MedicaidAdministrativeMedium impact
25-669 Provider Communications Posted Online and Operations Manual Updates for June 2025
Health Net·CA·Prior Authorization
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Health Net California released a comprehensive update outlining provider communications and operations manual changes for June 2025, including new billing guidelines for rape/sexual assault prescriptions, updated dyadic care service reimbursement rates, and revised community supports authorization guides effective July 1, 2025.
Action Required
By July 1, 2025: Review and implement updated billing guidelines for prescriptions related to rape and sexual assault, ensuring correct ICD-10 code placement on paper and electronic prescriptions per Assembly Bill 2843. Update community supports authorization processes using new guides and referral forms. Billing teams should access the Provider Library to review all June 2025 policy updates and ensure compliance with new documentation requirements.