MedicaidPrior AuthMedium impact
26-406 Updates to Prior Authorization Requirements
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
HealthNet California has updated prior authorization requirements with changes to authorization codes effective January 1 through June 1, 2026, specifically for Medi-Cal members in Imperial County. The full details are available in a downloadable PDF from their provider library.
Action Required
By January 1, 2026: Billing team must download and review the Provider Update PDF from HealthNet's provider library to identify specific prior authorization code changes. Update billing system and workflow processes for affected authorization codes for Medi-Cal patients in Imperial County. Verify all prior authorization requirements are current before submitting claims during the January 1 - June 1, 2026 period.