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Programs

What is CBAS (Community-Based Adult Services)?

Updated September 16, 2026. Reviewed September 16, 2026 against public CDSS, DHCS, Medicare.gov, VA, and CareScout 2025 California tables. County wages, hours, and wait times still change. Official .gov pages decide.

Community-Based Adult Services is a Medi-Cal adult day health option. It is not IHSS hours moved to a building, and it is not a drop-in senior center.

Based on public CDSS, DHCS, Medicare.gov, VA, and California Department of Insurance pages retrieved 2026-09-16. County, Medi-Cal, Medicare, VA, and insurer staff decide what actually pays. Hourly rates, hour totals, waiver slots, and wait times are local and change.

Short answer

Community-Based Adult Services (CBAS) is a Medi-Cal adult day health option DHCS describes for eligible people who need that level of service. Managed care plans often coordinate it. It is not a drop-in senior center, and it is not IHSS hours moved to a building. The plan and the county say whether it is open.

Who decides

DHCS sets program rules. Medi-Cal managed care plans and counties apply them. CDSS and county IHSS offices run IHSS separately.

What to do next

Ask the Medi-Cal plan and the county about CBAS before you drop an IHSS application. Read the DHCS CBAS page and the PACE and MSSP guide.

Where it sits next to IHSS

IHSS is authorized tasks in the home. CBAS is a day health program. Tell each desk about the other. DHCS home and community-based options is the menu.

Questions people ask

Can someone have CBAS and IHSS?
Ask the plan and the county. Do not assume overlap or that one replaces the other.
Is CBAS respite?
It can give a family a daytime structure. It is still a health program with eligibility rules, not a drop-in sitter service.
Is it in every ZIP code?
Availability is local. Ask the plan. This site does not keep a live site list.

Reviewed against CDSS, DHCS, Medicare.gov, and CareScout public pages. We do not quote IHSS wages. County IHSS offices and Medi-Cal decide eligibility, hours, and pay. For current county wage rates, use the official CDSS wage page. CDSS county IHSS wage rates.

Official program pages: CDSS: In-Home Supportive Services, CDSS: IHSS for children, County IHSS offices, CDSS: IHSS providers, CDSS: county IHSS wage rates, CDSS: provider orientation, CDSS: Electronic Visit Verification, CDSS: Electronic Services Portal, DHCS: Medi-Cal, Apply for Medi-Cal, BenefitsCal, CDSS: hearing requests, CDSS: forms catalog, CDSS: IHSS overtime and workweek, DDS: regional centers.

See if IHSS may apply

A coordinator can walk through Medi-Cal, county forms, and the home visit with you. The county still decides eligibility and hours.

You can also call us at (650) 535-1802.

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For example: starting an IHSS application, provider enrollment, or county forms. Keep medical records and diagnoses for the county packet.