Medicare AdvantageAdministrativeMedium impact
24-308 Provider Communications Posted Online and Operations Manual Updates for March 2024
Health Net·CA·Prior Authorization
Effective date
Mar 1, 2024
We identified it
Jun 20, 2026
Summary
Health Net California published their March 2024 provider communications summary, including updates to prior authorization requirements, formulary changes, medical policies, and operational manual revisions. Key changes include new discharge planning requirements, updated vendor contacts for supplemental benefits, and behavioral health documentation requirements.
Action Required
Review the Provider Library at providerlibrary.healthnetcalifornia.com for specific policy updates affecting your practice. Billing teams should pay special attention to: 1) Updated discharge planning requirements for 7-day post-discharge follow-up (effective 3/5/24), 2) New formulary changes for Q2 2024 medications (effective 3/29/24), 3) Behavioral health providers must submit discharge summaries within 24 hours of discharge (effective 3/1/24). Update contact information for Wellcare supplemental benefit vendors as needed.