MedicaidPrior AuthMedium impact
24-1334 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/CalViva Health has updated their Behavioral Health Provider Operations Manual to meet Medi-Cal contract requirements. The updates affect multiple sections including practitioner responsibilities, utilization management for outpatient services, and prior authorization processes for behavioral health services.
Action Required
Immediately: Behavioral health providers must review the updated Behavioral Health Provider Operations Manual sections 1, 3, 5, 8, 9, and 10 for changes to prior authorization requirements, utilization management processes, and practitioner responsibilities. Contact Behavioral health provider services at 844-966-0298 with questions. Update internal workflows to align with revised Medi-Cal contract requirements.