HCBA Waiver

Home and Community-Based Services (HCBS) Waivers allow for creative alternatives for those who would otherwise require care in a nursing facility or hospital. Medi-Cal, in an agreement with the U.S. federal government, allows for waiver services to be provided in either a home or community setting. Provided you have full-scope Medi-Cal eligibility, you can receive services under the waiver, which must cost no more than the alternative institutional level of care.

Services can include:

  • Case management
  • Community transition services
  • Private duty nursing
  • Home health aides
  • Family training
  • Life-sustaining utility reimbursement
  • Respite care
  • Habilitation services
  • Any other services necessary to maintain the health and safety of participants in the setting of their choice

Put another way, the HCBA Waiver provides care management services to those who are at risk for nursing home or institutional placement. Provided by a multidisciplinary care team consisting of a nurse and social worker, the care management team coordinates the HCBA Waiver as well as State Plan services, such as medical, behavioral health, and in-home support. It also arranges for other long-term services and support systems that are available in the local community, for as long as they are medically necessary.

You can receive care management and HCBA Waiver services in any community-based residence, whether that’s your own privately owned home, the home of a family member or one that is secured through a tenant lease arrangement.

Please note, there are limited available slots, so be sure to check the dashboard, updated monthly, as to current enrollment and waitlist information for the HCBA Waiver.

See the links below to download the HCBA Waiver Form in English or Spanish. To learn more about HCBA waivers and how we can help, give Libertana a call today!

Download the HCBA Waiver Form

Download the HCBA Waiver Form (Español)

When complete, mail this application to the following address: 5805 Sepulveda Boulevard, Suite 605, Sherman Oaks, CA 91411

Or submit the application by secure FAX: (818) 788-7824

If you are an agency and want to learn more about the HCBA waiver you can request an in-service meeting through this form or by clicking the button to the right.

List of HCBA Providers (CHLF, HHA & PCA):

Congregate Living Health Facilities:
Download PDF
Download XLS
Home Health Agencies:
Download PDF
Download XLS
Personal Care Agencies:
Download PDF
Download XLS
Independent Nurse Provider:
Download PDF
Download XLS

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