MedicaidPrior AuthMedium impact
21-483 See What News is Online for June 2021
Health Net·CA · Pediatrics·Prior Authorization
Effective date
Jun 30, 2021
We identified it
Jun 20, 2026
Summary
Health Net released a newsletter containing three key updates: improved patient access standards, a new eConsult platform for Medi-Cal providers, and elimination of prior authorization requirements for pediatric subspecialist office visits under California Children's Services.
Action Required
Immediately: Billing team must stop requiring prior authorization for pediatric subspecialist office visits for Medi-Cal patients. Update billing system settings to remove prior auth requirements for these visits. In-office procedures for pediatric subspecialties still require prior authorization. Review California Children's Services coordination of benefits forms to ensure proper usage.