Get the free Community-Based Adult Services (CBAS) Individual Plan of Care (IPC). CBAS Provider Form

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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYDEPARTMENT OF HEALTH CARE SERVICES (DOCS) INDIVIDUAL PLAN OF CAREPartCommunityBased Adult Services (CBA)1Individual Plan of Care (IPC)CENTER NAME:

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What is community-based adult services cbas?

Community-Based Adult Services (CBAS) is a Medi-Cal program that provides services to older adults and individuals with disabilities in a community-based setting.

Who is required to file community-based adult services cbas?

Healthcare providers and facilities that offer CBAS services are required to file the necessary paperwork for reimbursement by Medi-Cal.

How to fill out community-based adult services cbas?

CBAS forms can be filled out online or submitted through the mail to the appropriate Medi-Cal office.

What is the purpose of community-based adult services cbas?

The purpose of CBAS is to provide a range of healthcare and social services to enable individuals to remain in their communities and avoid hospitalization or institutionalization.

What information must be reported on community-based adult services cbas?

Information such as the services provided, the individual receiving the services, and the healthcare provider must be reported on CBAS forms.

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