MedicaidAdministrativeMedium impact
25-628m Community Supports Authorization Guides and Referral Forms Are Updated to Align With the DHCS
Health Net·CA·Prior Authorization
Effective date
Jun 26, 2025
We identified it
Jun 20, 2026
Summary
HealthNet California has updated Community Supports authorization guides and referral forms to align with DHCS requirements for Medi-Cal members in Imperial County. Providers must use the new updated guides and forms when referring members to Community Supports services.
Action Required
Immediately: Download and implement the updated Community Supports authorization guides and referral forms from the HealthNet provider library. All providers, physician groups, hospitals, ancillary providers, Community Supports providers, ECM providers, and behavioral health providers must use these new forms for all Medi-Cal member referrals to Community Supports services in Imperial County. Update workflows to ensure staff use only the new DHCS-aligned forms.