MedicaidPrior AuthMedium impact
24-799 Medical Medication PA Updates and New Requirements
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net California has updated prior authorization requirements for medical medications affecting providers in 11 specific California counties. The policy includes new PA requirements and updates to existing medication authorization processes.
Action Required
Immediately: Download and review the Provider Update PDF from the Health Net California provider library. Billing and clinical staff in affected counties must update prior authorization workflows for medical medications. Verify county coverage area (Amador, Calaveras, Inyo, Los Angeles, Molina, Mono, Sacramento, San Joaquin, Stanislaus, Tulare, Tuolumne) before implementing changes. Update prior authorization checklists and staff training materials.