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MedicaidAdministrativeHigh impact

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

Health Net·CA · Geriatrics, Family Medicine, Internal Medicine·Prior Authorization
Effective date
Jun 17, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Starting June 17, 2021, all Community-Based Adult Services (CBAS) notifications and prior authorizations for Medi-Cal members in Fresno, Kings, and Madera counties must be submitted through the provider portal only. Fax submissions will no longer be accepted.

Action Required

Action needed
By June 17, 2021: Billing team must stop submitting CBAS notifications and prior authorizations via fax for Medi-Cal members in Fresno, Kings, and Madera counties. Update workflow to use provider portal exclusively for all CBAS submissions. Train staff on new portal process using May webinar trainings. Remember: 1-5 visits per week requires notification only, more than 5 visits requires prior authorization. Fax submissions will be rejected after this date.