Community Supports Authorization Guides
Community Supports (CS) authorization guides provide guidance to CS providers based on Department of Health Care Services (DHCS) eligibility criteria and differ for each CS service. The authorization guides include information such as:
Topic | Description |
|---|---|
Program Overview | Services the members will receive with this community support. |
Eligibility | Eligibility criteria for the community support. |
Authorization | Length of time the CS service is offered for the initial authorization and reauthorization (as applicable). |
Required Documentation | Documentation that must be submitted to Health Net for authorization approval. |
Codes | HCPCS codes that must be used for documenting the rendering of Enhanced Care Management (ECM) and CS services. |
An authorization request may be presumptive or not required for specific CS services. Refer to the authorization guide for service information and eligibility criteria. Authorization guides can be accessed on the CalAIM Resources for Provider website under Forms and Tools.