MedicaidAdministrativeMedium impact
21-674 Medi-Cal Rx Transition: Use Updated Fax Numbers to Avoid Delays for Pharmacy Prior Authorizations
Health Net·CA·Pharmacy
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Medi-Cal Rx transition requires providers to use new fax numbers and processes for pharmacy prior authorizations starting January 1, 2022. Office-administered drugs continue using existing Health Net fax number 833-953-3436, while pharmacy benefit drugs must use new Medi-Cal Rx fax 800-869-4325.
Action Required
Immediately: Update prior authorization workflows to use correct fax numbers - send pharmacy benefit drug PAs to Medi-Cal Rx at 800-869-4325, continue sending office-administered drug PAs to Health Net at 833-953-3436. Register staff for Medi-Cal Rx Provider Portal access. Update PA forms and billing system reminders with new fax numbers to avoid delays.