Understanding Home & Community-Based Services (HCBS) in California

HCBS programs help people with intellectual and developmental disabilities live, work, and belong in their communities. Learn how these programs support inclusion, independence, and opportunity across California.

What Are HCBS?

Supporting independence and community inclusion for all Californians

Overview

Home & Community-Based Services (HCBS) offer individualized supports delivered in homes and communities rather than institutions. Services are tailored to personal goals so people can build skills, relationships, and independence close to family and community.

Examples include employment services, independent living skills, community engagement, personal assistance, assistive technology, transportation, and caregiver education.

When people receive supports in their own communities, everyone benefits.

Community members with disabilities participating in activities
🏠

Home-Based

Familiar environments

🀝

Community

Connected neighbors

πŸ’Ό

Employment

Work opportunities

🎯

Independence

Personal choice

How California Supports HCBS

Information to understand current efforts that help sustain community-based services

πŸ›οΈ

Context & Community Services

Federal and state policy environments can affect community-based services. California’s commitment to person-centered support helps individuals and families remain connected and supported where they live.

πŸ“Š

Rate Reviews & Stability

Periodic rate reviews help the state understand the costs of providing quality services. Clear, predictable structures support program planning and continuity for the people who rely on them.

πŸ‘₯

Direct Support Professionals

DSPs provide day-to-day coaching, skill-building, and support at home, work, and in the community. A stable, well-prepared workforce contributes to consistent, person-centered services and better outcomes.

HCBS Creates Opportunities That Change Lives

πŸŽ₯

See HCBS in Action

Watch real stories of how community-based services transform lives

▢️ Watch Video

From finding meaningful jobs to building friendships, HCBS programs make community participation possible. Employment Services and Community Engagement programs support purpose, belonging, and independence.

"

Because of Options For All, I found my first job.

β€” OFA Client

πŸ’Ό

Employment

Meaningful work opportunities

🀝

Community

Building lasting friendships

🎯

Skills

Developing independence

πŸ†

Achievement

Reaching personal goals

Get Involved

For Families and Staff

Personal experiences help illustrate the importance of community-based programs like HCBS. You can share how HCBS has affected your life, work, or family to help leaders and the public understand community impact.

For State Leaders

This page provides stories and program information about Home & Community-Based Services (HCBS) in California, including the role of Direct Support Professionals and how community-based supports enhance inclusion and independence.