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MedicaidAdministrativeMedium impact

24-036 See What News Is Online for December 2023

Health Net·CA·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

CalViva Health published a summary of December 2023 policy communications covering medical policy updates, enhanced care management for children, new consent rules for minors seeking narcotic replacement therapy, behavioral health access standards, opioid utilization review requirements, and electronic signature updates for medical information releases.

Action Required

Action needed
Immediately: Review the CalViva Health Provider Library at the provided link to access the specific policy documents mentioned. Billing teams should prioritize reviewing 23-1436m for medical policy changes, 23-1460m for minor consent changes affecting narcotic replacement therapy billing, and 23-1489m for drug utilization review requirements. Contact CalViva Health at 888-893-1569 with questions about implementation.

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