MedicaidPrior AuthMedium impact
25-908 Action Needed: Submit a PCS Form for NEMT for Medi-Cal Members
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
CalViva Health Medi-Cal plans now require a Physician Certification Statement (PCS) form for Non-Emergency Medical Transportation (NEMT) services including wheelchair vans, stretcher transport, and ambulance services. The form must be submitted to Health Net Care Ride Unit for authorization before transportation can be provided.
Action Required
Immediately: Providers must download and complete PCS forms for all Medi-Cal members requiring NEMT services (wheelchair van, gurney/stretcher transport, ambulance, air transport). Submit completed forms to Health Net Care Ride Unit for authorization. Front desk staff should verify PCS form completion before scheduling transportation to avoid care delays. Reassess and resubmit forms when prior authorization expires (up to 12-month authorization periods).