MedicaidPrior AuthMedium impact
26-442 Updated Assisted Living Transition Requirements
Health Net·CA·Prior Authorization
Effective date
Jun 17, 2026
We identified it
Jun 20, 2026
Summary
Effective June 17, 2026, assisted living facility transitions in Fresno, Los Angeles, Sacramento, and San Joaquin counties must use only Assisted Living Waiver (ALW) program participating facilities. All other California counties can continue using non-waiver facilities for transitions.
Action Required
Before June 17, 2026: Billing team must update prior authorization workflows to verify assisted living facility ALW participation status for members in Fresno, Los Angeles, Sacramento, and San Joaquoin counties. Update authorization forms to require facility name, physical address, and county documentation. Access the updated ALF Transitions Authorization Form (PDF) and review the Authorization Guide for complete requirements.