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Medicare AdvantageAdministrativeMedium impact

24-868 Provider Communications Posted Online and Operations Manual Updates for July 2024

Health Net·CA·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

This policy provides a comprehensive summary of all provider communications and operations manual updates posted in July 2024, covering various topics including prior authorization, HEDIS reporting, formulary changes, and regulatory compliance updates across multiple plan types.

Action Required

Action needed
Review all July 2024 communications in the Provider Library to identify specific changes affecting your practice. Pay particular attention to: HEDIS supplemental data submission deadline of August 1, 2024; updated drug utilization review requirements effective July 1; enhanced privacy protections for sensitive services; and third quarter formulary changes. Access the Provider Library and select applicable line of business for detailed requirements.

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