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Community-Based Adult Services Face-To-Face Request Line

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Providers must submit all Community-Based Adult Services (CBAS) requests, including requests for a face-to-face assessment, by submitting the CBAS Treatment Request Form (Health Net (PDF), CalViva Health (PDF), Community Health Plan of Imperial Valley (PDF). Providers can also submit request through the Health Net provider portal. Once logged in, go to the member’s profile and select Assessments . Select Fill Out Now! next to CBAS Treatment Request.

Last Updated: 12/05/2025