Common use of Community Based Adult Services Clause in Contracts

Community Based Adult Services. (CBAS): The Contractor shall contract for CBAS, which is an outpatient, facility- based program that delivers skilled nursing care, social services, therapies, personal care, family/caregiver training and support, nutrition services, and transportation to eligible Enrollees. 2.6.1.1.1. The Contractor shall make available the CBAS benefit to Enrollees who are age twenty-one (21) or older and derive their Medi-Cal eligibility from the State Plan, are Medicare beneficiaries, are either aged, blind, or disabled and who qualify based on the following criteria. 2.6.1.1.1.1. Meet medical necessity criteria as established by the state and meet “Nursing Facility Level of Care A” (NF-A) criteria, as set forth in the DHCS Code of Regulations, or above NF-A Level of Care; or 2.6.1.1.1.2. Have a moderate to severe cognitive disorder such as dementia, including dementia characterized by the descriptors of, or equivalent to, stages 5, 6, or 7 of the Alzheimer’s Type; or 2.6.1.1.1.3. Have a mild cognitive disorder such as Dementia, including Dementia of the Alzheimer’s Type, and needs assistance or supervision with two of the following: bathing, dressing, self-feeding, toileting, ambulation, transferring, medication management, or hygiene, or; 2.6.1.1.1.4. Have a Chronic Mental Disorder or acquired, organic, or traumatic brain injury. In addition to the presence of a Chronic Mental Disorder or acquired, organic, or traumatic brain injury, the Enrollee shall need assistance or supervision with either: 2.6.1.1.1.4.1. Two (2) of the following: bathing, dressing, self-feeding, toileting, ambulation, transferring, medication management, or hygiene; or 2.6.1.1.1.4.2. One (1) need from the above list and one (1) of the following: money management, accessing community and health resources, meal preparation, or transportation.

Community Based Adult Services. (CBAS): The Contractor shall contract for CBAS, which is an outpatient, facility- based program that delivers skilled nursing care, social services, therapies, personal care, family/caregiver training and support, nutrition services, and transportation to eligible Enrollees. 2.6.1.1.1. The Contractor shall make available the CBAS benefit to Enrollees who are age twenty-one (21) or older and derive their Medi-Cal eligibility from the State Plan, are Medicare beneficiaries, are either aged, blind, or disabled and who qualify based on the following criteria. 2.6.1.1.1.1. Meet medical necessity criteria as established by the state State and meet “Nursing Facility Level of Care A” (NF-A) criteria, as set forth in the DHCS Code of Regulations, or above NF-A Level of Care; or 2.6.1.1.1.2. Have a moderate to severe cognitive disorder such as dementia, including dementia characterized by the descriptors of, or equivalent to, stages 5, 6, or 7 of the Alzheimer’s Type; or 2.6.1.1.1.3. Have a mild cognitive disorder such as Dementia, including Dementia of the Alzheimer’s Type, and needs assistance or supervision with two of the following: bathing, dressing, self-feeding, toileting, ambulation, transferring, medication management, or hygiene, or; 2.6.1.1.1.4. Have a Chronic Mental Disorder or acquired, organic, or traumatic brain injury. In addition to the presence of a Chronic Mental Disorder or acquired, organic, or traumatic brain injury, the Enrollee shall need assistance or supervision with either: 2.6.1.1.1.4.1. Two (2) of the following: bathing, dressing, self-feeding, toileting, ambulation, transferring, medication management, or hygiene; or 2.6.1.1.1.4.2. One (1) need from the above list and one (1) of the following: money management, accessing community and health resources, meal preparation, or transportation.

Community Based Adult Services. (CBAS): The Contractor shall contract for CBAS, which is an outpatient, facility- facility-based program that delivers skilled nursing care, social services, therapies, personal care, family/caregiver training and support, nutrition services, and transportation to eligible Enrollees. 2.6.1.1.1. The Contractor shall make available the CBAS benefit to Enrollees who are age twenty-one (21) or older and derive their Medi-Cal eligibility from the State Plan, are Medicare beneficiaries, are either aged, blind, or disabled and who qualify based on the following criteria. 2.6.1.1.1.1. Meet medical necessity criteria as established by the state State and meet “Nursing Facility Level of Care A” (NF-A) criteria, as set forth in the DHCS Code of Regulations, or above NF-A Level of Care; or 2.6.1.1.1.2. Have a moderate to severe cognitive disorder such as dementia, including dementia characterized by the descriptors of, or equivalent to, stages 5, 6, or 7 of the Alzheimer’s Type; or 2.6.1.1.1.3. Have a mild cognitive disorder such as Dementia, including Dementia of the Alzheimer’s Type, and needs assistance or supervision with two of the following: bathing, dressing, self-feeding, toileting, ambulation, transferring, medication management, or hygiene, or; 2.6.1.1.1.4. Have a Chronic Mental Disorder or acquired, organic, or traumatic brain injury. In addition to the presence of a Chronic Mental Disorder or acquired, organic, or traumatic brain injury, the Enrollee shall need assistance or supervision with either: 2.6.1.1.1.4.1. Two (2) of the following: bathing, dressing, self-self- feeding, toileting, ambulation, transferring, medication management, or hygiene; or 2.6.1.1.1.4.2. One (1) need from the above list and one (1) of the following: money management, accessing community and health resources, meal preparation, or transportation.

Community Based Adult Services. (CBAS): The Contractor shall contract for CBAS, which is an outpatient, facility- based program that delivers skilled nursing care, social services, therapies, personal care, family/caregiver training and support, nutrition services, and transportation to eligible Enrollees. 2.6.1.1.1. The Contractor shall make available the CBAS benefit to Enrollees who are age twenty-one (21) 21 or older and derive their Medi-Cal eligibility from the State state Plan, are Medicare beneficiaries, are either aged, blind, or disabled and who qualify based on the following criteria. 2.6.1.1.1.1. Meet medical necessity criteria as established by the state and meet “Nursing Facility Level of Care A” (NF-A) criteria, as set forth in the DHCS Code of Regulations, or above NF-A Level of Care; or 2.6.1.1.1.2. Have a moderate to severe cognitive disorder such as dementia, including dementia characterized by the descriptors of, or equivalent to, stages 5, 6, or 7 of the Alzheimer’s Type; or 2.6.1.1.1.3. Have a mild cognitive disorder such as Dementia, including Dementia of the Alzheimer’s Type, and needs assistance or supervision with two of the following: bathing, dressing, self-feeding, toileting, ambulation, transferring, medication management, or hygiene, or; 2.6.1.1.1.4. Have a Chronic Mental Disorder or acquired, organic, or traumatic brain injury. In addition to the presence of a Chronic Mental Disorder or acquired, organic, or traumatic brain injury, the Enrollee shall need assistance or supervision with either: 2.6.1.1.1.4.1. Two (2) of the following: bathing, dressing, self-feeding, toileting, ambulation, transferring, medication management, or hygiene; or 2.6.1.1.1.4.2. One (1) need from the above list and one (1) of the following: money management, accessing community and health resources, meal preparation, or transportation.