Participant Characteristics

CBAS providers submit a Participant Characteristics Report (PCR) (CDA CBAS 293) to CDA twice a year and upon request. This report includes information on a limited number of diagnoses, status/needs, and CBAS services provided for each participant. Note: CBAS providers are to report PCR information according to specific directions and definitions found by clicking on the "i" after each characteristic. The PCR information requested is documented on the participant’s Individual Plan of Care (IPC) which includes information derived from the participant’s history and physical form submitted by the participant’s physician and the participant’s assessments completed by the multidisciplinary team (MDT).

The data below reflects statewide aggregate totals of these specific data points. County and center-specific PCR data is available here.

For more information on the definitions of the individual data fields, see the PCR form and instructions on the CBAS webpage.

For more information about the IPC, see the Eligibility and Service Authorization information on the CBAS webpage.

Click here for data from past reporting periods

Source: Participant Characteristics Report (PCR) (CDA CBAS 293)
Submission Period: December 2020

Total Participants

A table of total participant
Total Enrolled Participants 37,139
Medi-Cal Participants 35,072
Private Pay Participants 2,067

Diagnoses

A table of diagnoses
Dementia Intellectually / Developmentally Disabled Mental Disorder
No. of Participants 7,882 2,213 18,808
% of Total 21% 6% 51%

Status/Needs

A table of Status/Needs
No. of Participants % of Total
Psychiatric Medications 15,444 42%
Behavioral Symptoms 6,226 17%
Requires Ambulation Assistance 5,753 15%
Requires Bathing Assistance 22,319 60%
Requires Dressing Assistance 15,609 42%
Requires Toileting Assistance 4,825 13%
Requires Self-Feeding Assistance 2,439 7%
Requires Transferring Assistance 8,770 24%
Requires Assistance Assessing Resources 34,666 93%
Requires Hygiene Assistance 13,693 37%
Requires Meal Preparation Assistance 32,740 88%
Requires Medication Management Assistance 24,160 65%
Requires Money Management Assistance 26,292 71%
Requires Transportation Assistance 32,328 87%
High Fall Risk 17,395 47%
Uses Walker/Cane/Wheelchair 23,123 62%
Hearing/Vision Deficits 28,137 76%
Communication Deficits 1,698 5%
Speaks English 8,680 23%

CBAS Services Provided

A list of CBAS Services Provided
Special Diet Group/Individual Psych Services Speech Services Prescribed Medications Administered at Center Self-Administers Medications at Center Restorative PT and/or OT Skilled Nursing Services
No. of Participants 25,029 9,628 944 1,587 1,572 6,423 13,414
% of Total 67% 26% 3% 4% 4% 17% 36%
Click here for county and center-specific Participant Characteristics data

Diagnoses Definitions

Dementia Diagnosis
Report participants diagnosed with a dementia. The dementia diagnosis must be indicated on the IPC in Box 2 (Diagnoses and ICD Codes). Although there are different types of dementia, the most common in older adults include Alzheimer’s disease, Vascular dementia, Lewy body dementia, and Frontotemporal dementia. Do not report participants who have cognitive impairment without a dementia diagnosis or are diagnosed with Mild Cognitive Impairment (MCI) which is not a dementia diagnosis. Note: Participants diagnosed with a dementia can be diagnosed with an intellectual/developmental disability and/or mental disorder as well. Report all diagnoses separately in the appropriate fields.
Intellectual/Developmental Disability Diagnosis (ID/DD)
Report participants diagnosed with an intellectual/developmental disability. The intellectual/developmental disability diagnosis must be indicated on the IPC in Box 2 (Diagnoses and ICD Codes). Developmental disability, as defined in Welfare and Institutions Code Section 4512, means a disability that originates before 18 years of age; continues, or can be expected to continue, indefinitely; and constitutes a substantial disability for that individual. This term includes intellectual disability, cerebral palsy, epilepsy, autism, and disabling conditions found to be closely related to intellectual disability or to require treatment similar to that required for individuals with an intellectual disability but shall not include other handicapping conditions that are solely physical in nature. An intellectual disability is a type of developmental disability characterized by significantly subaverage general intellectual functioning (i.e., an IQ of approximately 70 or below) with concurrent deficits or impairments in adaptive functioning. Note: Participants with a diagnosed intellectual/developmental disability can be diagnosed with a dementia and/or mental disorder as well. Report all diagnoses separately in the appropriate fields.
Mental Disorder Diagnosis
Report participants diagnosed with a mental disorder as defined in the current Diagnostic and Statistical Manual (DSM) published by the American Psychiatric Association. The mental disorder diagnosis must be indicated on the IPC in Box 2 (Diagnoses and ICD Codes). Note: Participants diagnosed with a mental disorder can be diagnosed with a dementia and/or intellectual/developmental disability as well. Report all diagnoses separately in the appropriate fields.

Status/Needs Definitions

Psychiatric Medications
Report participants who are prescribed psychiatric medications regardless of their diagnosis. Categories of psychiatric medications include antidepressants, anti-anxiety medications, stimulants, antipsychotics, and mood stabilizers.
Behavioral Symptoms
Report participants who exhibit behavioral symptoms. Behavioral symptoms may be associated with a mental disorder, dementia, or other condition(s). The following are examples of behavioral symptoms that participants may exhibit: verbal/physical outbursts, self-injurious behavior, agitation, restlessness, pacing, wandering, or exit-seeking behavior and social withdrawal.
Requires Ambulation Assistance
Report participants who require physical assistance or cueing with or without device, on stairs and/or flat/level surface.
Requires Bathing Assistance
Report participants who require physical assistance or cueing with or without device.
Requires Dressing Assistance
Report participants who require physical assistance or cueing with or without device.
Requires Toileting Assistance
Report participants who require physical assistance or cueing with or without device.
Requires Self-Feeding Assistance
Report participants who require physical assistance or cueing with or without device.
Requires Transferring Assistance
Report participants who require physical assistance or cueing with or without device.
Requires Assistance Accessing Resources
Report participants who require physical assistance or cueing with or without device.
Requires Hygiene Assistance
Report participants who require physical assistance or cueing with or without device.
Requires Meal Preparation Assistance
Report participants who require physical assistance or cueing with or without device.
Requires Medication Management Assistance
Report participants who require physical assistance or cueing with or without device.
Requires Money Management Assistance
Report participants who require physical assistance or cueing with or without device.
Requires Transportation Assistance
Report participants who require physical assistance or cueing with or without device.
High Fall Risk
Report participants determined by the multidisciplinary team to have a high fall risk, using an industry-standard tool that has a high fall-risk measure. Do not report participants with no risk, low risk, or medium/moderate risk. Note: Centers may decide what industry-standard tool to use. Examples: Tinetti Balance Assessment Tool, Berg Balance Scale, Morse Fall Scale.
Uses Walker/Cane/Wheelchair
Report participants who actively use walkers/canes/wheelchairs. Do not include participants who may own/have the equipment but do not use.
Hearing/Vision Deficits
Report participants who have limited hearing or vision regardless if they use adaptive devices such as hearing aid, glasses, or other vision aids.
Communication Deficits
Report participants who are non-verbal, use an Augmentative and Alternative Communication (AAC) device, and/or whose speech is understood only by a familiar listener. Note: Limited English Proficiency (LEP) is not a communication deficit.
Speaks English
Report participants who understand and speak English.

CBAS Services Provided Definitions

Special/Therapeutic Diet
Report participants who are prescribed a special/therapeutic diet. A special/therapeutic diet is a diet prescribed by a personal health care provider and provided at the center to help manage chronic illness or other medical condition(s). Includes portion control, high/low calorie, low sodium, low cholesterol/low fat, no concentrated sweets, diabetic, and renal. Also includes modified textures when the modified texture alters the nutritional content of the food such as mechanical soft, pureed, or tube feeding diets.
Does not include the following:
  • Diets to prevent chronic disease such as a "heart healthy" diet (no added salt, no added fat)
  • Cut up, chopped with no alteration of the nutritional content
  • Tube feeding that is not formulated for a specific medical condition
  • Enteral (Tube Feeding/TF) or Parenteral Nutrition (Intravenous/IV)
Behavioral Health Services
Report participants who receive services provided directly by the center's mental health consultant scheduled on the IPC in Box 14 (Behavioral Health Services) and as specified in the Medi-Cal Provider Manual, Community Section for Program Requirements (Additional Services: Behavioral Health Services.) Do not report in this field services provided by the center's social worker and social work assistant which are scheduled on the IPC in Box 13 (Social Services). Note: "Services provided" does not include assessment services, only services scheduled on the IPC in Box 14 (Behavioral Health Services).
Speech Services
Report participants who receive services provided directly by the center's speech therapist, scheduled on the IPC in Box 14 (Speech Therapy Services.) Note: "Services provided" does not include assessment services, only services scheduled in Box 14 (Speech Therapy Services.)
Prescribed Medications Administered at Center
Report participants whose medications are administered by the center nursing staff during the center's hours of service that are prescribed by a personal health care provider on a routine medication order, not PRN. This could include over-the-counter (OTC) medications, so long as they are prescribed by the personal health care provider on a routine order and are administered by the center’s nurse.
Self-Administers Medications at the Center
Report participants who meet the following criteria: (1) administers own medications at center (including over-the-counter medications) that are prescribed by a physician on a routine medication order, not PRN; (2) does not need monitoring, supervision, physical assistance, or verbal cues; and (3) meets the criteria for medication self-administration per Title 22, CCR, Sections 54319(e) and 78317(f)(1)(2)(3). Note: The center's multidisciplinary team shall determine a participant's ability to self-administer medications at the center using an industry-standard tool. Centers may decide what industry-standard tool to use. Examples: Medi-Cog, MedMaIDE.
Restorative Physical Therapy (PT) and/or Occupational Therapy (OT)
Report participants who receive services provided directly by the center's physical and/or occupational therapist to restore function as scheduled on the IPC in Box 14 (Physical Therapy and/or Occupational Therapy Services). Do not report physical and/or occupational maintenance program services in this field. Note: Use of hot packs and paraffin is not considered restorative therapy unless followed by a therapy intervention/treatment provided by the therapist with the goal of restoring function.
Skilled Nursing Services
Report participants who receive direct one-to-one skilled nursing services provided by a licensed nurse, per the personal health care provider's order and the participant’s care plan per Welfare and Institutions Code, Section 14550.5(a)(5). Skilled nursing services include but are not limited to 1) catheter insertion; 2) injections; 3) ostomy care; 4) complex wound care; 5) blood glucose testing. Note: Do not report in this field professional nursing services listed under Welfare and Institutions Code, Section 14550.5 (a)(1-4) such as observation and monitoring, administration of medications, routine blood pressure monitoring, liaison with other health care providers, or supervision of or assistance with personal care services. Services provided by a certified nursing assistant or program aide do not qualify as skilled nursing services.