MedicaidPrior AuthMedium impact
25-626m Community Supports Authorization Guides and Referral Forms Are Updated to Align With the DHCS
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
HealthNet California has updated Community Supports authorization guides and referral forms to align with DHCS requirements. Providers must now use the new updated forms and guides when referring Medi-Cal members to Community Supports services in specified counties.
Action Required
Immediately: Download and begin using the updated Community Supports authorization guides and referral forms from the Provider Update PDF. Replace all old Community Supports referral forms with the new DHCS-aligned versions. This applies to referrals for Medi-Cal members in Amador, Calaveras, Inyo, Los Angeles, Mono, Sacramento, San Joaquin, Stanislaus, Tulare and Tuolumne counties. Using outdated forms may result in referral delays or rejections.