MedicaidCoverageMedium impact
22-995m How to Use the Day Habilitation Benefit for Medi-Cal Members
Health Net·CA · Family Medicine, Internal Medicine, Pediatrics +3 more·Provider News
We identified it
Jun 20, 2026
Summary
Health Net California has introduced a new Day Habilitation benefit for Medi-Cal members in 9 specific counties. This policy establishes eligibility criteria and usage guidelines for this community support service, which may affect billing and documentation requirements for participating providers.
Action Required
Immediately: Review the Day Habilitation benefit policy PDF to understand eligibility requirements and service parameters. Billing teams in affected counties should verify member eligibility before providing services and ensure proper documentation for Day Habilitation benefits. Contact Health Net California for specific billing codes and prior authorization requirements if planning to offer these services.