MedicaidPrior AuthMedium impact
26-325 Updated IHSS Application Requirements
Health Net·CA · Family Medicine, Internal Medicine, General Practice·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 required timeframes to avoid authorization denials.
Action Required
Before May 18, 2026: Billing team must implement tracking system for IHSS application status to ensure documentation is submitted within 3-month timeframe. Update prior authorization workflows to verify IHSS application status before submitting Personal Care and Homemaker Services authorization requests. Contact Community Health Plan of Imperial Valley at 833-236-4141 for questions. Failure to provide current IHSS application status will result in authorization denials.