov lus qhia tsis tuaj yeem sau nqi thaum lub Xeev Xwm Ceev.
- Pom zoo Cov Ntawv Ntxiv K Thompson Hluav Taws, Lub Xya Hli 2024 (Siv Lub Xya Hli 2, 2024, teb rau Lub Xeev Xwm Ceev hauv Butte County teb rau Thompson Hluav Taws, uas tau hlawv kwv yees li 4,000 daim av thiab yuam kom khiav tawm ntawm ntau txhiab tus neeg nyob. Qhov kev hloov kho no muab cov lus qhia tsis tuaj yeem them nqi thaum lub Xeev Xwm Ceev.)
Rau yav tas los Pom Zoo Cov Ntaub Ntawv Ntxiv K mus xyuas nplooj ntawv DHCS Waivers thiab Thov Kev Pom Zoo .
Withdrawn Waiver Amendments
HCBS-DD Waiver Amendment CA.0336.R05.06 proposed to implement the next round of rate increases associated with Rate Reform on July 1, 2024. Subsequent to the submission of this amendment to the Centers for Medicare and Medicaid Services (CMS), the 2024 California State Budget Agreement was announced, which included a revised implementation date of these increases of January 1, 2025. In response to this new date, CA.0336.R05.06 has been withdrawn from CMS review and the state will submit a new amendment, inclusive of the January 1, 2025, rate increases, at a later date.