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Home and Community-Based Alternatives (HCBA) Waiver in California

Home and Community-Based Alternatives (HCBA) Waiver covers in-home and community services only — it does not pay for residential placement in California. The program serves medically fragile adults/children at NF/subacute LOC.

Enrollment and service authorization go through your service coordinator, typically via your regional center. They confirm eligibility, authorize the budget, and help select a provider.

Need a Residential Placement Instead?

Home and Community-Based Alternatives (HCBA) Waiver does not fund residential placements. In California, residential care can be funded through Assisted Living Waiver (ALW, 1915(c)), DD (HCBS-DD) Waiver + Self-Determination Program, CalAIM (1115/1915(b) managed care Community Supports), and others — talk to your service coordinator about switching or adding a program.

See All California Waiver Programs

Frequently Asked Questions

Does Home and Community-Based Alternatives (HCBA) Waiver Pay for Residential Care in California?
Home and Community-Based Alternatives (HCBA) Waiver covers in-home and community services only — it does not pay for residential placement in California.
Who Is Home and Community-Based Alternatives (HCBA) Waiver For?
Home and Community-Based Alternatives (HCBA) Waiver serves medically fragile adults/children at NF/subacute LOC. Your service coordinator confirms individual eligibility and enrollment.
How Do I Find Providers That Accept Home and Community-Based Alternatives (HCBA) Waiver?
Because Home and Community-Based Alternatives (HCBA) Waiver does not fund residential placements, ask your service coordinator about in-home and community providers. If a residential placement is needed, see the California waivers that pay for residential care.

Other Programs in California