MedicaidPrior AuthLow impact
24-1191m Medical Policies - October 2024
Health Net·CA · Neurology, Neurosurgery·Prior Authorization
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
CalViva Health updated their medical policy CP.MP.12 for Vagus Nerve Stimulation, correcting criteria II.J. to specify 'essential tremor' instead of the previous wording. This is a minor correction to existing prior authorization criteria for this neurological device procedure.
Action Required
Billing team should review any pending or future Vagus Nerve Stimulation prior authorization requests to ensure documentation references 'essential tremor' in criteria II.J. when applicable. Contact CalViva Health at 888-893-1569 with questions about this policy clarification.