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

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 Stakeholder Presentation Agenda

2022 HCBA Waiver Renewal Stakeholder Presentation

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 will be hosting the first of the three technical workgroup meetings from 12:00 p.m. to 5:00 p.m. 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. Meeting materials, including the full list of workgroup members are available below.

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

Use the following information to join the WebEx Event, at the appointed time.

Attendee link

Password: welcome1

Call-in information: 1-415-655-0001

Access code: 145 090 4374

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


 

Technical Workgroup Meeting #2

DHCS will be hosting the second of the three technical workgroup meetings from 12:00 p.m. to 3:00 p.m. 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.

 

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

 

Join the Technical Workgroup Meeting #2 Webinar

Password:  welcome1

Call-in number:  +1-415-655-0001

Access code:  145 458 8075

 

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

  • Meeting Agenda
  • HCBA Waiver Renewal Technical Workgroup #2 Presentation
  • Technical Workgroup Member Goals
  • Complete Change Concept Tool
  • Workgroup #2 Q&A


 

Technical Workgroup Meeting #3

DHCS is targeting early late January for the third technical workgroup meeting. Information about the workgroup will be posted as it becomes available.

Public Feedback 

DHCS is accepting public feedback about HCBA Waiver prior to submitting a request to renew the Waiver for an additional five-year term, 2022 to 2026. 

Public feedback may be submitted to the HCBA Waiver email inbox, by submitting an HCBA Waiver Renewal Public Feedback Submission Form to the HCBA in box, at: HCBAlternatives@DHCS.CA.gov. Please include “HCBA Renewal Public Feedback" in the subject line.

Public feedback may also be submitted to DHCS 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
Attn: HCBS Section

Timeline

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

September 17, 2020Stakeholder Presentation
October 2020 – January 2021Technical Workgroup Meetings
Summer 202130-day Public Comment Period

​​

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: 12/3/2020 11:46 AM