Home and Community Based Alternatives

Home and Community Based Alternatives

Home and Community Based Alternatives


A Medicaid waiver for those at risk for nursing home or institutional placement.

HCBA Waiver Overview

The HCBA Waiver (formerly the Nursing Facility/Acute Hospital (NF/AH) Waiver) was approved by the Centers for Medicare and Medicaid Services (CMS) on May 16, 2017.  Medicaid’s Home and Community-Based Services (HCBS) Waiver programs, including the HCBA Waiver, are authorized under Section 1915(c) of the Social Security Act; governed by Title 42, Code of Federal Regulations (CFR); and administered by CMS.

The HCBA Waiver provides care management services to persons at risk for nursing home or institutional placement. The care management services are provided by a multidisciplinary care team comprised of a nurse and social worker. The care management team coordinates Waiver and State Plan services (e.g., medical, behavioral health, In-Home Supportive Services, etc.), and arranges for other available long-term services and supports available in the local community. Care management and Waiver services are provided in the Participant’s community-based residence. This residence can be privately owned, secured through a tenant lease arrangement, or the residence of a Participant’s family member.

TAR Submittal Information for Service Providers

E-TARS are not allowed at this time for this program. Providers can submit TARs using paper TAR form 50-1 and 50-2 along with supporting documentation in the following manner: Mail, e-fax, or manual fax. Institute on Aging has 30 days to adjudicate your TARS, however, our goal is to have a 10-day-or-less turnaround time.

Address TAR submittals to Institute on Aging with subject line, “TAR Submittal” to one of the following:

1660 South Amphlett Boulevard, Suite 219
San Mateo, CA 94402
Fax: 650.539-9958

3575 Geary Boulevard
San Francisco, CA 94118
Fax 415-579-1740

473 E. Carnegie Drive, Suite 200
San Bernardino, CA 92408
Fax 909-284-8002

Provider Contracts

All providers in the IOA service areas must enter into a contract with Institute on Aging to continue providing care for waiver members. If you have not received a provider contract packet, please contact us or if you have not submitted your contract please do so immediately.


For more information on HCBA waivers, call IOA Connect at 415-750-4111.


Phone: 415.750.4111

To make a referral right now, please fill out the Home and Community Based Alternatives Intake Form.