​​​​​​​​​​​​2022 – 2026 Renewal of the Home & Community-Based Alternatives Waiver

HCBA Waiver Renewal Submission

​On September 29, the Department of Health Care Services (DHCS) submitted a waiver renewal application for the Home and Community-Based Alternatives (HCBA) Waiver to the Centers for Medicare and Medicaid Services (CMS) to request reauthorization of the HCBA Waiver for a new five-year waiver term, January 1, 2022 through December 31, 2026.  

The renewal application includes new and revised content based on input DHCS received from stakeholders during the 30-day Public Comment Period held August 16 – September 16, 2021. All changes to the HCBA Waiver program must be approved by CMS before they can be implemented.

​Proposed 2022 HCBA Waiver Renewal Application

30-Day Public Comment Period

DHCS posted the 2022 HCBA Waiver renewal application for a 30-day Public Comment Period, from August 16 - September 16, 2021, prior to submitting the Renewal Application to the Centers for Medicare and Medicaid Services (CMS) for reauthorization

HCBA Waiver Public Comment Webinar

On August 24, 2021, from 2:00 – 4:00 p.m., DHCS hosted a two-hour stakeholder Webinar to provide a summary of the key takeaways from the series of technical workgroup webinars DHCS hosted between October 2020 and February 2021. The Webinar was also used to walk through the changes that incorporated into the 2022 HCBA Waiver Renewal Application and was reserved at the end of the Webinar to respond questions from the audience.

Webinar Materials

Purpose of Waiver Renewal​

Like all Medi-Cal waivers authorized under Section 1915(c) of the Social S​ecurity Act, the Home & Community-Based Alternatives (HCBA) Waiver must be resubmitted to the federal government's Centers for Medicare and Medicaid Services (CMS) for reauthorization, every five-years. The waiver renewal process allows CMS to determine if a state Medicaid program has met waiver assurances and other federal requirements. The waiver renewal process also allows states to build in best practices, respond to changing needs of the population, address state and federal law and regulations, etc. The HCBA Waiver's current term ends on December 31, 2021. Return to the current HCBA Waiver landing page.

Engaging the Public

​DHCS is committed to engaging the public to receive input about the waiver throughout the waiver renewal process.

2022 HCBA Waiver Renewal Stakeholder Presentation

DHCS hosted a Stakeholder Presentation webinar on September 17, 2020, to provide a high-level overview about home and community-based services (HCBS) waivers, the waiver renewal process, and ways in which the public can provide feedback to DHCS to help inform the renewal of the waiver.

Materials from the presentation are available below:

2022 HCBA Waiver Renewal Technical Workgroup

DHCS is also soliciting stakeholder participation in a series of workgroups to obtain technical input on potential changes to the HCBA Waiver, in order to:

  • Expand what works well
  • Address challenges
  • Safeguard participant health and safety
  • Reinforce participant choice, and
  • Improve access to waiver services

Technical Workgroup Meeting #1

DHCS hosted the first of three HCBA Waiver Renewal Technical Workgroup meetings on October 28, 2020 with select stakeholders representing HCBA Waiver participants, their families, service providers, HCBA Waiver Agencies, advocacy groups, associations, and Medi-Cal Managed Care Plans. The meeting materials, including the full list of workgroup members, are available below.  

Members of the public were invited to call in to the WebEx Event to listen to the discussion, and had an opportunity to provide feedback to the workgroup and DHCS during an open forum session at the end of the meeting.

Meeting Materials for the HCBA Waiver Renewal Technical Workgroup #1:

Technical Workgroup Meeting #2

DHCS hosted the second of three HCBA Waiver Renewal Technical Workgroup meetings on December 9, 2020 with select stakeholders representing HCBA Waiver participants, their families, service providers, HCBA Waiver Agencies, advocacy groups, associations, and Medi-Cal Managed Care Plans. The meeting materials are available below.  

Members of the public were invited to join the WebEx Event to listen to the discussion, and had an opportunity to provide feedback to the workgroup and DHCS during an open forum session at the end of the meeting

Meeting Materials for the HCBA Waiver Renewal Technical Workgroup #2:

Technical Workgroup Breakout Sessions

One of the clear takeaways from the December 9, 2020 HCBA Waiver Renewal Technical Workgroup Meeting #2 was that members wanted additional meetings to discuss a handful of the more complex change concepts recommended for the waiver renewal. In response, DHCS facilitated three breakout sessions for members to engage in focused discussions about major topics, with the intent to build out detailed recommendations on changes to language in the waiver. The notes from the breakout sessions are available with the other materials prepared for the February 26, 2021 Technical Workgroup Meeting #3.

Technical Workgroup Meeting #3

DHCS hosted the third and final HCBA Waiver Renewal Technical Workgroup meeting from 2:00 p.m. to 5:00 p.m. on Friday, February 26, 2021 with select stakeholders representing HCBA Waiver participants, their families, service providers, HCBA Waiver Agencies, advocacy groups, associations, and Medi-Cal Managed Care Plans.


Members of the public were invited to join the WebEx Event to listen to the discussion, and had an opportunity to provide feedback to the workgroup and DHCS during an open forum session at the end of the meeting.

Meeting Materials for the HCBA Waiver Renewal Technical Workgroup #3:

Timeline

Note: At this point in the renewal process, all dates are approximations and subject to change.

August 16 - September 16, 2021 30-day Public Comment Period
​August 24, 2021​30-day Public Comment Webinar
October 1, 2021 Deadline to submit the HCBA Waiver to CMS
 January 1, 2022 New 5-year Waiver Term Begins

Questions

To submit questions about the HCBA Waiver renewal, send them by email to: HCBAlternatives@dhcs.ca.gov, or by mail to the following address:

Department of Health Care Services
Integrated Systems of Care Division
P.O. Box 997437, MS 4502
Sacramento, CA 95899-7437
Attention: HCBS Section



Last modified date: 10/14/2021 11:50 AM