MedicaidPrior AuthMedium impact
26-661 Changes to Authorization Periods for Select Community Supports Services
Health Net·CA·Prior Authorization
Effective date
Jul 22, 2026
We identified it
Jun 20, 2026
Summary
CalViva Health is implementing new authorization periods for Community Supports services effective July 22, 2026, requiring providers to submit authorization requests more frequently. Authorization periods are being shortened for services like Recuperative Care (30 days max), Housing Transitions (6 months initial, 3 months extensions), and other community support services.
Action Required
Before July 22, 2026: Review updated authorization timelines for Community Supports services and update billing workflows to submit authorization requests and extensions more frequently based on new limits (Recuperative Care: 30-day periods, Housing Transitions: 6 months initial/3 months extensions). Include all required clinical documentation with each request. Check CalAIM provider resources page on July 22, 2026 for updated authorization guides.