MedicaidPrior AuthMedium impact
24-802 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 updated prior authorization requirements for medical medications affecting Medi-Cal members in Imperial County. The policy introduces new PA requirements and updates existing ones for medical medications, but specific details are not fully visible in the provided content excerpt.
Action Required
By July 29, 2024: Billing and clinical teams must review the full Provider Update PDF at providerlibrary.healthnetcalifornia.com to understand specific prior authorization changes for medical medications. Update prior authorization workflows for HealthNet Medi-Cal members in Imperial County. Ensure staff obtain required prior authorizations before prescribing affected medications to prevent claim denials.