MedicaidPrior AuthMedium impact
26-468 New Documentation Requirements for Medically Tailored Meal Services
Health Net·CA · Family Medicine, Internal Medicine, General Practice·Prior Authorization
Effective date
Jun 18, 2026
We identified it
Jun 20, 2026
Summary
Health Net requires new documentation for Medically Tailored Meal Services authorization requests, including nutrition assessments completed within 30 days of submission and expanded clinical documentation for service extensions. Requests without proper documentation may be delayed or denied.
Action Required
Before June 18, 2026: Billing team must ensure all MTM/MSF authorization requests include nutrition assessments completed within 30 days of submission. For service extensions, attach clinical documentation showing ongoing improvements, current nutrition assessment, and provider order form. Update authorization workflows to verify documentation completeness before submission. Incomplete requests will be delayed or administratively denied.