MedicaidPrior AuthMedium impact
24-026m Update to Authorization Request for Sleep Studies Effective January 5, 2024
Health Net·CA · Sleep Medicine, Pulmonology·Prior Authorization
Effective date
Jan 5, 2024
We identified it
Jun 20, 2026
Summary
HealthNet California updated authorization requirements for sleep studies related to obstructive sleep apnea, requiring correct coding for facility-based sleep studies when requesting prior authorizations. Providers must ensure they use proper coding when submitting authorization requests for these services.
Action Required
Immediately: Billing team must review and verify correct coding is used for all facility-based sleep study prior authorization requests for obstructive sleep apnea. Download the Provider Update PDF from HealthNet California's provider library to understand specific coding requirements. Update prior authorization submission processes to ensure compliance.