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MedicaidPrior AuthMedium impact

25-1222 Prior Authorization Updates Now in Effect - More Changes Coming in Early 2026

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

Summary

Health Net California has implemented new prior authorization updates affecting medications, with changes to medication additions, removals, reclassifications and CMS code modifications. Additional changes are scheduled for early 2026, affecting multiple provider types across 10 California counties including Los Angeles and Sacramento.

Action Required

Action needed
Immediately: Download and review the Provider Update PDF from Health Net California to identify specific medication prior authorization changes. Billing and clinical teams must update medication prior authorization lists in practice management systems and inform providers of new requirements. Monitor for additional updates scheduled for early 2026.

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