Page Reviewed / Updated - Dec. 2018
California Medicaid, or Medi-Cal, officials created this waiver program (Home and Community-Based Alternatives) for the target population of physically-disabled seniors who are either currently in nursing homes, intermediate care facilities, or likely to need long term nursing home care within a month. Therefore, seniors who are in a skilled nursing facilities on a temporary basis for rehabilitation following a hospitalization are an important target group for this waiver.
The program’s supports and services are designed to allow qualifying participants to return home or to continue living in their current residence. As such, the program assists participants in identifying and paying for their home assistance technology, emergency responses service, and home accessibility modifications in addition to their personal care and home health care.
Note: The Home and Community-Based Alternatives (HCBA) Waiver was formerly referred to as the Nursing Facility / Acute Hospital (NF/AH) Waiver. Prior to that the old NF A/B Waiver, Nursing Facility Sub-Acute, and the In-Home Medical Care Waivers were combined together under this waiver.
Although open to California residents of any age, the HCBA Waiver has rigid financial and medical guidelines for qualification. The applicant must require a nursing home level of care and should already be living in a hospital or nursing facility. Qualified applicants must be able to safely and sustainably receive their required care in their homes. Applicants do not need to be currently residing in a residential care facility; however, those who are will be prioritized for funding.
In 2019, the income limits are $1,242 for an individual and $1,682 for a couple (should both spouses of a couple being applying for Medicaid). Individuals or couples who have gross monthly incomes that slightly exceed these limits may still qualify by deducting health insurance premiums from their countable income.
This waiver requires full Medi-Cal eligibility. Therefore, higher income individuals who only qualify for Aged and Disabled Medi-Cal with a “Share of Cost” are not eligible for services under this waiver. When a married applicant has a healthier spouse (a non-applicant spouse), who continues to work or has unearned income from a pension or Social Security, their income is not used to determine the applicant’s eligibility.
In 2019, the asset limits are $2,000 for individuals and $3,000 for couples. The primary residence is considered exempt from one's countable assets, regardless of equity value. Please note, California is set apart from the rest of the states, as all the other states have a limit on home equity value for exemption purposes.Other asset exemptions include household furnishings, certain sentimental items, such as wedding rings, and a vehicle.
Persons whose income or assets exceed the California Medicaid limits and couples where only one spouse is seeking Medicaid should consult with a professional Medi-Cal planner to structure their assets and income appropriately to enable them the best possibility of acceptance into Medi-Cal.
The HCBA waiver is designed to allow individuals to remain living at home or return to living in their homes after an extended stay in a skilled nursing facility. This initiative is formally referred to as California Community Transitions (CCT) Project. As the goal is to move persons out of nursing homes, the benefits available to participants are chosen with this objective in mind. Participants may receive any of the following:
This program is current and available throughout California. However, because this is a waiver program and not an entitlement program, there can be waiting periods for services to start. The enrollment caps increase annually from approximately 5,500 participants in 2018 to approximately 8,974 in 2023.
More information and an application are available on the Department of Human Services webpage. The complete process can take between two to five months to get a care plan started and transition the patient out of the facility.