CBAS Authority Transition Frequently Asked Questions
Below is a list of frequently asked questions (FAQ) the department has received regarding the Community-Based Adult Services (CBAS) authority transition.
- What is the timeline for finalizing this application? The waiver expires in three months.
- What is taking the authority transition process so long?
- How will the transition from 1115 to 1915(i) state plan authority impact the CBAS program?
- Will reimbursement rates be adjusted as part of this change?
- Will the transition affect how CBAS providers deliver services or which members they serve?
- Are CBAS providers required to take any actions or complete preparation work in advance of the transition?
What is the timeline for finalizing this application? The waiver expires in three months.
We understand your concerns regarding the timeline. As noted during the September 23, 2026, presentation, DHCS is working very closely with Children’s Medical Services (CMS) through their technical assistance process to ensure that there is no break in continued federal authority for the CBAS benefit. Also, it is important to stress that CMS continues to provide DHCS with preliminary feedback on the draft 1915(i) application and does not want to see a gap in federal authority coverage.
What is taking the authority transition process so long?
Renewing or amending a waiver, can take approximately 6 – 12 months, or longer. We know this process seems long. However, the department is actively working with CMS to ensure the application is drafted to align with the federal requirements so that when the document is formally submitted it will move smoothly.
How will the transition from 1115 to 1915(i) state plan authority impact the CBAS program?
As DHCS transitions CBAS from 1115 to 1915(i) state plan authority, the Department seeks to make this a seamless transition for Medi-Cal members, managed care plans, and providers.
Will reimbursement rates be adjusted as part of this change?
The transition of CBAS from 1115 demonstration authority to 1915(i) state plan authority is intended to stabilize CBAS as an ongoing Medi-Cal state plan benefit. As part of this transition process, DHCS is not making changes to reimbursement rates.
Will the transition affect how CBAS providers deliver services or which members they serve?
DHCS will continue to work with CBAS providers to minimize disruptions in how they deliver services to Medi-Cal members, as well as coverage disruptions for members they serve as part of the transition.
Are CBAS providers required to take any actions or complete preparation work in advance of the transition?
Currently, no specific actions are required of CBAS providers. DHCS does not anticipate major changes that would affect existing MCP contracts, or the populations served. DHCS will continue to communicate regularly with CBAS providers and provider associations and will clearly communicate any specific actions or changes if they are identified prior to the transition.