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MedicaidPrior AuthMedium impact

24-489 Medical Medication Prior Authorization Changes and NIA Name Change

Health Net·CA · Oncology, Hematology, Rheumatology +7 more·Prior Authorization
Effective date
Aug 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Multiple new HCPCS codes for specialty medications now require prior authorization for Medi-Cal providers, with different effective dates (January 1, 2024 and April 1, 2024). Some existing prior authorization requirements have been removed or modified, and NIA has been renamed to Evolent Specialty Services.

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. By August 1, 2024: Add prior authorization requirements for Benlysta (J0490), Trodelvy (J9317), and Casgevy (J3590). Remove prior authorization requirements for discontinued codes J9037, Q0138, J1726, and J3490. Update provider workflows to reference Evolent instead of NIA for imaging prior authorizations.

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