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MedicaidPrior AuthHigh impact

24-490 Medical Medication Prior Authorization Changes and NIA Name Change

Health Net·CA · Oncology, Neurology, Rheumatology +6 more·Prior Authorization
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

New prior authorization requirements for 30+ specialty medication HCPCS codes taking effect in 2024, with some additions/removals for specific drugs. NIA has rebranded to Evolent Specialty Services but processes remain unchanged.

Action Required

Action needed
Immediately: Update billing system to require prior authorization for all listed HCPCS codes effective January 1, 2024 and April 1, 2024. Add PA requirements for Benlysta (J0490) for all ages and Trodelvy (J9317) effective August 1, 2024. Remove PA requirements for Blenrep (J9037), Feraheme (Q0138), Makenna (J1726), and Sunlenca (J3490). Update staff on NIA name change to Evolent - existing portals and processes remain the same. Claims will be denied without proper prior authorization.

Affected Billing Codes

C9160
C9161
C9162
C9163
C9165
J0217
J1246
J1304
J1412
J1413
J2508
J3401
J9286
J9321
J9324
J9333
J9334
Q5132
C9166
C9167
C9168
J0177
J0589
J1203
J1323
J2277
J2782
J3055
J9376
Q5133
Q5134
J0490
J9317
J3590
J9037
Q0138
J1726
J3490