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

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