Home and Community Based Alternatives

Formerly known as the In Home Operations Waiver, the Home and Community Based Alternatives (HCBA) Waiver provides care management services to persons at risk for nursing home or institutional placement.

 

As of 2024, IOA is scaling back on this program, but will continue to offer HCBA in San Bernardino and Riverside Counties.

 

If you are looking to apply for the waiver in San Francisco please contact:

Home and Health Care Management (800) 400-0727 or fax (530) 894-3186

 

If you are looking to apply for the waiver in San Mateo, please contact:

Libertana (800) 750-1444 or fax (818) 788-7824

 

Program Staffing

Care Managers, Nurses, program support staff, Supervisor, Manager

Program Services

  • Shift nursing care
  • Home/facility respite
  • Waiver Personal Care Service, etc.
  • Family/Caregiver Training
  • Care management
  • Environmental Adaptations

Eligibility Requirements

  • All ages
  • Meet Level of Care (LOC) criteria and have medical necessity (Skilled Need)
  • Full scope Medi-Cal
  • Cannot be enrolled in any other 1915(c) waiver
  • Be a resident of or at risk for admission to SNF, Subacute or Acute Facility
  • Must have a primary and a secondary (backup) caregiver (can be family member)
  • Stable Housing

Counties Served

San Bernardino / Riverside County

Related Resources

A hospital stay is just one part of the recovery journey—what comes next matters just as much.

When an aging adult is discharged, having the right home care support in place can make all the difference. From safety planning to emotional support, IOA Home Care helps families navigate the transition with confidence and compassion.

Learn what to expect and how to prepare by clicking the link in our bio! 

#HospitalToHome #AgingInPlace #CaregiverSupport #IOAHomeCare #IOACares
Today we honor Juneteenth — a day of reflection, freedom, and resilience.

At IOA, we recognize that true dignity in aging includes acknowledging the diverse histories, experiences, and voices that shape our communities. We remain committed to equity, inclusion, and ensuring every older adult is seen, supported, and valued.

#Juneteenth #FreedomDay #InclusiveAging #IOACares #EquityInAging
This Saturday, we’re joining the “Caring for Caregivers” series—hosted by KALW!

Tune in for an important conversation about caregiving, support, and the challenges families face every day. We’re proud to be part of this meaningful event.

🎟️ Reserve your spot by clicking the link in our bio! 

#CaregiverSupport #CaringForCaregivers #IOACares #CommunitySupport
Caregiver Coaching Tip!

When emotions run high, staying calm can feel impossible—but it’s one of the most powerful tools you have. In this tip, Alex shares 3 practical ways to reset, reframe, and recharge as a caregiver.

🔹 Pause before reacting
🔹 Focus on the emotion, not the words
🔹 Make time for yourself & ask for help

Because caregiving is a marathon, not a sprint.

#CaregiverSupport #DementiaCare #AlzheimersSupport #IOACares #CaregiverWellness #Companioa