Community-Based Adult Services

The California Department of Aging (CDA) administers programs that serve older adults, adults with disabilities, family caregivers, and residents in long-term care facilities throughout the State. These services are provided locally by contracted agencies. This webpage is intended for those who provide, or seek to provide, Community-Based Adult Services (CBAS).

For Providers & Partners - Program Narrative and Fact Sheets

For Consumers - Community-Based Adult Services (CBAS)

ACL NumberSubjectIssue Date
18-01CBAS Providers – New Medi-Cal Enrollment Requirements, Personal Identifying Information6/1/2018
17-05Final Rule Implementing Section 1557 of the Affordable Care Act4/4/2017
17-04Use of Secured Perimeter Fences and Egress Control Devices in ADHC / CBAS Centers3/10/2017
17-03Use of Soft Restraints in ADHC / CBAS Centers3/9/2017
17-02Fingerprint Clearance Background Check Requirements3/1/2017
17-01Implementation of ADHC / CBAS Participation Agreement1/31/2017
15-07Home and Community-Based (HCB) Settings Requirements – New Focus for CBAS Center Monitoring and Surveys9/24/2015
15-05Public Comment Period Notice for Draft CBAS HCB Settings Transition Plan5/14/2015
15-03New Federal Home and Community-Based (HCB) Settings Requirements and Stakeholder Process4/17/2015
15-02Upcoming CBAS Training Opportunities3/27/2015
15-01Discharge and Incident Reporting2/10/2015
14-03Absentee Notification Plan6/5/2014
19-01ADHC/CBAS Center Disaster Plan Requirements and Guidance2/7/2019
19-02Implementation of New CBAS Individual Plan of Care (IPC)3/19/2019
19-03ALERT – Update on Implementation of the CBAS Individual Plan of Care (IPC) for non-users of IPC software5/13/2019
19-04New MSSR Reporting Process5/20/2019
19-05UPDATED ALERT – CONTINUED EXTENSION of Implementation Date of the new CBAS Individual Plan of Care (IPC) for non-users of IPC Software6/3/2019
19-06New Participant Characteristics Report (PCR) Reporting Process and Updates6/13/2019
19-07UPDATED ALERT – New Implementation Date of the New CBAS Individual Plan of Care (IPC) For Non-Users of IPC Software8/13/2019
19-08Revised ADHC / CBAS Participation Agreement Instructions (CDA 7000i) (Rev 08/2019)10/1/2019
19-09ADHC / CBAS Training Requirements and Resources10/4/2019
19-10All Plan Letter (APL) 19-004: Provider Credentialing / Recredentialing and Screening / Enrollment11/8/2019
20-01Proposition 56 Supplemental Payments to CBAS2/5/2020
20-02Approval for Administrator and Program Director Changes2/27/2020
20-03CBAS Center Operations During COVID-19 Outbreak3/18/2020
20-04Temporary Community-Based Adult Services (CBAS) In Response to COVID-19 Public Health Emergency – Guidance Forthcoming, PENDING CMS Approval3/24/2020
20-05Temporary Suspension of Monthly Statistical Summary Report (MSSR) Reporting3/26/2020
20-06Guidance for Community-Based Adult Services (CBAS) In Response to COVID-19 Public Health Emergency3/27/2020
20-07CBAS Temporary Alternative Services (TAS) Overview & Requirements4/13/2020
20-08Frequently Asked Questions (FAQ) #2 and #3 – COVID-19, CBAS Temporary Alternative Services4/22/2020
20-09CBAS Temporary Alternative Services (TAS) Documentation Guidance5/1/2020
20-10Frequently Asked Questions (FAQ) #4, CBAS Temporary Alternative Services (TAS) - Documentation5/8/2020
20-11New Participant Enrollment during CBAS Temporary Alternative Services (TAS)5/13/2020
20-12Monthly Statistical Summary Report (MSSR)5/19/2020
20-13Telephonic Surveys for CBAS Certification Renewal6/1/2020
20-14CBAS Temporary Alternative Services (TAS) Guidance on Provision of In-Center Services6/25/2020
20-16Frequently Asked Questions (FAQ) #6, CBAS Temporary Alternative Services (TAS)10/23/2020
20-17-RevRevised ADHC/CBAS Incident Report Form and Instructions1/22/2021
21-01California Department of Public Health (CDPH) Updated Guidance for COVID-19 Vaccine Distribution2/22/2021
21-02Provision of ADHC / CBAS Services in the Center3/5/2021
21-03COVID-19 Vaccine Eligibility for Persons with High-Risk Medical Conditions or Disabilities3/12/2021
21-04Transition to Congregate Center Services4/8/2021
21-05CBAS Phased Transition to Congregate Services FAQ #75/24/2021
21-06Temporary Suspension of the Participant Characteristics Report (PCR) Submission to CDA for June 20216/2/2021
21-07Notice of Public Comment Period for STP and Draft CBAS Transition Plan6/18/2021
21-08-RevNotice of California Department of Public Health (CDPH) State Public Health Officer Order - “Unvaccinated Workers in High-Risk Settings”8/10/2021
21-09Notice of California Department of Public Health (CDPH) State Public Health Officer Order of August 5, 2021 - “Health Care Worker Vaccine Requirement”8/13/2021
21-10Postponement of Deadline for CBAS Transition of All Participants to In-Center Services and Other Planning Updates8/31/2021
21-11Change to Distribution of CBAS Certification Correspondence11/10/2021
21-12Discharge Summary Reporting11/18/2021
20-15Frequently Asked Questions (FAQ) #5, CBAS Temporary Alternative Services (TAS) – In-Center Services7/16/2020
Form NumberForm NameIssue Date
CDA 7002CDA 7002 (01/18) - Center Assessment Tool - Medication Storage and Administration2/12/2018
CDA 7003CDA 7003 (01/18) - Center Assessment Tool - Activity Program2/12/2018
CDA 7005CDA 7005 (01/18) - Center Assessment Tool - Social Services2/12/2018
CDA 7004CDA 7004 (01/18) - Center Assessment Tool - Multidisciplinary Team and Person-Centered Care Planning Process2/12/2018
CDA 7006CDA 7006 (04/18) - Personal Identifying Information4/26/2018
CDA 7006iCDA 7006i (04/18) - Personal Identifying Information Instructions4/26/2018
CDA 7007CDA 7007 (08/18) - ADHC/CBAS Pre-Screening Training Modules Completion Form8/27/2018
CDA 7008CDA 7008 (10/18) - Center Assessment Tool - Training Requirements11/2/2018
CDA 7009CDA 7009 (12/18) - CBAS Center Closure - Records Disposition Plan12/14/2018
CDA 4008CDA 4008 (07/19) - CBAS Discharge Summary Report10/24/2019
CDA 4008iCDA 4008i - CBAS Discharge Summary Report Instructions9/30/2021
CDA 282CDA 282 Local Fire Inspection Authority Information5/6/2020
CDA ADH 1038Acknowledgement of Regulatory Responsibilities and Practice Acts9/12/2019
CDA CBAS 4007Contractual Agreement Listing9/12/2019
CDA 7000CDA 7000 (01/17) - ADHC/CBAS Participation Agreement9/12/2019
CDA 7000iCDA 7000i (08/19) - ADHC/CBAS Participation Agreement Instructions10/17/2019
CDA 4009Incident Report (CDA 4009) (Rev 10/20)11/12/2019
CDA 4009iADHC/CBAS Incident Report Instructions10/23/2019
CDA CBAS 293CDA CBAS 293 (06/19) Participant Characteristics Report9/12/2019

Eligibility and Service Authorization

10/03/2018 - Individual Plan of Care (IPC) (DHCS 0020)

Program Updates

10/07/2021 CBAS Updates

08/19/2021 CBAS Updates

06/17/2021 CBAS Updates

02/18/2021 CBAS Updates

10/25/2016 CBAS Updates: HCB Settings and Person-Centered Planning Requirements

Temporary Alternative Services (TAS)

Transition to CBAS Congregate Center Services – Live FAQ Webinar (05/05/21)

CBAS TAS – Return to Congregate Services (04/14/21)

CBAS TAS – Initial Implementation (04/14/20)

CBAS TAS Updates (09/24/20)

California Department of Public Health (CDPH) / CDA Joint Training

The Department of Health Care Services (DHCS) and the California Department of Aging (CDA) convened a series of stakeholder meetings to develop a Community-Based Adult Services (CBAS) Home and Community- Based (HCB) Settings Transition Plan (CBAS Transition Plan), to be incorporated into California’s Statewide Transition Plan (STP). Meetings began in February 2015. Pending final approval of California’s STP by the Centers for Medicare & Medicaid Services (CMS), CDA and DHCS in collaboration with stakeholders are implementing the activities and milestones identified in the CBAS Transition Plan.

Objective

To develop and implement the CBAS Transition Plan to bring CBAS centers into compliance by March 17, 2023 and on an ongoing basis with the federal requirements of the HCB Settings regulations as specified in the CBAS provisions of California’s 1115(a) Demonstration Waiver. These regulations became effective on March 17, 2014. Note: CMS extended the date for compliance with the federal requirements from March 17, 2019 to March 17, 2023.

Additional information about the federal requirements is available at Medicaid.gov.

Participants

Stakeholders include, but are not limited to:

  • Managed Care Plans
  • CBAS Providers
  • Advocates
  • CBAS Participants and Caregivers
  • Legislative Staff
  • State Departments

Key Documents

Meetings

The following stakeholder meetings took place at CDA in Sacramento in person and via webinars for remote participation.

Date Time Subject
February 24,
2015
2 - 5 PM Kick Off
March 17,
2015
2 - 5 PM Plan Development
April 23,
2015
2 - 5 PM Plan Development
May 19,
2015
2 - 5 PM Draft CBAS HCB Settings
Transition Plan
July 8,
2015
2 - 4 PM
Review of revised Draft
CBAS HCB Settings

Transition Plan for Inclusion in
the California Statewide
Transition Plan


Workgroups

Date Time Subject
July 29, 2015 2 - 4 PM Kick Off
October 7, 2015 9:30 AM -3:30 PM Workgroup Meeting #2
December 2, 2015 10:00 AM -4:00 PM Workgroup Meeting #3
February 10, 2016 10:00 AM -4:00 PM Workgroup Meeting #4
April 27, 2016 10:00 AM -4:00 PM Workgroup Meeting #5
June 22, 2016 10:00 AM -4:00 PM Workgroup Meeting #6

The development of the CBAS Individual Plan of Care (IPC), the standardized CBAS Participation Agreement (a companion document to the CBAS IPC), and the CBAS Quality Assurance and Improvement Strategy (CBAS Quality Strategy) were a result of an extensive stakeholder workgroup process that began in July 2015 and ended in June 2016. Workgroup members included managed care plan representatives, CBAS providers and representatives, and advocates. These documents are posted on the CDA website.