HCBA Waiver Agency

The HCBA Waiver

Home Health Care Management, Inc. (HHCM) is contracted with the Department of Health Care Services (DHCS) to provide administrative services and comprehensive care management services, under the Medi-Cal Home and Community Based Alternatives (HCBA) Waiver Program to participants in 23 counties in Northern California (Butte, Colusa, Del Norte, El Dorado, Glenn, Humboldt, Lake, Lassen, Modoc, Nevada, Placer, Plumas, Sacramento, San Joaquin, Shasta, Sierra, Siskiyou, Solano, Sutter, Tehama, Trinity, Yolo, and Yuba Counties).

The HCBA Waiver (formerly the Nursing Facility/Acute Hospital (NF/AH) Waiver) was approved by the Centers for Medicare and Medicaid Services (CMS) on May 16, 2017. Medicaid’s Home and Community-Based Services (HCBS) Waiver programs, including the HCBA Waiver, are authorized under Section 1915(c) of the Social Security Act; governed by Title 42, Code of Federal Regulations (CFR); and administered by CMS.

The purpose of the HCBA waiver program is to provide comprehensive care management services to Medi-Cal beneficiaries, who have chronic medical conditions and/or disabilities and meet one of the designated level of care, to return to or remain in their home in lieu of institutionalization. The care management services are provided by a multidisciplinary care team comprised of a nurse and social worker. The care management team coordinates Waiver and State Plan services (e.g., medical, behavioral health, In-Home Supportive Services, etc.), and arranges for other available long-term services and supports available in the local community. Waiver services are provided in the participant’s residence. This residence can be privately owned, secured through a tenant lease arrangement, or the residence of a participant’s family member.

Services Provided Under The HCBA Waiver

Services that may be provided to support Waiver participants include but are not limited to:

  • Habilitation Services
  • Waiver Personal Care Services (WPCS)
  • Community Transition Services
  • Continuous Nursing and Supportive Services
  • Family/Caregiver Training
  • Personal Emergency Response Installation and Testing
  • Personal Emergency Response System
  • Private Duty Nursing
  • Home and/or Facility Respite
  • Environmental Accessibility Adaptation

2023 – 2027 Renewal of the Home & Community-Based Alternatives Waiver

Frequently Asked Questions

Fill out the below HCBA Waiver Application and fax to 530-894-3186 or mail to 1398 Ridgewood Drive Chico, CA 95973.

Download and complete the HCBA Waiver application:

All documents relating to the HCBA program can be sent to the following fax (530) 894-3186 (including TAR’s, POTs)

The necessary documents are to be faxed to (530) 894-3186 OR mailed to 1398 Ridgewood Drive Chico, CA 95973

A waiver applicant is an individual who is not enrolled and open to the HCBA Program.

A waiver member/participant is an individual who is enrolled, active and open to HCBA Program services.

HCBA Members/Participants

  • If you have any questions, concerns, and/or need to reach your case manager, please contact us toll free at 1.800.400.0727 or 530.343.0727.
  • If you need to add a new Waiver Personal Care Services (WPCS) provider please fill out the below form and fax to 530.894.3186 or mail to 1398 Ridgewood Drive Chico, CA 95973
  • It typically takes 3-5 business days for the DHCS WPCS Unit to process the Provider Agreement form once the form has been received by HHCM.
  • Once the DHCS WPCS Unit has added the WPCS provider to the system, time sheets will be issued through the electronic timesheet portal.
  • If you have any questions regarding payroll and/or time sheets, you can reach the DHCS WPCS Unit at 916.552.9214.

Providers/Vendors (Home Health Agencies/Independent Nurse Providers)

  • HHCM has 30 days to adjudicate a TAR.
  • Your current TAR will remain in force until the expiration date of the TAR.
  • E-TARS are not allowed at this time for the HCBA Waiver program.
    • TARs must be faxed to 530.894.3186 OR mailed to 1398 Ridgewood Drive Chico, CA 95973
  • The Provider Agreement Form MUST be completed and attached with the TAR in order for TAR processing to occur.
  • If there are any questions regarding TAR’s, please contact the HCBA TAR Processing team at toll-free 1.800.400.0727 or 530.343.0727

Contact Information for HCBA Waiver Program

  • Phone:
  • Fax: 530.894.3186
  • Mailing Address:
    Attention: HCBA Waiver Program
    1398 Ridgewood Drive
    Chico, CA 95973