MedicaidPrior AuthMedium impact
26-326 Updated IHSS Application Requirements
Health Net·CA·Prior Authorization
Effective date
May 18, 2026
We identified it
Jun 20, 2026
Summary
Starting May 18, 2026, Health Net will deny IHSS Personal Care and Homemaker Services authorization requests if the IHSS application has been pending for more than three months without proof of application status. Providers must ensure current IHSS application documentation is submitted within required timeframes to avoid denials.
Action Required
Before May 18, 2026: Billing team and providers must implement tracking system for IHSS application status for all Personal Care and Homemaker Services requests. Ensure proof of application status is documented and current (less than 3 months old) before submitting authorization requests. Review and utilize the Personal Care and Homemaker Services Authorization Guide on CalAIM provider resources page. Failure to provide current IHSS application status will result in authorization denials.