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 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, 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

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.


Adult Protection Hotline

Abuse and neglect affects many older and dependent adults in Sonoma County. Adult Protective Services (APS) responds to reports of abuse, neglect, exploitation and self-neglect involving older adults age 65+ and disabled, dependent adults age 18+.


Senior Resource Guide

The Sonoma County Senior Resource Guide / Guia De Recursos lists hundreds of local programs that are helpful to seniors, their families and their caregivers. 

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