Home and Community Based Alternatives

The Home and Community Based Alternatives (HCBA) Waiver provides care management services to persons at risk for nursing home or institutional placement.

Formerly known as the In Home Operations (IHO) Waiver

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 Mateo County, San Bernardino / Riverside County

Related Resources

In honor of #SocialWorkMonth, we're shining a spotlight on one of our exceptional social workers - Patty Myers! 

Patty has dedicated her career and volunteer efforts to support older adults and adults with disabilities in San Francisco. As the Resident Services Coordinator for Institute on Aging's Support in Independent Living program, Patty wears many hats to ensure that the 120+ residents of Martin Luther Towers Senior Housing can age in place comfortably. Her talent for connecting individuals with resources has enabled her to go above and beyond to ensure accessibility and inclusivity for all. Patty's commitment to her work has been unwavering, and we are grateful to have her on our team at IOA. 

#SeniorCare #SocialWork #SupportingTheElderly #SocialWorker #SocialWork #NationalSocialWorkerMonth #Services #Coordinator #Joinourteam
Today, on #WorldSocialWorkDay, we celebrate the incredible work that IOA's #socialworkers do to support older adults and adults with disabilities. 

One of those social workers is Caina Li, whose impact on the San Francisco community far exceeds her role as a Care Manager on the IOA Case Management team. When she's not managing a caseload, Caina continues her efforts through volunteerism, specifically supporting the Richmond District Neighborhood. In the past, Caina has volunteered with the SF Marin Food Bank, Mercy Housing, and even IOA's very own Friendship Line. Thank you Caina for your ongoing commitment to IOA and for your unwavering dedication and commitment to improving the lives of those around you!
We appreciate you and all of IOA's social workers!

#SocialWork #Community #Caregivers #CareManager #CaseManagement #WomensHistoryMonth #Spotlight #TeamSpotlight #SocialWorker #CaseManager #OlderAdults #Adultswithdisabilities
As the first day of Spring arrives, we can't help but feel a sense of excitement and renewal. The Enrichment Center in the Presidio is the perfect place to celebrate the changing seasons with your loved one living with dementia. Join us and take in the beauty of Spring! 
#FirstDayofSpring #EnrichmentCenter #Presidio #NatureLovers #Dementia #DementiaCare #DementiaSupport #Caregiver #CaregiverSupport #MemorySupport
Happy St. Patrick's Day! πŸ€πŸŒˆ Today, we celebrate the Irish spirit and all things green. Whether you're enjoying a pint of Guinness, wearing your favorite green outfit, or simply spending time with loved ones, we hope this day brings you joy and good luck.  May the road rise up to meet you. SlΓ‘inte! 🍻 #StPatricksDay #LuckoftheIrish #Green #Cheers #Celebration #Ageon #GoingGreen