All PlansAdministrativeMedium impact
24-958m Improve Members' Experience with Care Coordination
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net California has issued new care coordination guidelines emphasizing improved communication between providers, timely follow-up after hospitalizations, and comprehensive information sharing. Special requirements apply for behavioral health patients taking psychotropic medications or with substance abuse disorders.
Action Required
Immediately: Review current care coordination workflows and implement new communication protocols. Providers should document discussions about patient's other healthcare providers in medical records. Front desk staff should update patient intake forms to capture information about recent hospitalizations and other treating physicians. Billing team should ensure proper authorization forms are on file for information sharing, especially for behavioral health patients.