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Home and Community Based Alternatives Waiver Program
The Home and Community Based Alternatives (HBCA) Waiver Program is a California State comprehensive care program that empowers at-risk and vulnerable participants to live at home. HBCA works with Medi-Cal to provide medical, behavioral, and in-home care services to you while living at home or in a community-based residence, so you don’t have to move to a nursing facility.
Center for Elders’ Independence is the administrator of the HCBA program for Alameda and Contra Costa Counties.
About HCBA
HBCA is a Medi-Cal benefit in California that enables professional care teams to manage and coordinate medical services for those who are eligible.
Our Services
Coordinated Care Services Based on Participants’ Unique, Individual Needs
Care Coordination
Ensure that you are staying on top of your medical care with the help of our team.
Care Coordination
CEI does not provide direct care, instead, we work with your insurance benefits by managing, directing, and coordinating services to help you maintain optimal health and safety from the comfort of your own residence.
We identify and arrange medical and community services, such as personal care, nursing care, long-term services and local community support systems. The level of services HBCA participants receive may increase based on their individual needs.
Keep Your Medi-Cal Doctor
No need to change doctors – we work with your current healthcare providers.
Keep Your Medi-Cal Doctor
HBCA participants have the freedom to continue seeing their preferred doctors or begin receiving services from qualified doctors in their area that are included in their Medicare and Medi-Cal plans. They will not be restricted to HBCA-specific doctors, regardless of their participation in the program.
Flexible Residence
Choose to live where you prefer while receiving care services.
Flexible Residence
The HBCA waiver program offers additional care to keep participants at home. HBCA participants live in a community-based residence and receive services there, as an alternative to a skilled nursing facility or other long-term care setting. This residence can be privately owned, secured through a tenant-lease arrangement or be the residence of a participant’s family member.
Who Qualifies?
The waiver program is for people of all ages. Currently, HCBA clients range in age from two months to 101 years old.
Eligibility and EnrollmentContact Us
If you are interested in the HCBA Waiver program and have questions for us, reach out to us by either calling or filling out the form below.
Call Us
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Apply Now
Download and complete the form below. Forms can be submitted via:
- Email: [email protected]
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Phone: (510) 318-7375
- Fax: (510) 255-6078
- Mail: Center for Elders’ Independence
510 17th Street, Oakland, CA 94612
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Still Have Questions?
We have answers! Learn more about eligibility, program costs, coordinated care and freedom to live at home, below.
What is HCBA?
The Home and Community-Based Alternatives (HCBA) Waiver Program is a California State approved medical services program that allows significantly at-risk and vulnerable people to obtain medical, behavioral health, and in-home care services enabling them to live at home instead of moving to a nursing facility with their current Medi-Cal account.
Center for Elders’ Independence is the administrator of the HCBA program for Alameda and Contra Costa Counties.
Through this program, HCBA participants live in a community-based residence instead of a skilled nursing facility or other long-term care settings. This residence can be privately owned, secured through a tenant-lease arrangement or the residence of a participant's family member.
How does HCBA work?
CEI has a dedicated team of Registered Nurse Case Managers, Patient Care Navigators and Social Workers who determine a person’s needs and then orders the necessary resources such as nursing care, IHSS personal care or home modifications.
Center for Elders’ Independence does not provide direct care; instead, CEI manages, directs and coordinates all of the various services for an individual person.
As an HCBA participant, the level of services you can receive may increase based upon your individual needs.
- You keep your Medi-Cal doctor.
- You keep your IHSS provider.
- The HCBA waiver offers additional care to keep you at home.
How is HCBA different from PACE?
Both HCBA and PACE allow participants to receive care and remain independent outside of a nursing facility. However, PACE is only for seniors 55 years and older.
Who qualifies for HCBA?
To qualify, you must currently be on Medi-Cal or apply for Medi-Cal. In addition, you must be eligible for or currently receiving care from a Medi-Cal funded nursing facility, subacute facility, acute hospital, or Intermediate Care Facility-Developmental Disabilities/Continuous Nursing (ICF-DD/CN).
Age is not a requirement to join the waiver program. Currently, HCBA participants range in age from two months to 101 years old.
How do I apply?
If you would like to apply for the HCBA Waiver program and you live in either Alameda or Contra Costa County, please download the application at the link below. Once completed, you can return it to us by email, fax or mail.