MedicaidPrior AuthMedium impact
21-629m No Change to Prior Authorization Extension Due to COVID-19 Variant
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Prior authorization approval periods for Medi-Cal patients in Fresno, Kings and Madera counties will continue at the extended 6-month timeframe instead of reverting to the previous 3-month period. This extension has no expiration date due to rising COVID-19 cases in California.
Action Required
Immediately: Billing team should update prior authorization tracking systems to reflect 6-month approval periods for Medi-Cal patients in Fresno, Kings and Madera counties. Continue using existing extended timeframes rather than reverting to 3-month periods. Update staff training materials and prior auth checklists to reflect ongoing 6-month extensions with no current expiration date.