CommercialPrior AuthHigh impact
26-408 Updates to Prior Authorization Requirements
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
HealthNet California updated prior authorization requirements with new changes effective January 1 through June 1, 2026. Specific authorization codes have been modified, requiring billing teams to review and update their prior authorization workflows.
Action Required
By January 1, 2026: Billing team must download the Provider Update PDF from HealthNet's provider library to review specific prior authorization code changes. Update billing system rules and prior authorization workflows according to the new requirements. Contact HealthNet if clarification is needed on specific codes affected during the January 1 - June 1, 2026 timeframe.