MedicaidAdministrativeMedium impact
22-324m Resources to Help You with ECM and Community Supports Referrals
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
CalViva Health provides new resources and referral processes for Enhanced Care Management (ECM) and Community Supports (CS) services under California's CalAIM program for Medi-Cal members in Fresno, Kings and Madera counties. The policy outlines specific referral workflows, authorization processes, and online tools including findhelp platform and provider directories.
Action Required
Immediately: Billing staff and providers should bookmark calvivahealth-ecm-cs.findhelp.com for Community Supports referrals and access the provider directory for ECM referrals. Update referral workflows to use the provider portal for ECM authorization requests or fax ECM referral forms to 800-743-1655. For recuperative care, coordinate with interdisciplinary teams to submit authorization requests with concurrent review updates through the Health Plan.