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23-1026 Go Online to Find Updates to Medical Policies

Health Net·CA·Provider News
Effective date
Sep 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net is changing from quarterly to monthly notifications for medical policy updates starting September 2023. All new and updated medical policies will now be available online each month through the Provider Library instead of being mailed/faxed quarterly.

Action Required

Action needed
Immediately: Billing team and providers must begin checking the Health Net Provider Library monthly for medical policy updates instead of waiting for quarterly notifications. Access provider library > select line of business > Updates and Letters. Subscribe to monthly provider updates via fax, mail, or email to receive notifications of new policies that affect medical necessity determinations.