MedicaidCoverageMedium impact
25-031 Provider Communications Posted Online and Operations Manual Updates for December 2024
Health Net·CA · Emergency Medicine, Psychiatry, Family Medicine +1 more·Prior Authorization
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Health Net California released multiple policy updates for December 2024, including expanded psychiatric emergency coverage, new tuberculosis screening requirements for adults 18+, and updated post-stabilization care authorization procedures. Key changes affect billing for psychiatric emergencies, TB screening assessments, and hospital authorization processes.
Action Required
By January 1, 2025: Review and implement expanded psychiatric emergency medical condition coverage per AB 1316 - ensure billing team understands that psychiatric emergency services are covered regardless of voluntary or involuntary detention status. Update TB screening protocols for members 18+ with identified risk factors per AB 2132. Review updated post-stabilization care authorization procedures and ensure compliance with single point of contact requirements per APL 24-012.