Community Based Alternatives (CBA)

18 January 2012 Last Updated on 30 January 2012 administrator

Service Description
The Community Based Alternatives (CBA) program provides home and community-based services to aged and disabled adults as cost-effective alternatives to institutional care in nursing facilities.

Funding Sources
Title XIX Medicaid 1915(c) Home and Community-Based Services Waiver, and State Funds

Covered Services
Case Management is provided by DADS staff.
Services include:
  • Adaptive Aids and Medical Supplies
  • Adult Foster Care
  • Assisted Living
  • Dental Services
  • Financial Management Services
  • Emergency Response Services
  • Home Delivered Meals
  • Minor Home Modifications
  • Nursing Services
  • Occupational Therapy Services
  • Personal Assistance Services
  • Physical Therapy Services
  • Respite Care Services
  • Speech, Hearing, and Language Therapy Services
  • Prescription drugs, unless the consumer is dually eligible for both Medicare and Medicaid.
  • Support Consultation
  • Transition Assistance Services

This service is available using the Consumer Directed Services (CDS) option. The CDS option allows participants who live in their own private residences or the home of a family member to choose to self-direct certain services. By choosing to self-direct these services, participants will assume and retain responsibility to:

  • recruit their service providers;
  • conduct criminal history checks;
  • determine the competency of service providers; and
  • hire, train, manage, and fire their service providers.

Consumer Eligibility

  • Age: 21 years of age or older
  • Income / Resources: Be Medicaid eligible in the community under:
    • SSI; or
    • Medical Assistance Only (MAO) protected status; or
    • Meet the income and resource requirements for Medicaid benefits in nursing facilities ($2,022 per month with resources of $2,000 for an individual. (Spousal impoverishment provisions apply).
  • Individual Service Plan: Cost of ISP cannot exceed 200% of the reimbursement rate that would have been paid for that same individual to receive services in a nursing facility.
  • Informed Choice: Choose waiver services instead of nursing facility care based on an informed choice.
  • Medical Necessity: Meet the medical necessity determination for nursing facility care.
  • Risk Assessment: Be determined at risk for nursing facility placement using the Nursing Facility Risk Criteria Scoring Form on initial visits only.

Service Maximum
The individual's service plan cannot exceed 200 percent of the individual's Resource Utilization Group (RUG) payment rate.

Provider Base
Adult Foster Care Providers
Assisted Living Providers
Emergency Response Providers
Home Delivered Meals Providers
Home and Community Support Services Providers
Transition Assistance Services Providers

Service Availability
Statewide except in Managed Care areas

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