MedicaidAdministrativeMedium impact
23-1028 Go Online to Find Updates to Medical Policies
Health Net·CA·Prior Authorization
Effective date
Sep 1, 2023
We identified it
Jun 20, 2026
Summary
CalViva Health (Health Net) is changing from quarterly to monthly notifications of medical policy updates starting September 2023. New and updated medical policies will now be communicated monthly through online provider updates instead of quarterly notifications.
Action Required
Immediately: Billing team and providers must check the Provider Library > Medi-Cal > Updates and Letters monthly instead of quarterly for new medical policies. Subscribe to monthly provider updates via fax, mail, or email to receive notifications of policy changes that affect medical necessity determinations for procedures and services.