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

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

• Assisted Living Waiver (ALW, 1915(c))
• DD (HCBS-DD) Waiver + Self-Determination Program
• CalAIM (1115/1915(b) managed care Community Supports)
• Drug Medi-Cal Organized Delivery System (DMC-ODS)
• MSSP (Multipurpose Senior Services Program)