Home and Community-Based Alternatives (HCBA) Waiver Program

HCBA Hotline: 1-800-251-6764

The Home and Community-Based Alternatives (HCBA) Waiver allows Medi-Cal beneficiaries with high-level care needs to continue to live at home or in the community by identifying and ensuring they receive services that will sustain their health and safety outside of an institution.

The HCBA Waiver provides care management services to persons at risk for nursing home or institutional placement. Care management services are provided by a multidisciplinary care team comprised of a nurse and social worker, which coordinates Waiver and State Plan services (e.g., medical, behavioral health, In-Home Supportive Services, etc.), and arranges for other available long-term services and supports available in the local community.

Care management and Waiver services are provided in the Participant’s community-based residence. This residence can be privately owned, secured through a tenant lease arrangement, or the residence of a Participant’s family

Please NOTE: In an effort to reduce confusion when navigating California’s complex long-term care (LTC) systems, DHCS is amending the current HCBA Waiver to integrate ALW services, in alignment with the end date of the current ALW term, February, 28, 2024.


Comprehensive Care Management (CCM):

Provided by a Care Management Team (CMT) comprised of a Nurse and a Social Worker with at least a master’s degree.

  • Coordinate / monitor medically necessary state plan and Waiver services, and other non Medi-Cal services available from across delivery systems, regardless of the funding source.
  • Conduct assessments to determine participants’ Level of Care (LOC)
  • Review / approve person-centered Plans of Treatment.
  • Conduct on-site home visits based on participants’ acuity levels
  • Contact participants, in-person or by phone, at least once a month.
  • Report / manage health and safety issues, and critical incidents.

Services that may be provided to support Waiver Participants in the community:

  • In-home Nursing Service
  • Waiver Personal Care Services (WPCS
  • Family/Caregiver Training
  • Home or Facility Respite
  • Habilitation Services
  • Community Transition Services
  • Environmental Accessibility Adaptation
  • Medical Equipment Operating Expenses
  • Personal Emergency Response System (PERS) – Installation, Testing and Operation

This Waiver (formerly the Nursing Facility/Acute Hospital (NF/AH) Waiver) was approved by the Centers for Medicare and Medicaid Services (CMS) on May 16, 2017. Medicaid’s Home and Community-Based Services (HCBS) Waiver programs, including the HCBA Waiver, are authorized under Section 1915(c) of the Social Security Act; governed by Title 42, Code of Federal Regulations (CFR); and administered by CMS.

Download English HBCA Waiver Application

Download Spanish HBCA Waiver Application

Please click on the below link to confirm the applicant’s zip code is within Partners In Care Foundation HCBA Coverage area.

ZIP Code List

Provider List for Participants

Download HCBA Flyer

For the California Department of Health Care Services Non-Discrimination Policy and Language Access, please use this link: https://www.dhcs.ca.gov/Pages/Language_Access.aspx

Career Opportunities

Social Worker (MSW) For HCBA Waiver Program

Nurse Care Manager For HCBA Waiver Program

Contact Us

For additional information, questions and application status updates, please email: HCBA@picf.org

TAR information: HCBATAR@picf.org

Service provider information: HCBAprovider@picf.org

HCBA Fax Number: 818-979-2341