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Health NetCommercial · Prior Auth · Prior Authorization · CA · Palliative Care, Oncology, Family Medicine +1 moreMedium impact

24-033m Follow the Prior Authorization Requirements to Submit Palliative Care Requests

Act
immediately
Effective date
Jan 26, 2024
Identified
Jun 20, 2026

Summary

HealthNet California now requires prior authorization for palliative care services. Providers must confirm diagnosis for advanced acute illness before submitting palliative care requests through the standard prior authorization process.

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What to do

immediately · 4 steps
01Billing team must update workflow to obtain prior authorization before scheduling or billing palliative care services.
02Providers must confirm and document advanced acute illness diagnosis.
03Front desk staff should verify prior auth status before appointments.
04Claims without prior authorization will be denied.

Original notice

24-033m Follow the Prior Authorization Requirements to Submit Palliative Care Requests
providerlibrary.healthnetcalifornia.com · Always check the source before changing claims.
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Related changes

See all Health Net changes →
24-027m Follow Prior Authorization Requirements to Submit Palliative Care RequestsMediumNo effective date · Prior Authorization24-029m Follow Prior Authorization Requirements to Submit Palliative Care RequestsMediumNo effective date · Prior AuthorizationBrowse every Health Net change in the policy list

Related policy hubs

Health Net policiesCA policy changesPalliative CareOncologyFamily MedicineInternal Medicine

Summaries are AI-assisted. Always confirm against the original payer notice.

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