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Medicare AdvantageCoverageLow impact

22-598m Cal MediConnect Enrollees Can Access CalAIM Community Supports Services

Health Net·CA·Prior Authorization
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Cal MediConnect enrollees in Los Angeles and San Diego counties can now access 14 Community Supports services under CalAIM to address social determinants of health. Providers can refer eligible enrollees through findhelp.com or the provider directory, with Community Supports providers handling authorization.

Action Required

Action needed
Immediately: For Cal MediConnect enrollees in Los Angeles and San Diego counties, billing team should familiarize staff with Community Supports referral process. Train front desk and clinical staff to identify eligible enrollees for services like medically tailored meals, home modifications, and housing assistance. Use communitysupportsecm.findhelp.com for referrals and access Community Supports Authorization Guides through Health Net provider portal under Forms & Tools.