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In order to qualify for the HCBA Waiver, you must be eligible for admission to, or be residing in, a Medi-Cal funded nursing facility, subacute facility, Intermediate Care Facility-Developmental Disabilities/Continuous Nursing (ICF-DD/CN) or acute hospital.
The Home and Community-Based Services (HCBS) Waiver programs serve persons with disabilities who live at home or in non-medical facilities (like Assisted Living or Board and Care facilities) instead of a nursing home (a.k.a. long-term care facility).
This includes controlling personal resources; being treated with privacy, dignity, respect, and freedom from coercion and restraint; deciding what and when to eat; having visitors; being able to lock doors; and having the protections of a lease or other legally enforceable agreement.
WPCS are services authorized by DHCS, for Medi-Cal beneficiaries enrolled in either the In-Home Operations (IHO) Waiver or the Home- and Community-Based Alternatives (HCBA) Waiver.
The Nursing Home Transition Diversion Waiver program (NHTD) uses Medicaid funding to provide support and services to individuals who are nursing home eligible but would prefer to stay in or return to their homes.
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Nearly all states and DC offer services through HCBS Waivers. States can operate as many HCBS Waivers as they want currently, about 257 HCBS Waiver programs are active nationwide.
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.
Median payment rates for HCBS providers range from $19 per hour for personal care providers to $43 per hour for registered nurses.

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