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Home and Community-Based Services (HCBS) Waivers

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).  The HCBS waivers use special Medi-Cal eligibility rules (waiver rules), that allow the income and property belonging to the spouse or parent of the waiver person to be exempted or “waived”. 

Basic Eligibility Requirements
  • Participate in or request to participate in an HCBS program.
  • Be eligible to full-scope Medi-Cal.

The special waiver rules (that exempt the income and/or property of your spouse or parent) will apply only if you have too much income for free Medi-Cal (eligible with a Share-of-Cost) or if you are not eligible to Medi-Cal due to property.

Your worker can provide you with more information regarding which program is more beneficial to you.

Income Requirements

There is no income limit and only your income will be used to determine your eligibility and Share-of-Cost if any.

Citizenship/Immigration Requirements

You must be a citizen or have satisfactory immigration status to participate in an HCBS program. 

Renewal Requirements

Your Medi-Cal eligibility must be renewed at least once a year.  

Contact the Department of Health Care Services In-Home Operations Southern California information line at:  (213) 897-6774

The HCBS agency will forward a Medi-Cal application to the Department of Public Social Services (DPSS) on your behalf.

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