MedicaidPrior AuthMedium impact
22-1029m Housing Options for Members Through Community Transition Services/Nursing Facility Transition Services to a Home
Health Net·CA · Family Medicine, Internal Medicine, Geriatrics +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net Medi-Cal has established Community Transition Services to help members transition from nursing facilities to home settings. Providers can now bill service code T2038 U4 for these non-recurring setup expenses and housing assistance services.
Action Required
Immediately: Billing team must add service code T2038 U4 to billing system for Community Transition Services/Nursing Facility Transition to a Home. Update encounter forms to include this code for eligible members transitioning from nursing facilities. Ensure prior authorization is obtained using Community Supports authorization guides available on the CalAIM Resources portal.