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California Home and Community Based Alternatives Waiver 1915(c) waiver

The Medicaid.gov waiver list shows the California Home and Community Based Alternatives Waiver (0139.R06.00) as an approved 1915(c) waiver, effective 01/01/2023 and expiring 12/31/2027. Its factsheet lists services including case management, home respite, facility respite, waiver personal care services, family and caregiver training, private duty nursing and continuous nursing services.

California · Effective · Implementation Dec 31, 2027

What it is

What changed
The Medicaid.gov waiver list shows the California Home and Community Based Alternatives Waiver (0139.R06.00) with status Approved, a CMS approval date of 07/14/2026, an effective date of 01/01/2023 and an expiration date of 12/31/2027. The Medicaid.gov California factsheet says it provides case management, home respite, facility respite, waiver personal care services, family and caregiver training, private duty nursing and continuous nursing services to individuals who are medically fragile or technology dependent, of any age, who meet a hospital, nursing facility, or ICF/IID level of care. The page also lists an Appendix K and its approval letter dated 07/14/2026.
Why it matters
Families deciding whether a California Medicaid waiver can pay for respite, in-home or caregiver supports need to know which approved waiver covers the person they care for and when its approval period ends.
Who it touches
People receiving caremedically fragile or technology-dependent people
What it does
Funds programs or services; Requires something of providers, companies or agencies

Sources

Last reviewed Oct 15, 2026. This is information, not legal advice; check the source for the current text.