MedicaidPrior AuthHigh impact
22-895 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
Health Net California has updated their prior authorization list effective January 1, 2023, adding new drugs that now require prior authorization approval before coverage. This affects providers in 9 California counties including Los Angeles, San Diego, and Sacramento for Medi-Cal patients.
Action Required
By January 1, 2023: All providers in affected California counties must obtain prior authorization for newly listed drugs before prescribing or billing. Download the PDF from the provider update to identify specific medications requiring prior auth. Update EMR systems and pharmacy protocols to flag these drugs. Claims for new prior auth drugs will be denied without approval.