MedicaidPrior AuthMedium impact
26-444 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 transitions for Medi-Cal members 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, physical address, and county location.
Action Required
Before June 17, 2026: For Medi-Cal members transitioning to assisted living in Fresno, Los Angeles, Sacramento, and San Joaquin counties, providers must ensure facility is ALW program participating. Billing team must verify all authorization forms include complete facility name, physical address, and county. Use Assisted Living Facility (ALF) Transitions Authorization Form (PDF) and reference the CalAIM provider resources page for guidance. Contact 833-236-4141 for questions.