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MedicaidPrior AuthMedium impact

24-927 Provider Communications Posted Online and Operations Manual Updates for August 2024

Health Net·CA · Palliative Care·Prior Authorization
Effective date
Aug 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net California posted August 2024 policy updates including urgent prior authorization procedures for clinical trial routine care costs, updated palliative care provider lists, and contact information changes for Medi-Cal providers in Fresno, Kings, and Madera counties.

Action Required

Action needed
Immediately: Billing team should review the updated palliative care provider list and contact information changes. For clinical trial routine care costs requiring prior authorization, ensure urgent status is requested when submitting prior auth requests by following the new guidelines in the Benefits > Clinical Trials section of the operations manual.