HCBA Waiver Agencies are local, non-governmental organizations contracted with the Department of Health Care Services to enroll HCBA Waiver Participants, perform level of care assessments, provide case management, and develop and review participant Plan of Treatments. HCBA Waiver Participants are assigned to HCBA Waiver Agencies based on their geographical locations.

The HCBA Waiver provides care management services to persons at risk of nursing home or institutional placement. The care management services are provided by a multidisciplinary Care Management Team (CMT) comprised of a nurse and social worker.

The CMT coordinates Waiver and State Plan services (i.e. medical, behaviorial health, In-Home Supportive Services, etc.), and arranges for other 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.

The HCBA Waiver Program is a Medi-Cal Program and all applicants must have Medi-Cal Benefits in place or be in the process of applying for Medi-Cal Benefits.

All HCBA Waiver Participants and/or their Legal Representatives are required to have an active and current Plan of Treatment. Participants and/or their Legal Representatives are required to review and sign their Plan of Treatment timely, AND ensure their Primary Care Physicians (PCPs) sign the Plan of Treatment and return it to Access TLC Home Health Care in a timely manner.

All HCBA Waiver Participants and/or their Legal Representatives must ensure current Medical Records (less than 8 months old) are submitted to Access TLC Home Health Care in a timely manner.