Home & Community-Based Alternatives (HCBA) Waiver in California

At Topanga Home Health Care, Inc., we are honored to participate as a certified provider in the Home and Community-Based Alternatives (HCBA) Waiver program. This California Medi-Cal waiver allows individuals with complex medical needs to receive a nursing-facility level of care in their own homes or community settings, rather than in hospitals or long-term care facilities.

Our mission is to support individuals and families by helping them remain safe, comfortable, and as independent as possible while receiving the level of care they require.

What Is the HCBA Waiver?

The HCBA Waiver, also known as the Home and Community-Based Alternatives Waiver, is a Medi-Cal program in California that offers long-term services and supports to individuals of all ages who would otherwise require care in:

  • A nursing facility
  • An intermediate care facility
  • An acute hospital

Through the HCBA Waiver, eligible individuals can continue living at home or within the community while still receiving necessary medical, nursing, and supportive services.

Who May Qualify for the HCBA Waiver?

Individuals may be eligible for the HCBA Waiver if they:

  • Are enrolled in Medi-Cal
  • Require a nursing-facility level of care or higher
  • Choose to remain at home or in the community instead of entering an institution
  • Meet California’s medical and financial eligibility guidelines

Please be aware that HCBA Waiver enrollment is limited statewide, and eligible applicants may be placed on a waitlist until openings become available.

Services Covered Under the HCBA Waiver

Topanga Home Health Care, Inc. offers a comprehensive range of HCBA Waiver services throughout California, tailored to meet individual care needs, including:

  • Care Management
    Ongoing coordination provided by a registered nurse and social worker
  • Skilled Nursing Care
    In-home nursing services for individuals with complex medical conditions
  • Personal Care Assistance
    Support with daily activities such as bathing, dressing, and meal preparation
  • Therapy Services
    Physical, occupational, and speech therapy to promote recovery and independence
  • Medical Supplies and Equipment
    Medically necessary items such as wheelchairs and oxygen
  • Home Modifications
    Accessibility improvements, such as ramps and grab bars
  • Respite Care
    Temporary relief for family caregivers
  • Supportive Services
    Customized assistance designed to enhance quality of life

Why Choose Topanga Home Health Care, Inc.?

Families across California trust Topanga Home Health Care, Inc. for HCBA Waiver services because we:

  • Participate as an approved HCBA Waiver provider
  • Develop individualized care plans based on personal needs
  • Offer dependable support and in-home services
  • Assist with Medi-Cal waiver applications and eligibility guidance
  • Combine professional expertise with compassionate, patient-centered care

Why Choose HCBA Over Facility-Based Care?

  • Remain at Home
    Receive the care you need in a familiar and comfortable setting
  • Stay Connected
    Continue close relationships with family, friends, and your community
  • Individualized Support
    Care services designed around personal health needs
  • Improved Daily Living
    Greater flexibility, comfort, and dignity in care delivery

How Topanga Home Health Care, Inc. Supports You

Topanga Home Health Care, Inc. helps make the HCBA Waiver process clear and manageable from start to finish:

  • Eligibility Review
    Assistance in determining qualification for the HCBA Waiver
  • Application Guidance
    Support with Medi-Cal forms and documentation
  • Care Coordination
    Personalized care plans aligned with medical and lifestyle needs
  • In-Home Services
    Professional, compassionate care provided at home
  • Continued Monitoring
    Ongoing evaluations to ensure care remains appropriate

Compassionate Care Starts

Get trusted home health care designed around your needs. Our skilled professionals deliver reliable in-home health services with compassion. Contact us today to begin personalized care.