Community-Based Adult Services Claims Submission

Community-Based Adult Services (CBAS) centers must submit claims for program services on a UB-04 (CMS-1450) form to ensure prompt, accurate claims processing.

CBAS centers can submit claims electronically using Health Net's payer identification (ID) number 95567. CBAS centers may use the clearinghouse of their choice. They may also submit paper claims to the Health Net Medi-Cal Claims Department.