At this time, Health Net is not accepting authorization requests via email.

Fax

Community Supports (CS) providers may submit authorization requests by fax . The authorization forms for each CS service can be found on the CalAIM Resources for Providers page.

Authorization forms must contain the member's information, their primary diagnosis and supporting documents to show why the member qualifies for the requested CS service(s). Use the CS service authorization guides for additional information on required documentation for initial and extended authorizations. Providers must include the required supplemental documents with the submission of the authorization form.