MedicaidAdministrativeMedium impact
26-035 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 has updated multiple forms, policies, and operational manuals for December 2025, including new CBAS and LTC authorization forms, updated medical policies, new HIV disclosure rules, and CalAIM program changes. Most changes take effect January 1, 2026, with some operational updates already in place.
Action Required
Before January 1, 2026: Billing and clinical teams must review and implement multiple updates including: 1) Use new CBAS Treatment Request and LTC Authorization Notification forms for service requests, 2) Review updated medical policies for November 2025 procedures and services, 3) Comply with new HIV test result disclosure rules under Senate Bill 278, 4) Update processes for CalAIM program changes including new authorization guides and forms, 5) Prepare for Medi-Cal eligibility and benefit changes. Access the Provider Library at the provided URL for all updated forms and documentation.