MedicaidPrior AuthMedium impact
22-894 Summary Update: Medical Policies - 3rd Quarter 2022
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
CalViva Health issued a summary of medical policy updates from Q3 2022 that provide guidelines for determining medical necessity and prior authorization requirements. These policies apply to CalViva Health members in specific California counties when state policies are not available.
Action Required
Review the complete policy update document 22-894m for specific prior authorization requirements that may affect CalViva Health members. Contact CalViva Health at 888-893-1569 for questions about specific policy requirements. Ensure staff understand that prior authorization must be obtained before services when required by these medical policies.