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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
Days to comply

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

Action needed
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.