MedicaidAdministrativeLow impact
25-1040 Provider Communications Posted Online and Operations Manual Updates for September 2025
Health Net·CA·Prior Authorization
Effective date
Sep 29, 2025
We identified it
Jun 20, 2026
Summary
Health Net posted September 2025 operational updates including changes to hospice care documentation requirements, Community Health Worker services no longer requiring written recommendations, and updated contact information for various departments. Most changes align with DHCS Medi-Cal contract amendments and affect provider operations rather than billing codes.
Action Required
Review the Health Net Provider Library for updated operational procedures. Update contact information for Case Management Department in staff directories. Note that Community Health Worker services no longer require written recommendations as of 9/29/25. Ensure Initial Health Appointment scheduling processes align with updated requirements emphasizing importance of these appointments.