MedicaidAdministrativeHigh impact
24-1336 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 their annual review and updated multiple sections of the Medi-Cal Provider Operations Manual, including prior authorizations, claims processing, coding policies, and other operational procedures. This comprehensive update affects all aspects of Medi-Cal billing and provider operations across 10 California counties.
Action Required
Immediately: All billing staff and providers must review the updated Medi-Cal Provider Operations Manual sections at the Health Net provider portal. Key areas to review include Prior Authorizations, Claims and Provider Reimbursement, Claims Coding Policies, Medical Records requirements, and Utilization Management. Contact Health Net Medi-Cal Provider Services at 800-675-6110 with questions. Failure to stay current with these updates may result in claim denials or compliance issues.