Back to dashboard
MedicaidPrior AuthLow impact

24-1190m Medical Policies - October 2024

Health Net·CA · Neurology, Neurosurgery·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Centene/Health Net corrected their Vagus Nerve Stimulation policy (CP.MP.12) to properly reference 'essential tremor' in Criteria II.J. This is a minor correction to existing policy language that may affect prior authorization requirements for vagus nerve stimulation procedures.

Action Required

Action needed
Review current vagus nerve stimulation prior authorization requests to ensure essential tremor indications align with corrected Criteria II.J. in policy CP.MP.12. Billing team should verify any pending or future prior auth requests reference the updated criteria language.

Related policy hubs