MedicaidPrior AuthHigh impact
24-543 Prior Authorization Extensions for All Services, Including DME, Ends June 30, 2024
Health Net·CA·Prior Authorization
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Starting July 1, 2024, prior authorization approvals for all services including durable medical equipment (DME) will revert from the pandemic extension of 6 months back to the standard 3-month duration. This affects all new prior authorization requests approved on or after July 1, 2024.
Action Required
By July 1, 2024: Billing team must update prior authorization tracking systems to reflect 3-month approval periods instead of 6 months for all services and DME. Front desk staff should verify authorization expiration dates more frequently and schedule reauthorization requests earlier to avoid gaps in coverage. Providers should be notified that authorizations will expire sooner and may need more frequent renewals.