MedicaidAdministrativeMedium impact
26-146 Updated CS and ECM Provider Reference Guides Now Available
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net/CalViva Health has updated their Community Supports (CS) and Enhanced Care Management (ECM) provider reference guides to align with latest Medi-Cal contract requirements. Multiple sections were revised covering eligibility confirmation, authorization processes, claims, provider certification, member enrollment, and core services.
Action Required
Immediately: All CS and ECM providers must access and review the updated provider reference guides at CalViva Health's CalAIM Resources for Providers website. Billing team should review Section 8.1 (Member Eligibility), Section 8.2.2 (Authorization Review Process), Section 9.1.1 (Claims), and Section 9.4 (Payment to Providers) to ensure compliance with new Medi-Cal requirements. Contact CalViva Health at 888-893-1569 with questions.