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California Medicaid waivers that pay for home care

Last verified April 30, 2026 · All California resources

California Medicaid pays for in-home personal care and related services through 2 programs, including the Home and Community-Based Alternatives (HCBA) Waiver and the Home and Community-Based Services Waiver for the Developmentally Disabled (HCBS-DD). California has 1915(c) HCBS waivers administered by DHCS. Waiver Personal Care Services (WPCS) is offered for individuals with complex medical needs through the HCBA Waiver. Recipients must have full-scope Medi-Cal eligibility. The IHSS program (Welfare & Institutions Code §12300) is a separate state-plan personal care program rather than a 1915(c) waiver.

Which California waivers can a home care agency bill?

Each waiver below lists who it covers, the services it pays for, and how providers bill.

Home and Community-Based Alternatives (HCBA) Waiver

Population
Aged and disabled individuals of all ages who are at risk of nursing home or institutional placement and have full-scope Medi-Cal eligibility
Services covered
  • case management
  • community transition services
  • private duty nursing
  • family training
  • home health aide
  • habilitation services
  • waiver personal care services (WPCS)
Billing format
EVV via CalEVV (Sandata) or Alternate EVV system; submitted to Medi-Cal
Prior authorization
Required
Open waiver page (opens in a new tab)

Home and Community-Based Services Waiver for the Developmentally Disabled (HCBS-DD)

Population
Individuals with developmental disabilities served by California's Regional Centers
Services covered
  • habilitation services
  • supported living services
  • respite
  • personal care
Billing format
EVV via CalEVV (Sandata) or Alternate EVV system; submitted to Medi-Cal
Prior authorization
Required
Open waiver page (opens in a new tab)

Sources

More for California

Medicaid waiver lookup: other states

Related guides

Authorizations

How to Become a Medicaid Provider for Home Care

To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.

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