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

🎨 Solo Exhibition: Bob Sockolov at @caldwellsnydergallery

We’re proud to share that Bob Sockolov, Institute on Aging’s Honorary Lifetime Director, will be featured in a solo exhibition from June 13–16 at Caldwell Snyder Gallery in San Francisco.

📍 341 Sutter Street, San Francisco
🗓️ Reception: Saturday, June 14 | 4–6 PM

Bob’s work—deeply inspired by the Bay Area’s scenery and skyline—has evolved over decades of self-taught experimentation. This exhibition offers a rare glimpse into his perspective on the city and its transformation.

🧡 All proceeds from artwork sales will benefit Institute on Aging, supporting older adults and caregivers in our community.

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In our latest blog, we break down the science behind this connection—and share what women can do now to protect their cognitive health during and after midlife.

💡 Knowledge is power. Start the conversation today.

Read more by clicking the link in our bio! 

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