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MedicaidAdministrativeMedium impact

25-786 New Updates to CS and ECM Provider Reference Guides

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

Summary

Health Net has updated their Community Supports and Enhanced Care Management provider reference guides to reflect recent changes from the Department of Health Care Services. Multiple sections were revised including provider certification, authorization processes, eligibility criteria, and staffing requirements.

Action Required

Action needed
Immediately: Review the updated Community Supports and Enhanced Care Management provider reference guides available at CalAIM Resources for Providers. Focus on revised sections including provider certification application processes, portal authorization procedures, eligibility criteria, and staffing requirements. Contact Community Health Plan of Imperial Valley at 833-236-4141 with questions. This applies to all CS and ECM providers in Imperial County.