Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in California?
Last verified October 17, 2026 · All California resources
California delivers some long-term services and supports through 23 managed care plans in Medi-Cal managed care (Community Supports, CBAS and long-term care); In-Home Supportive Services (IHSS) is run by counties outside the plans, and pays for the rest fee-for-service. California's main Medi-Cal personal care program, In-Home Supportive Services (IHSS), is administered by counties and is not run through health plans. Medi-Cal managed care plans cover long-term care and services such as Community-Based Adult Services and Community Supports (for example personal care and homemaker services), so agencies offering those services contract with the plans in their counties. Some waiver programs, such as the HCBA waiver and MSSP, are run by waiver agencies outside the plans.
Which plans are there?
- Alameda Alliance for Health
- Anthem Blue Cross
- Blue Shield of California Promise Health Plan
- CalOptima Health
- CalViva
- CenCal Health
- Central California Alliance for Health
- Community Health Group Partnership Plan
- Community Health Plan of Imperial Valley
- Contra Costa Health Plan
- Gold Coast Health Plan
- Health Net Community Solutions, Inc.
- Health Plan of San Joaquin
- Health Plan of San Mateo
- Inland Empire Health Plan
- Kaiser Permanente
- Kern Family Health Care
- L.A. Care Health Plan
- Molina Healthcare of California Partner Plan, Inc.
- Mountain Valley Health Plan
- Partnership Health Plan of California
- San Francisco Health Plan
- Santa Clara Family Health Plan
Medi-Cal plans are assigned by county: some counties have a single county-organized plan (for example Partnership Health Plan in 24 counties, CalOptima in Orange, Health Plan of San Mateo), while others have two or more plans. Kaiser Permanente is listed in 32 counties with enrollment limits. Use the DHCS county directory to see the plans in each county.
For the programs that pay for home care, see California Medicaid waivers.
What should you confirm with the state?
Which plan covers a client depends on the county; check the DHCS county directory.
Sources
More for California
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
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