MedicaidAdministrativeMedium impact
24-158 Provider Communications Posted Online and Operations Manual Updates for January 2024
Health Net·CA · Palliative Care, Sleep Medicine, Dentistry·Prior Authorization
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
This policy update provides a comprehensive summary of all Medi-Cal provider communications and operations manual changes from January 2024, including new prior authorization requirements for palliative care and sleep studies, formulary changes, telehealth expansions, and dental sedation coverage updates.
Action Required
Immediately: Review all January 2024 policy changes affecting your practice. Key actions include: 1) Update prior authorization processes for palliative care services using the new Outpatient Medi-Cal Prior Authorization Form, 2) Review sleep study authorization requirements updated January 5, 2024, 3) Update documentation for minors age 16+ who can now consent to narcotic replacement therapy without parent/guardian consent per AB 816, 4) Review new dental sedation coverage requirements for IV moderate sedation and deep sedation/general anesthesia services. Access full details in the Provider Library at the source URL.