MedicaidPrior AuthMedium impact
24-800 Medical Medication PA Updates and New Requirements
Health Net·CA·Prior Authorization
Effective date
Jul 29, 2024
We identified it
Jun 20, 2026
Summary
HealthNet California has updated their prior authorization requirements for medical medications. This policy specifically applies to hospitals, clinics, and behavioral health providers in Los Angeles County (LA-DHS) for Medi-Cal patients.
Action Required
Immediately: Billing team and providers must download the Provider Update PDF from HealthNet California's provider library to review the specific prior authorization changes for medical medications. Update workflow processes for Medi-Cal patients in LA-DHS county to ensure compliance with new PA requirements before prescribing or billing for affected medications.