MedicaidPrior AuthMedium impact
24-133 Use Our Preferred Vendors for DME and Incontinence Medical Supplies
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Community Health Plan of Imperial Valley now requires providers to refer members to specific preferred vendors for DME and incontinence supplies. Members transitioning from California Health & Wellness Plan can continue receiving these services through Health Net's preferred network vendors, with DME requiring prior authorization.
Action Required
Immediately: Update referral processes to direct Community Health Plan of Imperial Valley members to the specified preferred vendors for DME and incontinence supplies. Billing team must ensure prior authorization is obtained for all DME services before referring to vendors like Apria Healthcare, Lincare, SuperCare, or other listed providers. Update patient referral protocols and staff training materials with the new vendor contact information.