Community-Based Adult Services
CBAS - Formerly, Adult Day Health Care
Community-Based Adult Services (CBAS) became effective on April 1, 2012, under the
California Bridge to Health Care Reform waiver (search for Community-Based Adult Services related sections). CBAS was included in California's Section 1115(a) Medicaid Waiver, entitled Medi-Cal 2020. The 1115(a) waiver was approved by the Centers for Medicare & Medicaid Services (CMS) on December 30, 2015, was effective through December 31, 2020. DHCS received approval from CMS for a 12-month waiver extension on December 29, 2020. Currently, the 1115(a) waiver is renewed for an additional 5-year term, entitled CalAIM, effective December 29, 2021 through December 31, 2026.
CBAS offers services to eligible older adults and/or adults with disabilities to restore or maintain their optimal capacity for self-care and delay or prevent inappropriate or personally undesirable institutionalization.
CBAS services include:
- an individual assessment;
- professional nursing services;
- physical, occupational and speech therapies;
- mental health services;
- therapeutic activities;
- social services;
- personal care;
- a meal;
- nutritional counseling;
- transportation to and from the participant's residence and the CBAS center.
CBAS replaced Adult Day Health Care (ADHC) services which were an optional benefit under the Medi-Cal Program through February 29, 2012.
CBAS is a Medi-Cal Managed Care benefit available to eligible Medi-Cal beneficiaries enrolled in Medi-Cal Managed Care. Eligibility to participate in CBAS is determined by the beneficiary's Medi-Cal Managed Care Plan. Other Medi-Cal beneficiaries ineligible to enroll in Medi-Cal Managed Care may receive CBAS, if found eligible through the Los Angeles Medi-Cal Field Office, or it's designee.
You may send your questions regarding ADHC to