Medicare AdvantageAdministrativeMedium impact
26-713m Updates to Medicare Clinical Policies – April 2026
Health Net·CA·Provider News
We identified it
Jun 20, 2026
Summary
HealthNet California has published updates to Medicare clinical policies effective April 2026. The policy document requires download as a PDF to review specific changes to clinical practice guidelines that affect physicians, hospitals, and ancillary providers.
Action Required
Download and review the Provider Update PDF from HealthNet California's provider library at providerlibrary.healthnetcalifornia.com to identify specific policy changes, billing code updates, and coverage modifications. Billing team should analyze the full document for any changes to prior authorization requirements, covered services, or documentation standards that may affect claim processing.