MedicaidAdministrativeMedium impact
25-186 Updated CS and ECM Provider Reference Guides
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net has updated their Community Supports (CS) and Enhanced Care Management (ECM) Provider Reference Guides to align with Department of Health Care Services requirements. The revisions affect provider certification, authorization processes, member eligibility confirmation, and data reporting requirements for CS and ECM services.
Action Required
Immediately: CS and ECM providers must review the updated reference guides available at CalAIM Resources for Providers. Update internal workflows for provider certification applications, authorization requests, member eligibility confirmation processes, and data exchange reporting. Contact Health Net Provider Services at 800-675-6110 with questions about compliance requirements.