MedicaidAdministrativeMedium impact
24-1014 Transitioning Foster Youth to Medi-Cal Managed Care Plans Starting January 1, 2025
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Starting January 1, 2025, current and former foster youth in Imperial County will be mandatorily enrolled from fee-for-service Medi-Cal into managed care plans. Community Health Plan of Imperial Valley will honor existing prior authorizations and active treatments for 6 months post-transition, and members can keep existing DME rentals without new authorization during this period.
Action Required
By January 1, 2025: Billing team must verify eligibility for foster youth patients (current and former, up to age 26) in Imperial County through the provider portal to confirm managed care enrollment. Update patient records to reflect new plan assignments and continue billing existing prior authorizations normally for 6 months. Contact Community Health Plan of Imperial Valley at 833-236-4141 for questions about specific patient transitions.