MedicaidPrior AuthMedium impact
24-1333 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 to meet Medi-Cal contract requirements, with revisions to six key sections including utilization management and level of care criteria. The changes affect prior authorization, network standards, and treatment protocols for behavioral health providers in specific California counties.
Action Required
Immediately: Behavioral health billing teams must access the updated Behavioral Health Provider Operations Manual at Health Net's provider library to review changes in utilization management, level of care criteria, and prior authorization requirements. Contact behavioral health provider services at 844-966-0298 for clarification on any billing procedure changes. Update internal protocols based on revised sections 8, 9, and 10 which affect authorization and treatment criteria.