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MedicaidAdministrativeMedium impact

25-995 Expanded Access to Community Health Worker Services

Health Net·CA·Provider News
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

DHCS has eliminated the requirement for written recommendations for Community Health Worker services for Medi-Cal patients - practitioners can now verbally inform eligible patients about CHW services. Eligible patients can directly access CHW services by calling Member Services or using online provider directories.

Action Required

Action needed
Immediately: All providers should update patient counseling workflows to include verbal recommendations for CHW services when treating eligible Medi-Cal patients with chronic conditions, risk factors, or unmet social needs. Front desk staff should be trained to direct patients to call Member Services or use online provider directories to find in-network CHWs. Update provider operations manual references as needed.