MedicaidAdministrativeMedium impact
26-441 Provider Communications Posted Online and Operations Manual Updates for March 2026
Health Net·CA·Prior Authorization
Effective date
Mar 24, 2026
We identified it
Jun 20, 2026
Summary
Health Net California posted March 2026 provider communications and operations manual updates covering quality goals, provider directory requirements, new chaperone requirements for ultrasound exams, clinical policy updates, and hospice care referral clarifications. Key operational changes include updated injectable medication crosswalk and new hospice referral timeline requirements.
Action Required
By January 1, 2027: Providers must implement notification, training and documentation procedures for state-mandated medical chaperone requirements for sensitive ultrasound examinations. Immediately: PPGs and providers must submit hospice referrals with complete documentation to Health Net within 5 calendar days when Health Net is at financial risk for hospice services. Review updated Injectable Medication HCPCS/DOFR Crosswalk effective March 10, 2026 for fourth quarter 2025 updates.