Medicare AdvantagePrior AuthMedium impact
22-448 Learn About the Medicare Prior Authorization Changes
Health Net·CA·Prior Authorization
Effective date
Jul 17, 2022
We identified it
Jun 20, 2026
Summary
Health Net California is implementing changes to Medicare prior authorization requirements for certain drugs, effective July 17, 2022. This affects physicians, hospitals, and ancillary providers who need to obtain prior authorization for specific medications before prescribing to Medicare patients.
Action Required
By July 17, 2022: All providers must review the updated drug prior authorization list and implement new prior authorization workflows for affected medications. Update EMR systems and pharmacy protocols to flag drugs requiring prior auth. Download and review the specific drug list PDF from Health Net's provider library to identify which medications now require authorization.