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MedicaidAdministrativeMedium impact

26-531m Updates to Clinical Policies – March 2026

Health Net·CA·Provider News
Effective date
Mar 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

HealthNet California has issued updates to clinical policies effective March 2026, affecting physicians, practitioners, participating physician groups, and behavioral health providers. The policy applies specifically to Medi-Cal providers in 11 California counties including Los Angeles, Sacramento, and others.

Action Required

Action needed
Before March 1, 2026: Download and review the Provider Update PDF from the HealthNet California provider library. All affected providers and billing teams must analyze the specific clinical policy changes and implement necessary updates to billing procedures, prior authorization requirements, and documentation practices as detailed in the full policy document.