The Home and Community-Based Alternatives (HCBA) waiver offers Medi-Cal services to a limited number of people with disabilities or chronic health conditions so they can live at home instead of a nursing facility. San Ysidro Health runs it for San Diego and Imperial counties, and says participants keep their own doctor and their IHSS.
The line
In June 2026, San Diego's waiver agency had 1,769 enrolled and 792 waiting (DHCS); in April it was 1,755 and 701. Statewide: 11,229 enrolled, 7,174 waiting. San Ysidro Health estimates the wait at up to 2 years.
Get in line
Call San Ysidro Health at 1-833-503-5910 or email caremanagement@syhealth.org, which is also where to ask for a status update.
While you wait
IHSS, PACE, adult day health care and the Medi-Cal plan's Community Supports can start sooner. Every senior waitlist in San Diego · the care ladder.
Do it with PJ
The calls, the forms, the logins and the errands in between: PJ does the legwork with your family in Solana Beach, Encinitas, Cardiff and Del Mar. He doesn't give medical, legal or benefits advice; the programs decide. Plans start as low as $25.
More: the care ladder · every senior waitlist · senior benefits checkup.
Sources: DHCS, HCBA dashboard June 2026 · DHCS, HCBA dashboard April 2026 · San Ysidro Health, HCBA waiver. Checked October 6, 2026.
Need a human?
This page is built every morning from public data by SideGuy, run by PJ, a local in Solana Beach. If something looks off, or you want a hand with your plans, text PJ at 858-461-8054. A real person answers.
Local help, free to read: make your fix plan · senior benefits checkup · lower your SDG&E bill · Medicare Extra Help · the next 90 days. Plans start as low as $25.
Questions people ask
How long is the HCBA waiver waitlist in San Diego?
San Ysidro Health had 792 people waiting in June 2026 (DHCS) and estimates the wait at up to 2 years.
Who runs the HCBA waiver in San Diego County?
San Ysidro Health, the waiver agency for San Diego and Imperial counties: 1-833-503-5910, caremanagement@syhealth.org.
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