MedicaidAdministrativeMedium impact
22-453 See What News Is Online for May 2022
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net published a summary of policy communications from May 2022, including changes to prior authorization requirements for Medi-Cal specialist referrals in San Diego County, new coverage for HIV/STD at-home test kits, and behavioral health resources through MHN.
Action Required
Review the May 2022 policy updates for applicable changes to your practice: 1) Verify if you serve Medi-Cal members in San Diego County - no prior auth needed for initial specialist consults in Direct Network, 2) Update billing procedures to include coverage for HIV/STD at-home specimen collection kits and lab costs, 3) Complete ACEs screening training if conducting these screenings to receive payments, 4) Contact Health Net Provider Services within 60 days if clarification is needed on any updates.