MedicaidPrior AuthMedium impact
26-443 Updated Assisted Living Transition Requirements
Health Net·CA·Prior Authorization
Effective date
Jun 17, 2026
We identified it
Jun 20, 2026
Summary
Starting June 17, 2026, assisted living facility transitions in Fresno, Los Angeles, Sacramento, and San Joaquin counties will require use of Assisted Living Waiver (ALW) program participating facilities. Authorization forms must include complete facility information including name, address, and county location.
Action Required
Before June 17, 2026: Billing team and providers must update assisted living transition authorization procedures to ensure members in Fresno, Los Angeles, Sacramento, and San Joaquin counties only use ALW program participating facilities. Access the updated facility list at California Department of Health Care Services waiver-approved facilities page. Update authorization forms to include complete facility information (name, physical address, county). Review the Authorization Guide for Assisted Living Facility Transitions on CalAIM provider resources page. Use the updated ALF Transitions Authorization Form (PDF) for all requests.