MedicaidPrior AuthMedium impact
25-464m Help Members More Easily Access Non-Specialty Mental Health Services
Health Net·CA · Psychiatry, Family Medicine, Internal Medicine +2 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net has eliminated prior authorization requirements for most non-specialty mental health outpatient services, allowing members to self-refer to therapists, psychiatrists, and other behavioral health professionals. The policy establishes multiple access pathways including direct provider scheduling, Teladoc telehealth services, and enhanced care management referrals.
Action Required
Immediately: Update billing workflows to remove prior authorization requirements for non-specialty mental health outpatient services for Health Net Medi-Cal members. Train front desk staff on new self-referral options including provider directory access and Teladoc services. Update scheduling systems to accommodate direct member scheduling without prior auth verification.