Home and community care is a burgeoning sector in health care due to a shift from institutional care to home and community care. In 1997, the Ontario provincial government created forty-three Community Care Access Centres (CCACs) to provide a single access point for services, information and referrals (OACCAC, 2005). Our primary research objective is to measure the technical efficiency of each CCAC with Data Envelopment Analysis (DEA), an efficiency frontier technique. Technical efficiency provides an indicator on how CCAC case managers allocate their budget to provide an array of health professional and home support services to their care recipients. The results suggest that CCACs are technically efficient. Size of operation may be the primary issue since over 50% of CCACs are larger than optimal. Our study provides a baseline for efficiency measurement of home care delivery prior to the implementation of Local Integrated Health Networks (LHINs) proposed in Ontario.