MedicaidPrior AuthMedium impact
22-898 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
Summary
HealthNet California has updated their 2023 Prior Authorization List for Medi-Cal members, adding new drugs that require prior authorization effective January 1, 2023. This affects providers in Fresno, Kings, and Madera counties who treat Medi-Cal patients.
Action Required
By January 1, 2023: Billing and clinical teams must review the updated prior authorization drug list for HealthNet California Medi-Cal patients in Fresno, Kings, and Madera counties. Update pharmacy systems and clinical workflows to ensure prior authorization is obtained before prescribing newly listed medications. Download the full policy PDF from the provider library to identify specific drugs affected. Failure to obtain prior authorization will result in prescription denials at the pharmacy.