Home and Community-Based Services for the Developmentally Disabled
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.
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.
2023-2027 HCBS Renewal
On June 23, 2023, the Centers for Medicare & Medicaid Services (CMS) approved the renewal of the HCBS- DD Waiver. The waiver has been approved for a five-year period with a retroactive start date of January 1, 2023.
Current Waiver
Approved HCBS-DD Amendments
HCBS-DD Waiver Amendment CA.0336.R05.05 (Effective July 1, 2024) this amendment adds telehealth as a delivery method for specified services, adds group homes for children with special health care needs as a new provider of community living arrangement services, and adds participant-directed as a service delivery method for self-directed support services.
Provisional Eligibility, Participant Directed Services, CIE Incentive Payments (Effective January 10, 2024) this amendment adds the definition of the target population to include children under 5, participant-directed services as a new service, and additional incentive payments for assisting individuals to obtain competitive integrated employment.
Coordinated Family Supports Amendment (Effective December 1, 2023) 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.
Appendix K (Effective from August, 19th, 2023 to September, 18th, 2023, in response to the State of Emergency declared on August 19, 2023, this Appendix K provides for retainer payments for providers impacted by Hurricane Hilary, as a result of absences caused by evacuation or loss of property in the following counties: Fresno, Imperial, Inyo, Kern, Los Angeles, Mono, Orange, Riverside, San Bernardino, San Diego, Tulare, and Ventura counties.)
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.
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