Run your adult day center with the care your participants deserve and the records your auditors expect
BTBCare brings the DHCS 0020 plan of care, your interdisciplinary team, attendance, transportation, eMAR, and Medi-Cal billing into one place — so your RNs and social workers spend their days with participants, not chasing signatures and reworking denied claims.
In BTBCare for Adult Day Care
- Individualized Plan of Care (IPC) built on the DHCS 0020, with interdisciplinary authoring and full multi-role e-signature routing
- Interdisciplinary and multidisciplinary assessments (IDT/MDT) with built-in six-month reassessment, quarterly review, and discharge-planning cadences
- Attendance with kiosk check-in that flows directly into billable days and half-day rules
- Medi-Cal billing and claims with EDI submission, CBAS-specific coding, denial tracking, and treatment authorization management
- eMAR and medication management to keep administration documented and MARs survey-ready
- Transportation dispatch that links scheduled attendance, routes, and pickups
Who champions it
Center owner-operators, executive directors, program directors, and compliance/billing leads at Community-Based Adult Services (CBAS) and Adult Day Health Care centers
Who uses it every day
RNs, social workers, program assistants, activity and therapy staff (PT/OT/SLP), dietitians, transportation coordinators/drivers, and front-desk/billing staff who run the center floor every day
What slows Adult Day Care teams down
The DHCS 0020 Individualized Plan of Care lives in binders and spreadsheets, so the RN, social worker, dietitian, and therapy staff re-key the same participant data and chase signatures from every discipline before the plan can go to the health plan.
Six-month MDT reassessments, quarterly reviews, and discharge plans creep up by hand on a wall calendar, and a missed window means a participant's authorization and reimbursement are suddenly at risk.
Medi-Cal CBAS claims bounce over the small things — facility type code, revenue and frequency codes, missing-attendance remarks, transition-day documentation — and denials get worked one at a time long after the service date.
Daily attendance is captured on paper sign-in sheets that don't tie cleanly to the day's billable units, so half-day and absence rules turn into a month-end reconciliation scramble.
Transportation runs are built on a whiteboard and phone calls, with no clean link between who is scheduled to attend, who got picked up, and the rides the center is responsible for.
Medications brought to the center are tracked on clipboards, making it hard to prove who administered what, when — and to keep MARs survey-ready.
Families call the front desk for updates the staff can't quickly pull up, and there's no simple way to share the plan of care or attendance with caregivers.
When a CDA or health-plan audit lands, staff spend days assembling assessments, signatures, attendance, and care plans into a defensible record instead of one click.
From a month-end scramble to a record that holds up
Build, route, and e-sign the DHCS 0020 IPC across the full multidisciplinary team in one place, so plans reach the health plan complete and on time.
Stay ahead of every six-month reassessment, quarterly review, and discharge-planning deadline — cadences and ownership are tracked for you, by discipline.
Get cleaner CBAS claims out the door and turn denials around faster with EDI billing that carries the right codes and ties straight to attendance.
Close the month faster with kiosk check-in that converts attendance into accurate billable days, so reconciliation stops being a fire drill.
Walk into any audit survey-ready, with assessments, signatures, attendance, MARs, and the plan of care assembled into one defensible record.
Give RNs and social workers their afternoons back by cutting duplicate charting and signature-chasing across the team.
Keep families in the loop and build trust with simple, secure access to updates and the plan of care.
What you get
Individualized Plan of Care (IPC) built on the DHCS 0020, with interdisciplinary authoring and full multi-role e-signature routing
Interdisciplinary and multidisciplinary assessments (IDT/MDT) with built-in six-month reassessment, quarterly review, and discharge-planning cadences
Attendance with kiosk check-in that flows directly into billable days and half-day rules
Medi-Cal billing and claims with EDI submission, CBAS-specific coding, denial tracking, and treatment authorization management
eMAR and medication management to keep administration documented and MARs survey-ready
Transportation dispatch that links scheduled attendance, routes, and pickups
Family and participant engagement with secure access to updates and the plan of care
Compliance and audit trail with reporting and analytics, plus role-based access and 2FA security
Designed around the regulations you answer to
- Built around the California DHCS 0020 Individualized Plan of Care and the CBAS / Title 22 multidisciplinary model
- Supports the CBAS six-month MDT reassessment and discharge-planning cycle, with quarterly reviews
- Medi-Cal CBAS claim coding and EDI submission aligned to current billing requirements
- Treatment authorization tracking aligned to managed-care-plan CBAS authorization workflows
- Complete audit trail, role-based access control, and 2FA to protect PHI and support CDA and health-plan audits
Adult Day Care, answered
Does BTBCare support the DHCS 0020 Individualized Plan of Care and the CBAS multidisciplinary process?
Yes. The IPC is built on the DHCS 0020 and is authored by your full interdisciplinary team — RN, social worker, dietitian, activity and therapy staff — in one shared plan, with e-signature routing so every required discipline signs before it goes to the health plan. The platform also tracks the CBAS six-month MDT reassessment, quarterly reviews, and discharge-planning cycle so deadlines and ownership never slip through the cracks.
Can it handle Medi-Cal CBAS billing and claim denials?
It can. BTBCare submits claims by EDI with CBAS-specific coding, ties each claim back to the attendance it bills, and tracks denials so your team can work and resubmit them quickly instead of discovering problems at month-end. Treatment authorizations from the managed care plan are managed alongside the plan of care, so services and authorized days stay in sync.
How does attendance and transportation work day to day?
Participants check in at a kiosk, and that attendance flows straight into accurate billable days — including half-day and absence handling — so month-end reconciliation stops being a scramble. Transportation dispatch links who is scheduled to attend with routes and pickups, giving your coordinator and drivers one clear picture of the day.
Will we be ready when CDA or a health plan audits us?
That's the point. Assessments, signatures, attendance, MARs from the eMAR, and the plan of care are kept together with a complete audit trail, so a survey or health-plan review becomes a matter of pulling the record rather than reassembling binders. Role-based access and 2FA protect participant PHI throughout.
Is BTBCare only for CBAS, or also for private adult day care?
Both. The platform is purpose-built for California CBAS and Adult Day Health Care centers — including the DHCS 0020 and Medi-Cal billing — but the same care plans, assessments, attendance, medication management, transportation, and family engagement work just as well for private-pay adult day programs that want the same level of documentation and care coordination.
Other care settings
Bring BTBCare to your adult day care program
A 30-minute walkthrough, mapped to your care setting. No pressure — just a look at the plan, the team, and the claim on one record.