Community-Based Adult Services (CBAS) Forms and Instructions

Reporting Requirements

Reporting Guidelines

REPORT DUE DATE REPORTING PERIOD SUBMISSION PROTOCOL
Discharge Report Upon discharge of Fee-For-Service participant Cumulative for each calendar year Submit by fax to CDA (916) 928-2507
Incident Report 24 or 48 hours from time of incident
(see instructions for specifics)
N/A Submit by fax to CDA (916) 928-2507
MSSR By the 10th of each month For the previous month Email a Microsoft Excel file format to CDA's general email.
PCR January 31st
July 31st
Preceding December Preceding June Submit using the CBAS File Drop Web Portal at https://cbasfiledrop.aging.ca.gov/

Updated August 28, 2017

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Need Help?
If you are within California and are looking for services
call 1-800-510-2020
If you are outside California
call 1-800-677-1116

Community-Based Adult Services (CBAS)

1300 National Drive, Suite 200
Sacramento, CA 95834-1992

Phone: (916) 419-7545
Fax: (916) 928-2507

CBASCDA@Aging.ca.gov