MedicaidAdministrativeMedium impact
26-145 Updated CS and ECM Provider Reference Guides Now Available
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net has updated their Community Supports (CS) and Enhanced Care Management (ECM) provider reference guides to align with latest California Department of Health Care Services requirements. Multiple sections covering eligibility, authorization processes, claims, and provider requirements have been revised.
Action Required
Immediately: All providers participating in Community Supports or Enhanced Care Management programs must review the updated CS and ECM provider reference guides available at CalAIM Resources for Providers. Pay special attention to revised sections on member eligibility confirmation, authorization review processes, claims procedures, and payment requirements to ensure continued compliance with Medi-Cal contract requirements.