MedicaidPrior AuthMedium impact
25-1225 Prior Authorization Updates Now in Effect - More Changes Coming in Early 2026
Health Net·CA·Prior Authorization
Effective date
Nov 21, 2025
We identified it
Jun 20, 2026
Summary
HealthNet California has implemented prior authorization updates for Medi-Cal in Imperial County, including new medication additions, removals, and reclassifications. Additional changes are scheduled for early 2026.
Action Required
Immediately: Download and review the Provider Update PDF from HealthNet California's provider library to identify specific medication changes affecting prior authorization requirements. Update billing workflows and provider notifications for any medications that now require or no longer require prior authorization for Medi-Cal patients in Imperial County.