CA headline: HCB Alternatives Waiver covers up to $5,500 in lifetime home modifications for income-eligible seniors at nursing-home level of care. MSSP covers smaller modifications and care coordination.

Active programs

HCB Alternatives Waiver

Medi-Cal HCBS waiver. Covers personal care, modifications, adult day, care management.1

Modification cap: $5,500 lifetime.

MSSP (Multipurpose Senior Services Program)

For seniors 65+ certified as needing nursing-home level of care.2 Covers smaller modifications, care coordination, respite.

IHSS (In-Home Supportive Services)

Personal care services, not modifications. Often pairs with HCB Alternatives.

How to apply

  1. Contact local County Social Services for Medi-Cal eligibility.
  2. Care Plan Option (CPO) for HCBS.
  3. Functional assessment for waiver eligibility.

What to do next

For CA heat pump rebates, see California heat pump rebates 2026.

For broader context, see senior programs by state.