MedicaidAdministrativeMedium impact
24-677 Provider Communications Posted Online and Operations Manual Updates for June 2024
Health Net·CA · Cardiology, Radiology, OB-GYN +3 more·Prior Authorization
Effective date
Jun 26, 2024
We identified it
Jun 20, 2026
Summary
Health Net California published their June 2024 provider communications summary, highlighting key updates including a name change from National Imaging Associates to Evolent Specialty Services for cardiac imaging prior authorization, addition of sex chromosome aneuploidy screening to prenatal benefits, and updated contract termination notification requirements for behavioral health providers.
Action Required
Immediately: Update prior authorization contact information for advanced and cardiac imaging from National Imaging Associates (NIA) to Evolent Specialty Services. Update EMR templates to include sex chromosome aneuploidy screening options for prenatal patients. Behavioral health providers must review and implement updated member notification procedures for contract terminations per CMS requirements.