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)

Become a New CBAS Provider

Medi-Cal 2020 Demonstration Waiver
Medi-Cal 2020 Special Terms and Conditions (STCs)
- CBAS Special Terms and Conditions (STCs)
  Click on the link above, then scroll down to Waiver Special Terms and Conditions link. CBAS STCs begin on page 29
- CBAS Provider Standards of Participation (SOPs)
  Click on the link above, then scroll down to Waiver Special Terms and Conditions link. CBAS SOPs begin on page 382 (Attachment W)

CBAS Certification Standards

ACL Number	Subject	Issue Date
18-01	CBAS Providers – New Medi-Cal Enrollment Requirements, Personal Identifying Information	6/1/2018
17-05	Final Rule Implementing Section 1557 of the Affordable Care Act	4/4/2017
17-04	Use of Secured Perimeter Fences and Egress Control Devices in ADHC / CBAS Centers	3/10/2017
17-03	Use of Soft Restraints in ADHC / CBAS Centers	3/9/2017
17-02	Fingerprint Clearance Background Check Requirements	3/1/2017
17-01	Implementation of ADHC / CBAS Participation Agreement	1/31/2017
15-07	Home and Community-Based (HCB) Settings Requirements – New Focus for CBAS Center Monitoring and Surveys	9/24/2015
15-05	Public Comment Period Notice for Draft CBAS HCB Settings Transition Plan	5/14/2015
15-03	New Federal Home and Community-Based (HCB) Settings Requirements and Stakeholder Process	4/17/2015
15-02	Upcoming CBAS Training Opportunities	3/27/2015
15-01	Discharge and Incident Reporting	2/10/2015
14-03	Absentee Notification Plan	6/5/2014
19-01	ADHC/CBAS Center Disaster Plan Requirements and Guidance	2/7/2019
19-02	Implementation of New CBAS Individual Plan of Care (IPC)	3/19/2019
19-03	ALERT – Update on Implementation of the CBAS Individual Plan of Care (IPC) for non-users of IPC software	5/13/2019
19-04	New MSSR Reporting Process	5/20/2019
19-05	UPDATED ALERT – CONTINUED EXTENSION of Implementation Date of the new CBAS Individual Plan of Care (IPC) for non-users of IPC Software	6/3/2019
19-06	New Participant Characteristics Report (PCR) Reporting Process and Updates	6/13/2019
19-07	UPDATED ALERT – New Implementation Date of the New CBAS Individual Plan of Care (IPC) For Non-Users of IPC Software	8/13/2019
19-08	Revised ADHC / CBAS Participation Agreement Instructions (CDA 7000i) (Rev 08/2019)	10/1/2019
19-09	ADHC / CBAS Training Requirements and Resources	10/4/2019
19-10	All Plan Letter (APL) 19-004: Provider Credentialing / Recredentialing and Screening / Enrollment	11/8/2019
20-01	Proposition 56 Supplemental Payments to CBAS	2/5/2020
20-02	Approval for Administrator and Program Director Changes	2/27/2020
20-03	CBAS Center Operations During COVID-19 Outbreak	3/18/2020
20-04	Temporary Community-Based Adult Services (CBAS) In Response to COVID-19 Public Health Emergency – Guidance Forthcoming, PENDING CMS Approval	3/24/2020
20-05	Temporary Suspension of Monthly Statistical Summary Report (MSSR) Reporting	3/26/2020
20-06	Guidance for Community-Based Adult Services (CBAS) In Response to COVID-19 Public Health Emergency	3/27/2020
20-07	CBAS Temporary Alternative Services (TAS) Overview & Requirements	4/13/2020
20-08	Frequently Asked Questions (FAQ) #2 and #3 – COVID-19, CBAS Temporary Alternative Services	4/22/2020
20-09	CBAS Temporary Alternative Services (TAS) Documentation Guidance	5/1/2020
20-10	Frequently Asked Questions (FAQ) #4, CBAS Temporary Alternative Services (TAS) - Documentation	5/8/2020
20-11	New Participant Enrollment during CBAS Temporary Alternative Services (TAS)	5/13/2020
20-12	Monthly Statistical Summary Report (MSSR)	5/19/2020
20-13	Telephonic Surveys for CBAS Certification Renewal	6/1/2020
20-14	CBAS Temporary Alternative Services (TAS) Guidance on Provision of In-Center Services	6/25/2020

Form Number	Form Name	Issue Date
CDA 7002	CDA 7002 (01/18) - Center Assessment Tool - Medication Storage and Administration	2/12/2018
CDA 7003	CDA 7003 (01/18) - Center Assessment Tool - Activity Program	2/12/2018
CDA 7005	CDA 7005 (01/18) - Center Assessment Tool - Social Services	2/12/2018
CDA 7004	CDA 7004 (01/18) - Center Assessment Tool - Multidisciplinary Team and Person-Centered Care Planning Process	2/12/2018
CDA 7006	CDA 7006 (04/18) - Personal Identifying Information	4/26/2018
CDA 7006i	CDA 7006i (04/18) - Personal Identifying Information Instructions	4/26/2018
CDA 7007	CDA 7007 (08/18) - ADHC/CBAS Pre-Screening Training Modules Completion Form	8/27/2018
CDA 7008	CDA 7008 (10/18) - Center Assessment Tool - Training Requirements	11/2/2018
CDA 7009	CDA 7009 (12/18) - CBAS Center Closure - Records Disposition Plan	12/14/2018
CDA 4008	CDA 4008 (07/19) - CBAS Discharge Summary Report	10/24/2019
CDA 4008i	CDA 4008i (07/19) - CBAS Discharge Summary Report Instructions	10/24/2019
CDA 282	CDA 282 Local Fire Inspection Authority Information	5/6/2020
CDA ADH 1038	Acknowledgement of Regulatory Responsibilities and Practice Acts	9/12/2019
CDA CBAS 4007	Contractual Agreement Listing	9/12/2019
CDA 7000	CDA 7000 (01/17) - ADHC/CBAS Participation Agreement	9/12/2019
CDA 7000i	CDA 7000i (08/19) - ADHC/CBAS Participation Agreement Instructions	10/17/2019
CDA 4009i	CDA 4009i (08/17) - Incident Report Instructions	10/23/2019
CDA CBAS 293	CDA CBAS 293 (06/19) Participant Characteristics Report	9/12/2019

Current
History

Due Date	Program	Action	Resource	Responsibility

Due Date	Program	Action	Resource	Responsibility

CBAS Providers

Eligibility and Service Authorization

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

Initial Certification

Program Requirements

Medication Administration Training (03/05/18)

Program Updates

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

Temporary Alternative Services (TAS)

HCB Settings Stakeholder Activities

Quality Assurance and Improvement Strategy (10/16)

California Department of Public Health
- Licensing and Certification
- All Facility Letters
Department of Health Care Services
Information Security and Privacy
- Health Insurance Portability and Accountability Act (HIPAA)
- California Code of Regulations , Title 22, Medi-Cal and Licensing Regulations Regarding Confidentiality
  
  Medi-Cal regulations, Section 54439
  
  Confidentiality of Data: "(a) Names of persons receiving public social services are confidential as provided in Section 10850, California Welfare and Institutions Code, and are to be protected from unauthorized disclosure. Release of any information pertaining to adult day health care participants shall be made in accordance with the provisions of Section 51009, Title 22 California Administrative Code. (b) All information, records, data and data elements collected and maintained for the operation of an adult day health center and pertaining to participants shall be protected by the adult day health care provider from unauthorized disclosure."
  
  Medi-Cal regulations, Section 54439
  
  Confidentiality of Information: "Participant health records, including all information taken from such records, shall be confidential and protected from unauthorized disclosure. Information shall be released only on the written request of the participant or the participant's authorized representative."

Popular Links

Resources

CBAS Updates