MedicaidAdministrativeMedium impact
26-036 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 and policies affecting Medi-Cal providers, including new CBAS and LTC forms, updated HIV test result disclosure rules, and CalAIM program changes. Most changes take effect January 1, 2026, with immediate updates to injectable medication crosswalks and facility site review criteria.
Action Required
By January 1, 2026: Billing and clinical staff must review and implement new CalAIM authorization processes, update procedures for HIV test result sharing per Senate Bill 278, and ensure compliance with Assembly Bill 55 birth center access rules. Download updated CBAS Treatment Request and LTC Authorization Notification forms from the provider library. Update provider demographic information to avoid removal from directory per notice 25-1291m.