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MedicaidAdministrativeMedium impact

26-599 Provider Communications Posted Online and Operations Manual Updates for April 2026

Health Net·CA·Prior Authorization
Effective date
Apr 27, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net California posted April 2026 provider communications and operations manual updates including new prior authorization portal guidance, behavioral health contact updates, and mandatory PPG hospital termination notification requirements. Key changes include removal of outdated portal brochure references and updated eligibility verification processes.

Action Required

Action needed
By April 27, 2026: Billing team should review updated prior authorization portal guidance under 'How to Secure Prior Authorization on the Provider Portal' section. Update staff training materials to remove references to the discontinued 'Save Time Navigating the Provider Portal' brochure. Review new eligibility verification procedures and behavioral health contact information for accurate claim processing.