MedicaidPrior AuthMedium impact
26-739 Provider Communications Posted Online and Operations Manual Updates for May 2026
Health Net·CA·Prior Authorization
Effective date
May 12, 2026
We identified it
Jun 20, 2026
Summary
Health Net posted May 2026 provider communications and operations manual updates, including key changes to Medi-Cal prior authorization timelines (now 5 business days or 7 calendar days, whichever is less), updated youth trauma screening requirements affecting reimbursement, and new member ID card designs that must be accepted alongside existing cards.
Action Required
Immediately: Update prior authorization request processes to comply with new Medi-Cal timeline of 5 business days or 7 calendar days (whichever is less). Train front desk staff to accept both new and existing Medi-Cal member ID cards. By April 1, 2026: Review and update youth trauma screening procedures for Medi-Cal members under age 21 to ensure compliance with new requirements - improper screening may affect claims reimbursement.