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​Care Economy Payments for HCBS Direct Care Workers

​To support California's direct care providers of Medi-Cal Home and Community-Based Services (HCBS), the Department of Health Care Services (DHCS) will be distributing a one-time payment of $500. These payments are meant to help alleviate financial strain and hardships suffered by California's HCBS direct care workforce during the COVID-19 Public Health Emergency (PHE) and incentivize retention of California's existing HCBS direct care workforce.
These payments are funded through California's HCBS Spending Plan, approved by the Centers for Medicare & Medicaid Services (CMS) on January 4, 2022.     

Eligibility                           

To qualify, an HCBS direct care provider:
  • Must have worked for a minimum of two (2) months between March 2020 and March 2021.
  • Must currently be providing direct care HCBS.
  • Must have provided services through one of the following HCBS waivers/programs:
o    Assisted Living Waiver (ALW)
o    California Community Transitions (CCT)
o    Community-Based Adult Services (CBAS)
o    Home and Community-Based Alternatives (HCBA) Waiver
o    Medi-Cal Waiver Program (MCWP)
o    Multipurpose Senior Services Program (MSSP)
o    Program of All-Inclusive Care for the Elderly (PACE)

Eligible Provider Types*:

The following provider types are being considered by DHCS to receive a payment:
    • Nurse Care Manager
    • Social Work Case Manager
    • Social Worker Assistant
    • Program Aide
    • Activity Coordinator
    • Personal Care Services (PCS) worker
    • Attendant Care Provider
    • Homemaker Provider

Application Process

DHCS will post additional information and guidance on this page, as well as provide updates through various other channels, including email, stakeholder updates , and social media.
To expedite the application submission process, organizations are encouraged to begin gathering the following necessary information for each eligible employee:  

Required Eligible Employee Information*:

  • Name
  • Date of birth
  • Last four digits of either the employee's Social Security Number issued by the Social Security Administration or Individual Taxpayer Identification Number issued by the IRS
  • Current mailing address

Contact Us

For questions, please email HCBSCareEconomyPayments@dhcs.ca.gov

Last modified date: 2/21/2023 12:41 PM