Medicare AdvantageAdministrativeMedium impact
26-034 Provider Communications Posted Online and Operations Manual Updates for December 2025
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Health Net California released December 2025 provider communications including multiple regulatory updates effective January 1, 2026, such as new HIV test disclosure rules, CalAIM program changes, and birth center access expansion. The policy also outlines operational manual updates including revised injectable medication crosswalks and transplant center changes.
Action Required
By January 1, 2026: Review all posted communications at the Provider Library for operational changes. Update staff on new HIV test result disclosure rules under SB 278 for care coordination. Ensure compliance with updated CalAIM authorization processes and forms. Update demographic information in provider directory to avoid removal. Review new Medi-Cal eligibility changes and updated injectable medication HCPCS crosswalk.