• child in wheelchair with caregiver

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.

Please note: The number of clients HCBA can support is limited. Currently, there is a waiting list to receive services.

Contact Information

Adult & Aging Services
Human Services Department
Business Hours
Monday – Friday
8:00 AM – 5:00 PM
Contact us by Phone
3725 Westwind Boulevard
First Floor
Santa Rosa, CA 95403
38.510185, -122.796579

Adult Protection Hotline

Adult Protection Services Information

(800) 667-0404


Call 24/7 - Confidential, Anonymous

Sonoma County Senior Resource Guide/ Guía de Recursos

Search for local resources

Senior woman and man read

Find helpful services and programs for older adults. English or Español.