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.
Please note: The number of clients HCBA can support is limited. Currently, there is a waiting list to receive services.
Who is Eligible?
- All ages, from
childrento older adults andseniors - Eligible for full-scope Medi-Cal (married couples and children may be eligible under special rules)
- Has major functional
difficultiesand needextensive 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, family member or a health care provider can complete the HCBA application.
There are three options to complete an application:
- fill in the form online, then hit the submit button
- request a paper copy from HCBA staff, complete and return it by Fax or mail
- download and print the form on your computer, then return it by Fax or mail
1. Online
Complete and submit the local program form online:
2. Request a Paper Copy
Call or email HCBA staff to get an application by mail. Call (707) 565-6440 or email the HCBA program.
3. Download and Print an Application
- Download the HCBA application in English
- Download the HCBA application in Spanish
- Mail or Fax Paper Applications
Once completed, send in your application:
- Mail: Home and Community Based Alternatives
Human Services Department Adult & Aging Division
3725 Westwind Boulevard, Suite 101
Santa Rosa, CA 95403 - Fax: (707) 565-5398
Please note: The number of clients HCBA can support is limited. Currently, there is a waiting list to receive services.
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