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Medicare AdvantageAdministrativeLow impact

26-596 Provider Communications Posted Online and Operations Manual Updates for April 2026

Health Net·CA·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

This is a summary policy posting multiple updates from April 2026, including drug formulary changes, new provider resources, clinical policy updates, and operations manual revisions. Key changes include updated behavioral health contacts, new PCP change request forms, mandatory PPG hospital termination notifications, and revised provider portal documentation.

Action Required

Action needed
Review the Provider Library regularly for operational updates. Access new behavioral health contact information effective 4/7/26, utilize the new Member PCP Change Request form effective 4/14/26, and ensure compliance with mandatory PPG hospital termination notification requirements effective 4/23/26. Update knowledge of revised provider portal features for eligibility verification and prior authorization processes effective 4/27/26.