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MedicaidPrior AuthHigh impact

25-830 Prepare for New Prior Authorization Timelines

Health Net·CA·Prior Authorization
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

CMS is implementing new prior authorization timelines effective January 1, 2026, shortening standard PA decisions from 5 business days to 7 calendar days, while urgent requests remain at 72 hours. This affects Medi-Cal providers in Imperial County and requires updated review systems and data reporting capabilities.

Action Required

Action needed
By January 1, 2026: Billing and utilization management teams must update internal review processes to meet new 7 calendar day timeline for standard prior authorization requests (shortened from 5 business days). Streamline workflows through automation or increased staffing. Ensure data reporting systems can provide detailed PA metrics to support mandatory public reporting. Review and update delegation agreements to reflect new performance standards and compliance monitoring requirements.