Home and Community-Based Alternatives Waiver

HCBA is for clients of all ages who are medically fragile, with complex physical conditions that require more skilled care.

As an alternative to nursing home or institutional living, the program helps put supportive services in place to allow them to stay at home. HCBA can also support residents wishing to return home from a nursing home or institutional facility.

A social worker and a public health nurse team determine the services clients need. Client and family/caregiver are vital partners in planning and carrying out the care management plan.

The team regularly visits clients at home to provide ongoing support, information and referrals to services and help with government and other agency programs and benefits. The team also helps to arrange, coordinate and monitor recommended medical and community services, including nursing care and some personal care services.

Who is Eligible?

All ages, from children to older adults and seniors
Eligible for full-scope Medi-Cal (married couples and children may be eligible under special rules)
Has major functional difficulties and need extensive personal care and or nursing services
Has a strong support system of family/friends to help coordinate daily care

How to Apply to HCBA

The client, a family member or a health care provider can complete the HCBA application.

Contact the Sonoma County HCBA staff to get a paper copy of the application by mail. Call (707) 565-6440 or email the HCBA program.

Once completed, send your paper copy to us by:

Fax: (707-565-5398)
or Mail:
Home and Community Based Alternatives
Human Services Department Adult & Aging Division
3725 Westwind Boulevard, 1st Floor
Santa Rosa, CA 95403

If you prefer, you can download a copy of the form to your computer, then print it out and complete it. Important: Send your form to our local office at the mailing or fax address above.