MedicaidPrior AuthMedium impact
26-324 Updated IHSS Application Requirements
Health Net·CA · Family Medicine, Internal Medicine, Geriatrics·Prior Authorization
Effective date
May 18, 2026
We identified it
Jun 20, 2026
Summary
Starting May 18, 2026, Personal Care and Homemaker Services authorization requests will be denied if IHSS applications have been pending for more than three months without proof of application status. Providers must ensure IHSS application documentation is current and submitted within the required timeframe to avoid authorization denials.
Action Required
Before May 18, 2026: Billing team and providers must establish a tracking system to monitor IHSS application status and ensure documentation of application status is submitted within three months for all Personal Care and Homemaker Services authorization requests. Update workflows to verify IHSS application timing before submitting authorization requests. Failure to provide proof of application status for pending applications over three months will result in authorization denials.