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CBAS centers warn of closures after erroneous rate posting and long‑standing reimbursement gap
Summary
A Department of Health Care Services systems error briefly posted a 10% higher CBAS fee schedule rate; providers and advocates say long‑standing Medi‑Cal reimbursement shortfalls and uncertainty over recoupment threaten program sustainability and have already led to recent center closures.
California’s Community‑Based Adult Services (CBAS) program — previously called adult day health care — is facing a financial squeeze that providers say is leading to center closures across the state.
Mark Beckley of the California Department of Aging told legislators there are 304 operating CBAS centers serving about 42,000 participants, with higher center concentration in Los Angeles. The Department of Health Care Services later described a systems error that published an erroneous 10% rate increase on the Medi‑Cal fee schedule in June 2024, temporarily showing a basic per‑diem rise from $76.27 to $83.90. The department acknowledged the mistake, said it would correct the fee schedule retroactively, and told managed‑care plans the erroneous posting was not…
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