MedicaidPrior AuthMedium impact
23-191sum Medical Policies - 4th Quarter 2022
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
CalViva Health has updated their medical policies for Q4 2022, which will serve as backup guidelines when California Department of Health Care Services policies are unavailable. Providers must obtain prior authorization before services are given if required by these policies.
Action Required
Immediately: Billing team should review the complete Q4 2022 medical policy update (23-191) available at Health Net Medical Policies website to identify any new prior authorization requirements. Contact CalViva Health at 888-893-1569 with questions about specific policy changes that may affect claim processing.