Draft CBAS Waiver Amendment and Public Comment Process

The California Department of Health Care Services (DHCS) and the California Department of Aging (CDA) welcome the comments of stakeholders and interested parties on the Draft Community-Based Adult Services (CBAS) Waiver Amendment.

The Public Comment period begins on April 23, 2014 and ends on May 8, 2014.



CBAS is a Medi-Cal benefit under the CBAS provisions of the California Bridge to Reform (BTR) Section 1115(a) Medicaid Demonstration Waiver (BTR 1115 Waiver). The CBAS benefit is available to eligible individuals enrolled in Medi-Cal managed care. For eligible individuals who do not qualify for or are exempt from managed care, CBAS is available as a Medi-Cal fee-for-service benefit. The State is engaged in efforts to amend the CBAS provisions of the BTR 1115 Waiver (CBAS Waiver Amendment) which expires on August 31, 2014. The California Department of Health Care Services (DHCS) and the California Department of Aging (CDA) have facilitated a stakeholder process over the past six months to revise the CBAS Waiver provisions to continue CBAS as a Medi-Cal benefit beyond August 2014. This stakeholder process to develop a Draft CBAS Waiver Amendment has involved CBAS provider and Medi-Cal managed health care plan representatives, consumers, advocates, legislative staff, State staff and other interested parties. The Draft CBAS Waiver Amendment must be submitted to the Center for Medicare and Medicaid Services (CMS) in May 2014. More information about the CBAS Stakeholder Workgroup Process and related documents is posted on the CDA website CBAS Stakeholder Process section. Public Comment Process: The Public Comment period provides an opportunity for a final review of the Draft CBAS Waiver Amendment which is comprised of two documents: (1) Special Terms and Conditions (STCs), and (2) Standards of Participation (SOPs.) Both of these draft documents are posted for public review and comment In addition, the CMS-approved STC and SOP documents are posted for comparison purposes. Changes from the CMS-approved STCs and SOPs to the Draft STCs/SOPs were made for one or more of the following reasons:

  1. Align with statutory/regulatory language or Medi-Cal policy;
  2. Revise due to recommendations by the CBAS Stakeholder Workgroup;
  3. Delete since no longer relevant due to the ADHC/CBAS transition;
  4. Move to/from another place in the STCs/SOPs;
  5. Clarify/clean up language (including grammatical corrections);
  6. Align the STCs/SOPs.

Next Steps: After the Public Comment period ends, DHCS and CDA will do the following:

  1. Review all the comments/proposed revisions and finalize the Draft CBAS Waiver Amendment before submission to CMS;
  2. Post a summary of comments/proposed revisions submitted during the Public Comment period;
  3. Post the Draft CBAS Waiver Amendment submitted to CMS;
  4. Post monthly updates on the status of State negotiations with CMS (between May 2014 and until CMS approval.)

All postings will be on the CDA website CBAS Stakeholder Process section.

Please note: There is a short timeframe between the end of the Public Comment period and the time when the State must submit the Draft CBAS Waiver Amendment to CMS. Once the Draft CBAS Waiver Amendment is submitted to CMS, all changes thereafter are subject to negotiation with CMS.

Please contact the CBAS Branch at the California Department of Aging: CBAScda@aging.ca.gov or (916) 419-7545 if you have any questions. Thank you for your interest!

Updated April 22, 2014

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Community-Based Adult Services (CBAS)

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

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