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Case management programs provide services intended to help older adults and people with disabilities from having to go into nursing homes or care facilities. These programs reduce costs and enable clients to keep living in their homes while enjoying a higher quality of life.

Home and Community-Based Alternatives (HCBA) Program

The Home and Community-Based Alternatives (HCBA) waiver provides care management services to nursing facility-eligible individuals of any age.  HCBA provides home-based services including ongoing care management, referrals and personal care services to individuals on Medi-Cal who need regular monitoring.

The HCBA waiver program is now being administered by Access TLC. They can be reached at 800-852-9887.

Multipurpose Senior Services Program (MSSP)

The Multipurpose Senior Services Program (MSSP) waiver provides services to Medi-Cal eligible individuals who are 65 years or older and disabled as an alternative to nursing facility placement. The MSSP waiver allows individuals to remain safely in their homes.

As of July 1, 2025, the VCAAA is no longer administering the MSSP program. If you have any questions, please call the Information & Assistance team at 805-477-7300.