21-287 Process Change for Community-Based Adult Services (CBAS)
Date: 04/13/21
For Medi-Cal, this information applies to Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties.
New process for submitting notifications and prior authorization requests
Starting June 17, 2021, all notifications and prior authorizations for Community-Based Adult Services (CBAS) must be submitted using the provider portal. As of June 17, 2021, notifications and prior authorizations will no longer be accepted via fax.
Webinar trainings
Webinar trainings will be available in May. Information regarding these trainings will be provided soon.
Notification and prior authorization guidelines
Below are the requirements for notifications and prior authorizations.
CBAS | Requirement |
|---|---|
1–5 visits per week | Notification is required |
More than five visits per week | Prior authorization is required |
Additional information
Relevant sections of Health Net’s provider operations manuals have been revised to reflect the information contained in this update, as applicable. Provider operations manuals are available electronically in the Provider Library, located on Health Net’s provider website.
If you have questions regarding the information contained in this update, contact the Health Net Medi-Cal Provider Services Center within 60 days at 800-675-6110.