CommercialPrior AuthMedium impact
23-190sum Medical Policies - 4th Quarter 2022
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Centene/Health Net released their 4th Quarter 2022 medical policy update containing new and revised policies for procedures and services, with emphasis on prior authorization requirements. This is an informational announcement directing providers to review the complete policy document for specific changes to medical necessity guidelines.
Action Required
Immediately: Billing team and providers must review the complete 23-190 Medical Policies 4th Quarter 2022 PDF document available on Health Net Medical Policies website to identify specific procedure and service changes. Update prior authorization workflows according to any new requirements found in the detailed policy document. Contact Health Net Provider Services Center for clarification on specific policy questions.