MedicaidPrior AuthMedium impact
22-086 Major Organ Transplant is a Covered Benefit by the Health Plan
Health Net·CA · Cardiothoracic Surgery, General Surgery, Nephrology +4 more·Prior Authorization
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Health Net Medi-Cal now covers major organ transplant (MOT) services for recipients and donors, including organ procurement and living donor care, effective January 1, 2022. All MOT services require prior authorization through Health Net's Transplant Team, with authorization requests faxed to 833-769-1141.
Action Required
Immediately: Billing team must update prior authorization workflows for all major organ transplant services. Use the Outpatient California Medi-Cal Prior Authorization Form available in the Provider Library and fax authorization requests to Health Net's Transplant Team at 833-769-1141. Contact Health Net Provider Services Center at 800-675-6110 for transplant questions and prior authorization requests.