Cov Kev Pabcuam Hauv Tsev thiab Zej Zog rau Kev Txhim Kho Cov Neeg Tsis Muaj Peev Xwm
Qhov Kev Pabcuam Hauv Tsev thiab Zej Zog rau Kev Loj Hlob Tsis Muaj Peev Xwm (HCBS-DD) Kev zam yog tswj hwm los ntawm California Lub Tsev Haujlwm Saib Xyuas Kev Loj Hlob (DDS) uas yuav tso cai rau cov kev pabcuam hauv tsev thiab hauv zej zog rau cov neeg xiam oob qhab uas yog Regional Center cov neeg siv khoom. Nees nkaum ib lub chaw hauv cheeb tsam thoob plaws hauv California yuav thiab koom tes nrog kev pabcuam thiab kev txhawb nqa rau cov tib neeg uas muaj kev loj hlob tsis taus. Cov Kev Pab Cuam Tshuam ua rau nws muaj peev xwm rau cov neeg siv khoom nyob hauv zej zog es tsis yog Lub Chaw Kho Mob Nruab Nrab rau cov neeg xiam oob khab lossis Lub Xeev Lub Chaw Txhim Kho. DD Waiver tam sim no yog qhov kev zam loj tshaj plaws ntawm HCBS hauv California thiab hauv lub tebchaws.
For further information about this Waiver refer to 1915(c) Waivers page
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
- HCBS-DD Waiver Amendment CA.0336.R05.10 (Effective January 1, 2025) this amendment is implementing the final round of rate increases from a 2019 rate study, adding a new service called Person-Centered Future Planning, increasing the rate for Financial Management Services, and allowing participant-direction for Community Living Arrangement Services.
- 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 (Tsev Siv Tau Lub Kaum Ob Hlis 1, 202 3 ) qhov kev hloov kho no ntxiv cov kev pabcuam tshiab ntawm Coordinated Family Supports (CFS), ib qho kev pabcuam rau cov neeg laus kom mus txuas ntxiv nyob hauv tsev neeg, nrhiav kev pabcuam thiab kev txhawb nqa uas twb muaj lawm.
Pom zoo Kev Hloov Kho Xwm Ceev
Muaj ntau daim Ntawv Ntxiv Ks tau txais kev pom zoo los teb rau qhov xwm txheej ceev uas tus Thawj Kav Xeev California tau tshaj tawm vim nws cuam tshuam nrog ntau qhov kev puas tsuaj. Daim ntawv CA.0336.R05.30 Appendix K uas tau pom zoo thawj zaug (siv tau txij lub Ib Hlis 7, 2025 – Lub Ob Hlis 8, 2025), hais txog qhov xwm txheej cua daj cua dub thaum Lub Ib Hlis 2025 hauv nroog Rancho Cucamonga hauv San Bernardino County, uas ua rau muaj kev puas tsuaj loj heev rau cov pej xeem thiab cov khoom ntiag tug thoob plaws lub nroog, ua rau muaj kev hem thawj rau lub neej thiab kev nyab xeeb. Daim ntawv thib ob uas tau pom zoo CA.0336.R05.31 Appendix K (siv tau rau Lub Xya Hli 30, 2025 – Lub Yim Hli 30, 2025), hais txog qhov xwm txheej ntawm dej nyab thaum Lub Xya Hli 2025 hauv Del Norte County uas ua rau muaj kev puas tsuaj rau cov qauv thiab kev puas tsuaj rau cov dej ntws, ua rau muaj kev hem thawj rau lub neej thiab kev nyab xeeb. Daim ntawv thib peb CA.0336.R05.32 Appendix K uas tau pom zoo (siv tau rau lub Yim Hli 1, 2025 – Lub Kaum Hli 28, 2025), hais txog qhov hluav taws kub Gifford hauv San Luis Obispo thiab Santa Barbara Counties, uas ua rau muaj kev puas tsuaj rau txoj kev loj thiab ntau yam kev tsim kho vaj tse thoob plaws hauv Counties, ua rau muaj kev hem thawj rau lub neej thiab kev nyab xeeb. Daim ntawv thov CA.0336.R05.33 thib plaub uas tau pom zoo (siv tau rau lub Yim Hli 24, 2025 - Cuaj Hlis 25, 2025), hais txog cua daj cua dub xyoo 2025 lub Yim Hli hauv Imperial County, uas ua rau muaj kev puas tsuaj loj rau cov khoom siv hluav taws xob thiab ntau lub tsev pej xeem thoob plaws hauv County, ua rau muaj kev hem thawj rau lub neej thiab kev nyab xeeb. Daim ntawv thib tsib CA.0336.R05.34 Appendix K uas tau pom zoo (siv tau rau lub Yim Hli 23, 2025 – Cuaj Hlis 27, 2025), hais txog xyoo 2025 Cua daj cua dub thiab av nkos thaum kawg ntawm lub Yim Hli hauv Sierra County, uas ua rau muaj kev ceeb toom dej nyab thiab ntau txoj kev kaw thoob plaws lub County, ua rau muaj kev hem thawj rau lub neej thiab kev nyab xeeb. Qhov thib rau CA.0336.R05.35 Appendix K uas tau pom zoo (siv tau rau lub Cuaj Hlis 18, 2025 – Lub Kaum Hli 18, 2025), uas hais txog cua daj cua dub nruab nrab lub Cuaj Hlis xyoo 2025 hauv San Bernardino thiab Imperial Counties, uas ua rau muaj kev puas tsuaj rau txoj kev thiab lwm yam kev tsim kho vaj tse thoob plaws hauv Counties, ua rau muaj kev hem thawj rau lub neej thiab kev nyab xeeb. Qhov thib xya uas tau pom zoo CA.0336.R05.36 Appendix K (siv tau rau lub Kaum Ob Hlis 23, 2025 - Lub Ib Hlis 23, 2026 ), uas hais txog xyoo 2025 Cua daj cua dub thaum kawg ntawm lub Kaum Ob Hlis suav nrog Los Angeles, Orange, Riverside, San Bernardino, San Diego, thiab Shasta Counties uas ua rau muaj dej nyab, pob zeb tawg, av nkos tawg, thiab av qeeg thoob plaws hauv Counties, ua rau muaj kev hem thawj rau lub neej thiab kev nyab xeeb. Cov Ntawv Ntxiv K no tso cai rau lub xeev tso cai rau kev them nyiaj rau cov kev pabcuam hauv qab no:
- 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
Pom zoo CA.0336.R05.27 Appendix K Kev Hloov Kho 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 .
Tshem Tawm Kev Hloov Kho
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.