MedicaidAdministrativeMedium impact
25-818 Provider Communications Posted Online and Operations Manual Updates for July 2025
Health Net·CA · Psychiatry·Prior Authorization
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
CalViva Health posted July 2025 provider communications including updates to therapeutic infant formula prior authorization processes, formulary changes, and behavioral health operations manual updates requiring use of Availity Essentials portal for prior authorizations effective July 1, 2025.
Action Required
By July 1, 2025: Behavioral health providers and all applicable staff must begin using Availity Essentials provider portal to request prior authorization for certain services instead of previous methods. Update workflows to access CalViva Health's Provider Library regularly for operational updates. Review therapeutic infant formula prior authorization procedures for emergency two-week supply processes.