19-261 Community-Based Adult Services (CBAS)

Date: 05/06/19

New dedicated fax line and CBAS Treatment Request form

California Health & Wellness Plan (CHWP) is notifying providers that, starting
May 1, 2019, all face-to-face assessment requests for Community-Based Adult Services (CBAS) must be:

• Opened using the CBAS Treatment Request form, and
• Faxed to the dedicated CBAS line at 1-855-556-7909.

The CBAS Treatment Request form is available on the CHWP provider website at www.CAHealthWellness.com under Provider Resources > Manuals, Forms and Resources. Include a fax cover sheet with faxes that have protected health information. The cover sheet must be labeled “PROTECTED HEALTH INFORMATION.”

PRIOR AUTHORIZATION AND NOTIFICATIONS

Prior authorization is required for services exceeding five visits per week for the CBAS program as of January 1, 2019. CBAS service requests for one to five visits per week require notification only. These changes were communicated in provider update 18-801, Prior Authorization Requirement Changes, sent on October 24, 2018.

CBAS services	Requirement
1–5 visits per week	Notification required
GREATER THAN 5 VISITS PER WEEK	Prior authorization required

ADDITIONAL INFORMATION

Relevant sections of the provider operations manuals have been revised to reflect the information contained in this update as applicable. The provider operations manual is available in the Provider Resources section of the provider website at www.CAHealthWellness.com.

Providers are encouraged to access CHWP’s provider portal online at www.CAHealthWellness.com for real-time information, including eligibility verification, claims status, prior authorization status, plan summaries, and more.

If you have questions regarding the information contained in this update, contact CHWP at 1-877-658-0305.