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    Community-Based Adult Services (CBAS)

    Program Code

    The Community-Based Adult Services (CBAS) program code is 3910300.

    Program Description

    CBAS is a community-based day health program that provides services to older persons and adults with chronic medical, cognitive, or mental health conditions and/or disabilities that are at risk of needing institutional care. The purpose is to delay or prevent institutionalization and maintain individuals in their homes and communities for as long as possible. CBAS operates as a Medi-Cal waiver program.

    Former adult day health care (ADHC) participants who met the more stringent CBAS eligibility standards began receiving CBAS services in approved CBAS centers on April 1, 2012. There are 310 certified CBAS centers serving 28 counties throughout the state. In addition to meeting Medi-Cal program and waiver requirements, CBAS providers must maintain an ADHC license.

    Under an interagency agreement, the CBAS Program is administered among the Department of Health Care Services (DHCS), California Department of Public Health (CDPH), and the California Department of Aging (CDA). CDA certifies licensed ADHC centers as Medi-Cal CBAS providers.

    CDA is responsible for initial certification of new CBAS centers as Medi-Cal providers, certification renewal, providing ongoing training and technical assistance to centers, and initiating adverse certification actions against centers that are substantially out of compliance with program requirements.

    Program Benefits

    The CBAS Program is an alternative to institutionalization for those individuals who are capable of living at home with the aid of appropriate health, rehabilitative personal care, and social services. The Program stresses partnership with the participant, the family and/or caregiver, the primary care physician, and the community in working toward maintaining personal independence.

    Each CBAS center has a multidisciplinary team of health professionals who conduct a comprehensive assessment of each potential participant to determine and plan services needed to meet the individual’s specific health and social needs. Services provided at the center include the following:

    • Professional nursing services
    • Physical, occupational, and speech therapies
    • Mental health services
    • Therapeutic activities
    • Social services
    • Personal care
    • Hot meals and nutritional counseling
    • Transportation to and from the participant’s residence

    Program Eligibility

    Eligibility Criteria Eligibility Requirement
    Age

    Individuals 18 years of age or older and meet specific medical necessity and eligibility criteria

    Income

    Currently eligible for Medi-Cal under a qualifying primary Medi-Cal aid code

    Other
    • CBAS is a Medi-Cal managed care benefit
    • CBAS remains a Medi-Cal fee-for-service benefit for a small percentage of individuals who are exempt from Medi-Cal managed care enrollment
    • ADHC remains a non-Medi-Cal program for individuals who pay "out-of-pocket" for services in licensed ADHC centers, such as, third party payers (e.g., long-term care insurance companies, Regional Centers, or the Veterans Administration)

    Program Funding

    Funding Type Funding Information
    Source
    • Social Security Act Title XIX Medicaid federal funds
    • State General Fund (GF)
    Allocation Formula

    Not Applicable

    Match Requirements

    50 percent State General Fund

    Other

    Not Applicable

    State Fiscal Year Cycle

    July 1 - June 30

    Program Statistics

    • FY 2022-23 served approximately 37,632 participants
    • FY 2023-24 served approximately 38,081 participants

    Program Fact Sheets - Statewide

    Available Content:

    Program Fact Sheets - Local Level

    Program Narratives