MedicaidCoverageMedium impact
22-766m Give Priority to Members With COVID-19 Symptoms or Who Test Positive
Health Net·CA · Family Medicine, Internal Medicine, General Practice +3 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net California now prioritizes scheduling for members with COVID-19 symptoms or positive tests to ensure timely evaluation for outpatient therapeutics within 5-7 days. Monoclonal antibody infusion treatments are covered benefits with normal cost-sharing and prior authorization requirements applying after June 1, 2021.
Action Required
Immediately: Scheduling staff must prioritize urgent appointments for members with COVID-19 symptoms or positive tests. Clinical staff should evaluate patients for outpatient COVID-19 therapeutics eligibility within 5-7 days of symptom onset. Billing team should verify approved HCPCS codes for monoclonal antibody treatments on Health Net's provider portal under COVID-19 Updates and reference the downloadable infusion site list for covered locations.