MedicaidPrior AuthMedium impact
26-467 New Documentation Requirements for Medically Tailored Meal Services
Health Net·CA · Family Medicine, Internal Medicine, Endocrinology +1 more·Prior Authorization
Effective date
Jun 18, 2026
We identified it
Jun 20, 2026
Summary
Health Net Medi-Cal now requires nutrition assessments to be completed within 30 days for all Medically Tailored Meal/Medically Supportive Food authorization requests. Service extensions require additional clinical documentation showing continued benefit, current nutrition assessment, and provider order forms.
Action Required
Before June 18, 2026: Providers 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 (medical notes, labs), current nutrition assessment, and provider order form. Use updated MTM/MSF Authorization Form available June 24, 2026. Incomplete documentation will result in delays or administrative denials.