Community-Based Adult Services (CBAS) is an outpatient, facility-based service program that delivers skilled nursing care, social services, therapies, personal care, family/caregiver training and support, meals and transportation to Alliance members. The Alliance authorizes CBAS based on a referral from the member’s PCP and an eligibility assessment completed by a CBAS provider.
CBAS Criteria
Alliance members who reside in an intermediate care facility/developmentally disabled-habilitative (ICF/DD-H) facility that provides 24-hour personal care, habilitation, developmental and supportive health services are qualified for CBAS services.
All other Alliance members must meet all of the following medical necessity criteria to qualify for CBAS:
- 18 years of age and older.
- A high potential for the member’s medical, cognitive, or mental health condition(s) to deteriorate or result in an emergency department (ED) visit, hospitalization, or other institutionalization if CBAS services are not provided.
- The member has one (1) or more chronic or post-acute medical, cognitive or mental health condition(s) that requires monitoring, treatment or intervention to prevent deterioration, ED visits, hospitalizations, or other institutionalization.
- The member’s medical condition(s) require all core CBAS services performed on each day of attendance to allow the member to remain in the community and avoid ED visits, hospitalizations, or other institutionalization.
Core Services Include:
- Meal service
- Personal care services/social services
- Professional nursing services (which includes observation, assessment, and monitoring of member’s health status and medications; communication with member’s healthcare providers regarding changes in health status; supervision of personal care services; and/or skilled nursing care and intervention)
- Therapeutic activities
The member’s non-CBAS center support network insufficient to maintain the individual in the community, as demonstrated by at least one (1) of the following:
- The member has family or caregivers available, but those individuals require respite in order to continue providing sufficient and necessary care or supervision to the member.
- The member lives alone and has no family or caregivers available to provide sufficient and necessary care or supervision.
- The member resides with one (1) or more related or unrelated individuals, but they are unwilling or unable to provide sufficient and necessary care or supervision to the member.
Referrals
Work with your patient to see if they qualify for CBAS. To refer your member, please complete the Alliance CBAS Referral Form.
After we receive your referral, a nurse will interview the Alliance member to see if they are eligible for CBAS.