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MedicaidPrior AuthLow impact

25-466m Help Members More Easily Access Non-Specialty Mental Health Services

Health Net·CA · Psychiatry, Family Medicine, Internal Medicine +1 more·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Community Health Plan of Imperial Valley is implementing new procedures to help members access non-specialty mental health services more easily. Prior authorization is NOT required for most covered outpatient mental health services, including office visits with therapists, psychiatrists, and other behavioral health professionals.

Action Required

Action needed
Billing team should be aware that prior authorization is not required for most covered outpatient mental health services for CHPIV members in Imperial County. Update staff training to inform them that members can self-refer to mental health providers. For questions, contact Community Health Plan at 833-236-4141 or behavioral health providers can call 844-966-0298.