MedicaidPrior AuthMedium impact
25-425 Provider Communications Posted Online and Operations Manual Updates for April 2025
Health Net·CA·Prior Authorization
Effective date
Apr 11, 2025
We identified it
Jun 20, 2026
Summary
Health Net California posted April 2025 provider communications and operations manual updates, including clarified prior authorization processes and contact information, enhanced CalAIM program information, and updated transplant performance center lists for Medi-Cal providers in Fresno, Kings, and Madera counties.
Action Required
By May 1, 2025: Billing team should review updated prior authorization contact information and processes outlined in the April operations manual changes. Update internal prior authorization submission procedures to use the clarified phone, fax, and online contact methods. Review Enhanced Care Management (ECM) and Community Supports billing procedures added to the manual on 4/15/25.