MedicaidCoverageMedium impact
22-547m Refer Members to Housing Transition Navigation Services
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net Medi-Cal has introduced Housing Transition Navigation services for eligible members experiencing homelessness or housing instability. This is a new Community Support service that requires initial 12-month authorization with 6-month extensions based on medical necessity.
Action Required
Immediately: Billing team should familiarize themselves with Housing Transition Navigation service eligibility criteria for Medi-Cal members. Front desk staff should identify members who meet criteria (homeless, at risk of homelessness with chronic conditions, or receiving Enhanced Care Management) and refer them through Findhelp platform or provider directory. Use the CalAIM resource page to locate Community Support providers. Note that initial authorization is for 12 months with 6-month extensions requiring medical necessity documentation.