All PlansPrior AuthMedium impact
25-1245 Authorization Now Needed for Mobile-Connected Medical Devices
Health Net·CA · Cardiology, Neurology, Pain Management +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Effective immediately, California correctional healthcare facilities now require prior authorization for all mobile-connected medical devices including spinal cord stimulators, ICDs, and Zoll life vests. All device requests must be reviewed by the institutional primary care provider before prescribing.
Action Required
Immediately: Billing team must verify prior authorization approval before billing for spinal cord stimulators, ICDs, and Zoll life vest procedures. Contact the sending institution's chief executive officer or chief medical executive for approval questions. Do not promise devices to patients until fully approved as claims may be denied without proper authorization.