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26-989 Changes to Community Supports Services, Effective January 1, 2027
Act
by Dec 15, 2026
Effective date
Jan 1, 2027
Identified
Aug 6, 2026
Summary
Effective January 1, 2027, Health Net will discontinue three Community Supports services: Assisted Living Facility Transitions, Personal Care and Homemaker Services, and Short-Term Post-Hospitalization Housing. Providers must identify affected members, continue services through December 31, 2026, and coordinate care transitions. This impacts Medi-Cal in 10 California counties.
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What to do
by Dec 15, 2026 · 5 steps
01Billing and clinical teams must identify all members currently receiving Assisted Living Facility Transitions, Personal Care and Homemaker Services, or Short-Term Post-Hospitalization Housing.
02By December 31, 2026: Cease billing for these three Community Supports services and ensure all authorized service periods end by this date.
03Immediately: Coordinate with Community Supports providers and care management teams to develop transition plans for affected members, documenting alternative resources or services.
04Update internal tracking systems to flag these service codes as non-billable effective January 1, 2027.
05Contact Health Net Provider Services Center (800-675-6110) or Behavioral Health line (844-966-0298) with questions.
If missed: Failure to transition members appropriately may result in service gaps and member complaints.
Original notice
26-989 Changes to Community Supports Services, Effective January 1, 2027
providerlibrary.healthnetcalifornia.com · Always check the source before changing claims.