21-288 Process Change for Community-Based Adult Services (CBAS)

Date: 04/13/21

This information applies to Medi-Cal in Fresno, Kings and Madera 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 the 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 the provider website.

If you have questions regarding the information contained in this update, contact CalViva Health at 888-893-1569.