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26-991 Changes to Community Supports Services, Effective January 1, 2027
Act
by Dec 31, 2026
Effective date
Jan 1, 2027
Identified
Aug 6, 2026
Summary
Effective January 1, 2027, Community Health Plan of Imperial Valley is terminating three Community Supports services: Assisted Living Facility Transitions, Personal Care and Homemaker Services, and Short-Term Post-Hospitalization Housing. The billing team must identify all affected members currently receiving these services, ensure services end by December 31, 2026, and coordinate care transitions to avoid service gaps.
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What to do
by Dec 31, 2026 · 7 steps
01Billing team must identify and audit all active members receiving Assisted Living Facility Transitions, Personal Care and Homemaker Services, or Short-Term Post-Hospitalization Housing services.
02Verify that all authorizations for these three services end by December 31, 2026 and are not extended past this date in the billing system.
03Stop all billing and claims submission for these services effective January 1, 2027.
04Coordinate with care management and providers to ensure transition plans are documented for affected members before service termination.
05Update internal tracking systems and member communication protocols to reflect service discontinuation.
06Failure to stop billing these services after December 31, 2026 will result in claim denials.
07Contact Community Health Plan of Imperial Valley at 833-236-4141 (or 844-966-0298 for behavioral health) with questions.
Original notice
26-991 Changes to Community Supports Services, Effective January 1, 2027
providerlibrary.healthnetcalifornia.com · Always check the source before changing claims.