MedicaidAdministrativeLow impact
23-1361 Quarterly Updates on Medication Trends and Formulary Changes Will Be Available Online in 2024
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Starting in 2024, quarterly medication trends and formulary changes will only be available online in the Provider Library instead of being sent by fax, mail, or email. Monthly provider updates will notify when new quarterly information is posted.
Action Required
Starting 2024: Billing and clinical staff must check the Provider Library online monthly for quarterly medication trends and formulary changes instead of relying on faxed/mailed notifications. Access provider library, select line of business, then Updates and Letters section. Monitor monthly provider updates for posting notifications to stay current on Preferred Drug List changes that may affect prior authorizations.