MedicaidAdministrativeMedium impact
24-869 Provider Communications Posted Online and Operations Manual Updates for July 2024
Health Net·CA·Prior Authorization
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Health Net California published July 2024 provider communications and operations manual updates covering multiple policy changes including enhanced privacy protections for sensitive medical information, drug utilization review requirements, and various billing and coverage updates effective throughout July 2024.
Action Required
Review all July 2024 Health Net California policy updates in the Provider Library. Key actions: 1) Implement enhanced privacy protections for sensitive medical information including gender-affirming care, abortion and contraception per AB 352 and SB 345. 2) Ensure compliance with updated drug utilization review requirements per APL 23-026. 3) Submit HEDIS supplemental data by August 1, 2024 and live data by September 3, 2024. 4) Update references from Envolve Vision to Centene Vision Services for vision claims. 5) Review updated continuity of care and pharmacist services billing requirements.