ATTENTION: HCBA WAIVER APPLICANTS
On July 12, 2023, the Department of Health Care Services (DHCS) notified us that they were putting a hold on new applications for the Home and Community Based Alternatives (HCBA) Waiver because the program is reaching the total number of participants allowed. That means no more applications will be processed for the HCBA Waiver until ‘slots’ for the program open up. We do not know how long this hold on processing applications will last. As of July 12, 2023, those people who apply for the HCBA Waiver will be placed on a waitlist. The attached Memorandum from DHCS explains this process.
We do know that DHCS will prioritize some people for what the state (DHCS) calls “Reserve Capacity” applicants as described in the attached Memorandum. We believe that “Reserve Capacity” means that there are some people who will have their HCBA Waiver applications processed first. According to DHCS, there are three groups who fall into these “Reserve Capacity” categories. These three groups are:
• Children under the age of 21 – including those who have who will turn 21 years of age during the current year and who were receiving nursing services paid for by Medi-Cal (for example through the Early and Periodic Screening, Diagnosis and Treatment (EPSDT program, the California Children’s Services (CCS) program or through a Medi-Cal Managed Care Plan.)
• People who have been in a skilled facility (which means a hospital, nursing home or intermediate care facility) for more than 60 days with services covered by Medi-Cal (not counting any days paid by Medicare).
• People transitioning from another Medi-Cal waiver program.
We believe that DHCS plans that those who fall into one of these three groups will be placed on a priority list and they will have their applications processed first when HCBA Waiver slots open. Those applicants who are not in one of these three “Reserve Capacity” groups will be placed on a waitlist for the HCBA Waiver program.
We met with DHCS on July 21, 2023 to talk about the questions everyone has. DHCS let us know that they are still working on the details for how the waitlist will be managed. What is stated here is what we believe to be true today (7/25/23). Please note, this may change as DHCS gives us more information.
We still want to encourage everyone who wants the HCBA Waiver to complete the HCBA Waiver application on our website. Anyone who is not in one of the three groups listed above will have their application placed on the waitlist and will have their application processed when more ‘slots’ on the HCBA Waiver open up. We just do not know how long it will take for additional slots to open up. Those individuals who are interested in Assisted Living Waiver Program, (ALWP) please go to our website under Assisted Living Waiver and fill out that application. This program has a similar wait list.