MedicaidAdministrativeMedium impact
20-359 How to Continue Community-Based Adult Services During the COVID-19 Outbreak
Health Net·CA · Geriatrics·Prior Authorization
Effective date
Mar 16, 2020
We identified it
Jun 20, 2026
Summary
Health Net is implementing temporary COVID-19 flexibility for Community-Based Adult Services (CBAS) providers in specific California counties, allowing services to be provided telephonically, via telehealth, or in participants' homes instead of congregate center settings. Providers must obtain CDA approval and submit required forms, with reimbursement at existing per diem rates retroactive to March 16, 2020.
Action Required
CBAS providers must: 1) Submit CDA forms 7012, 7013, and ADH 0006 for approval to participate in Temporary Alternative Services, 2) Maintain minimum 6-hour daily phone/email access Monday-Friday, 3) Submit weekly logs of daily participant communication to Health Net by faxing to 1-833-581-5908 every Friday with PHI cover sheet labeled 'PROTECTED HEALTH INFORMATION', 4) Document all services per existing standards and CDA guidance in ACL 20-07. Failure to obtain CDA approval will result in payment recoupment.