Medicare AdvantagePrior AuthMedium impact
22-358 Summary Update: Medical Policies - 1st Quarter 2022
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net updated multiple medical policies in Q1 2022 affecting prior authorization requirements, coverage guidelines, and medical necessity criteria for various procedures and services. Providers must review the complete policy update document and obtain required prior authorizations before delivering services to avoid claim denials.
Action Required
Within 60 days: Billing team and providers must access the complete 22-358 Medical Policies Q1 2022 update document on Health Net's provider portal to review specific policy changes for procedures they bill. Update prior authorization workflows and verify eligibility requirements for affected services. Contact Health Net Provider Services Center within 60 days if clarification is needed on specific policy changes.