Back to dashboard
CommercialPrior AuthMedium impact

22-1005 Know What’s New and Changing: 2023 Prior Authorization List

Health Net·CA·Prior Authorization
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

HealthNet California has updated their 2023 Prior Authorization List, adding new drugs that require prior authorization effective January 1, 2023. Providers must obtain prior authorization for these newly added medications or risk claim denials.

Action Required

Action needed
By January 1, 2023: Clinical and billing teams must download the updated Prior Authorization List PDF from HealthNet's provider portal and update internal systems to flag newly added drugs requiring prior authorization. Providers must obtain prior authorization before prescribing these medications to avoid claim denials.