MedicaidPrior AuthMedium impact
24-925 Provider Communications Posted Online and Operations Manual Updates for August 2024
Health Net·CA · Oncology, Palliative Care·Prior Authorization
Effective date
Aug 1, 2024
We identified it
Jun 20, 2026
Summary
Health Net California updated their Provider Operations Manual in August 2024 with key changes including urgent prior authorization processing for qualifying clinical trials, updated palliative care provider lists, and revised contact information. Most notably, prior authorization requests for routine care costs in qualifying clinical trials now receive urgent status processing.
Action Required
Immediately: Billing team should review updated palliative care provider list and contact information. When submitting prior authorization requests for routine care costs related to qualifying clinical trials, ensure requests are marked as urgent status following the new instructions in the Benefits > Clinical Trials section of the manual.