MedicaidPrior AuthMedium impact
22-741 See What News Is Online for August 2022
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net published a summary of August 2022 policy communications including prior authorization changes for Medi-Cal Rx drug classes, asthma remediation program details, and updates to claims reporting systems. Key change includes reinstatement of prior authorization requirements for several drug classes under Medi-Cal Rx.
Action Required
Review the referenced policy documents for specific prior authorization requirements that were reinstated for Medi-Cal Rx drug classes (policy 22-707m). Billing team should access the Provider Library at Health Net to obtain full details of the Phase I, Wave III prior authorization changes for new start medications and update workflows accordingly.