MedicaidAdministrativeMedium impact
26-598 Provider Communications Posted Online and Operations Manual Updates for April 2026
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net California released their April 2026 provider communications summary, including updates to medication formularies, initial health appointment requirements, clinical policy changes, and a new $75 early pregnancy confirmation incentive. The operations manual was also updated with new behavioral health contacts and mandatory PPG hospital termination notification requirements.
Action Required
Review the April 2026 communications for relevant updates: 1) Check formulary changes from notice 26-417m for medication coverage updates, 2) Review initial health appointment requirements from notice 26-482m if treating new primary care members, 3) Review clinical policy updates from notice 26-532m for March 2026 procedure changes, 4) Implement early pregnancy confirmation workflow to earn $75 incentive per eligible member from notice 26-578m. Access all documents through the Provider Library at Health Net California's portal.