CommercialAdministrativeLow impact

24-1007m Resources to Help Patients Reduce and Control Asthma Symptoms

Q: Who is affected by this change?

This affects Health Net Family Medicine, Internal Medicine, Pediatrics, Pulmonology, Allergy & Immunology providers in CA on Commercial, Medicaid plans.

Health Net·CA · Family Medicine, Internal Medicine, Pediatrics +2 more·Prior Authorization

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

Health Net has issued new guidance for asthma management including recommendations for formoterol-inhaled corticosteroid combinations, adherence monitoring using Asthma Medication Ratio, and patient education resources. This appears to be educational guidance rather than a billing policy change with specific prior authorization requirements.

Action Required

Action needed

Immediately: Providers should review asthma management guidelines and consider implementing recommended practices including prescribing formoterol-inhaled corticosteroid combinations for acute exacerbations, monitoring Asthma Medication Ratio (AMR) scores, and utilizing provided patient education resources. Clinical staff should bookmark the provided educational materials and smoking cessation program information for patient referrals.

Related policy hubs

Health Net policies CA policy changes Family Medicine Internal Medicine Pediatrics Pulmonology Allergy & Immunology