MedicaidCoverageMedium impact
22-549m Refer Members to Housing Transition Navigation Services
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
CalViva Health (Medi-Cal) has introduced Housing Transition Navigation services for eligible members experiencing homelessness or housing instability in Fresno, Kings and Madera counties. This is a new community support service with prior authorization requirements - initial authorization is for 12 months, with 6-month extensions based on medical necessity.
Action Required
Immediately: Clinical staff should identify Medi-Cal members who meet housing instability criteria and refer them to Housing Transition Navigation services through Findhelp platform or the CalAIM provider directory. Document member eligibility including homelessness status, chronic conditions, or risk factors. Use the CalViva Health provider portal to verify eligibility and track prior authorization status for these services.