MedicaidAdministrativeHigh impact
24-1338 Annual Review and Updates to the Medi-Cal Provider Operations Manual
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net has completed its annual comprehensive review and update of the Medi-Cal Provider Operations Manual, affecting multiple sections including Prior Authorizations, Claims and Provider Reimbursement, and Utilization Management. All providers in Imperial County must review the updated manual sections to ensure compliance with current Medi-Cal contract requirements.
Action Required
Immediately: All billing team members and providers must access and review the updated Medi-Cal Provider Operations Manual at the Health Net provider library. Pay special attention to the Prior Authorization, Claims and Provider Reimbursement, and Utilization Management sections. Contact Community Health Plan of Imperial Valley at 833-236-4141 with any questions. Failure to comply with updated requirements may result in claim denials or compliance issues.