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25-1284 Provider Communications Posted Online and Operations Manual Updates for November 2025

Health Net·CA·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

HealthNet California released a summary of November 2025 provider communications and operations manual updates covering various topics including HEDIS medical record submissions, updated authorization guides for Medi-Cal services, medical policy changes, and new guidance on prohibited entities and medical record confidentiality. This is primarily an informational bulletin summarizing multiple policy updates rather than implementing new billing requirements.

Action Required

Action needed
Review the Provider Library at providerlibrary.healthnetcalifornia.com for detailed information on each referenced policy update. Billing teams should particularly note the January 2, 2026 start date for HEDIS medical record collection and review the updated Personal Care and Homemaker Services authorization guides for Medi-Cal patients. Check medical policies updated in October 2025 for any procedures your practice commonly bills.

Related policy hubs