MedicaidPrior AuthMedium impact
24-1335 Annual Review and Updates to the Behavioral Health Provider Operations Manual
Health Net·CA · Psychiatry·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net has updated their Behavioral Health Provider Operations Manual for Medi-Cal providers in Imperial County, with revisions to six key sections including prior authorization requirements, utilization management, and treatment criteria. The billing team should review the updated manual to understand any changes to behavioral health billing procedures and prior authorization workflows.
Action Required
Immediately: Behavioral health billing staff must access and review the updated Behavioral Health Provider Operations Manual at the Health Net provider library to identify specific changes to prior authorization requirements, utilization management procedures, and treatment criteria. Contact Behavioral Health provider services at 844-966-0298 for clarification on any billing procedure changes. Update internal workflows based on revised sections 1, 3, 5, 8, 9, and 10.