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​​​​​​​​Telehealth Amend​ment 30 Day-Public Comment Period​

In response to the COVID-19 public health emergency (PHE), DHCS requested and received approval to implement temporary operational flexibilities under different emergency authorities. For the State's Medi-Cal Home and Community-Based Services (HCBS) Waivers, flexibilities were authorized through Appendix K amendments that include the option for states to extend emergency flexibilities for up to six months after the end of a PHE. The Biden Administration ended the COVID-19 PHE on May 11, 2023; therefore, Appendix K flexibilities will end November 11, 2023. One of the flexibilities approved during the COVID-19 PHE was the ability to provide waiver services via telehealth.

To align with DHCS policy and to expand access to waiver services, when appropriate, DHCS is in the process of submitting amendments for four of the State's HCBS waivers to make telehealth a permanent option. ​

1915(c) Home and Community-Based Services Waivers

Home and Community-Based Services (HCBS) Waivers allow states that participate in Medicaid, known as Medi-Cal in California, to develop creative alternatives for individuals who would otherwise require care in a nursing facility or hospital. Medi-Cal has an agreement with the Federal Government, which allows for waiver services to be offered in either a home or community setting. The services offered under the waiver must cost no more than the alternative institutional level of care. Recipients of HCBS Waivers must have full-scope Medi-Cal eligibility.

What Services are Offered under HCBS Waivers?

The services available under HCBS Waivers include case management, community transition services, private duty nursing, family training, home health aides, life-sustaining utility reimbursement, habilitation services, respite care, and other services required to maintain the health and safety of eligible participants in the community setting of their choice.

Who Provides the Services?

There are a variety of HCBS Waiver providers, including but not limited to, the following:

  • Licensed and certified Home Health Agencies;
  • Individually licensed HCBS Waiver Providers; and/or
  • Unlicensed caregivers.

How Long Can One Receive These Services?

The beneficiary may receive these home- and community-based services as long as they are medically necessary, cost-neutral, and he/she meets the nursing facility or acute hospital level of care.

How do I Become a HCBS Waiver Service Provider?

For information on becoming one of the following HCBS waiver providers or to request an application, please contact Provider Enrollment at (916) 552-9105. Email inquiries can be sent to: ProFacWAIVER@dhcs.ca.gov.

Home and Community-Based Alternatives (HCBA) Waiver - Formerly Nursing Facility/Acute Hospital (NF/AH) Waiver

Last modified date: 6/27/2024 4:19 PM