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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

 

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

  • 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
San Bernardino / Riverside County

Related Resources

Loneliness can affect health as deeply as any illness.

Institute on Aging’s 24/7 Friendship Line offers compassionate support for older adults—any time, any reason.

📞 888.670.1360

#FriendshipLine #MentalHealth #IOACares

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Open post by ioaging with ID 18102758872560384
Loneliness can affect health as deeply as any illness. Institute on Aging’s 24/7 Friendship Line offers compassionate support for older adults—any time, any reason. 📞 888.670.1360 #FriendshipLine #MentalHealth #IOACares

Talking to a loved one about in-home care can be emotional—especially if they feel resistant or unsure.

In this Compassionate Care Tips video, Reed and Alex share ways to ease that conversation:

✔️ Listen and validate their concerns
✔️ Use gentler language—“helper” or “assistant” instead of “caregiver”
✔️ Reframe the need: “ I could really use the extra support”

You’re not alone in this. The right words—and the right care—can make all the difference.

Learn more by clicking the link in our bio!

#CaregiverSupport #HomeCareTips #DementiaCare #CompassionateCareTips #IOACares #AgingWithDignity

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Open post by ioaging with ID 18148629100387534
Talking to a loved one about in-home care can be emotional—especially if they feel resistant or unsure. In this Compassionate Care Tips video, Reed and Alex share ways to ease that conversation: ✔️ Listen and validate their concerns ✔️ Use gentler language—“helper” or “assistant” instead of “caregiver” ✔️ Reframe the need: “ I could really use the extra support” You’re not alone in this. The right words—and the right care—can make all the difference. Learn more by clicking the link in our bio! #CaregiverSupport #HomeCareTips #DementiaCare #CompassionateCareTips #IOACares #AgingWithDignity

Choosing home care is about more than services—it’s about connection.

At Institute on Aging Home Care, we believe that finding the right caregiver match is just as important as choosing the right type of care. It’s about trust, comfort, and care that feels personal.

💙 Learn how to find the right fit for your family. Click the link in our bio to read more!

#HomeCareSupport #CaregiverMatching #AgingWithDignity #IOAHomeCare #IOACares

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Open post by ioaging with ID 17894281869272561
Choosing home care is about more than services—it’s about connection. At Institute on Aging Home Care, we believe that finding the right caregiver match is just as important as choosing the right type of care. It’s about trust, comfort, and care that feels personal. 💙 Learn how to find the right fit for your family. Click the link in our bio to read more! #HomeCareSupport #CaregiverMatching #AgingWithDignity #IOAHomeCare #IOACares