CommercialPrior AuthMedium impact
23-368 Know What Changes are Coming for Prior Authorization
Health Net·CA·Prior Authorization
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
HealthNet California has implemented prior authorization changes effective immediately with additional changes starting July 1, 2023. The policy document provides general notification of these changes but lacks specific details about which services, codes, or procedures are affected.
Action Required
By July 1, 2023: Billing team must access the full Provider Update PDF from HealthNet California's provider library to review specific prior authorization changes. Update billing workflows and system requirements based on the detailed changes outlined in the complete document. Monitor HealthNet prior authorization requirements for any services currently billed.