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MedicaidPrior AuthMedium impact

24-469m Medical Policies - April 2024

Health Net·CA · General Surgery, Psychiatry, Wound Care·Prior Authorization
Effective date
Apr 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

CalViva Health updated four medical policies for April 2024, including significant changes to bariatric surgery criteria, transcranial magnetic stimulation requirements, and skin substitute coverage. Multiple CPT and HCPCS codes were added or modified across these policies, particularly affecting prior authorization requirements.

Action Required

Action needed
Immediately: Billing teams in Fresno, Kings, and Madera counties must review updated prior authorization criteria for bariatric surgery, transcranial magnetic stimulation, and skin substitute procedures. Update billing system rules for new HCPCS codes Q4278, Q4279, and Q4287-Q4304. Ensure proper documentation requirements are met for TMS therapy including pre-treatment depression scores. Verify eligibility and prior auth status through CalViva Health provider portal before submitting claims.

Affected Billing Codes

97014
97032
A2002
Q4236
Q4262
Q4278
Q4279
Q4287
Q4288
Q4289
Q4290
Q4291
Q4292
Q4293
Q4294
Q4295
Q4296
Q4297
Q4298
Q4299
Q4300
Q4301
Q4302
Q4303
Q4304
G0295