Medicare AdvantagePrior AuthMedium impact
23-424sum Medical Policies - 1st Quarter 2023
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Centene/Health Net published their comprehensive 1st Quarter 2023 medical policy updates covering prior authorization requirements and medical necessity guidelines. This is a general notification directing providers to review the complete policy document for specific changes to procedures and services requiring prior authorization.
Action Required
Immediately: Review the complete 23-424 Medical Policies document at Health Net Medical Policies website to identify specific prior authorization changes affecting your practice. Billing team should cross-reference current procedures against updated medical necessity guidelines and prior auth requirements. Update billing workflows for any newly identified prior authorization requirements to prevent claim denials.