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CommercialPrior AuthMedium impact

21-420 Prior Authorization Extensions Ending

Health Net·CA·Prior Authorization
Effective date
Aug 19, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net is ending COVID-19 prior authorization extensions and returning to the standard 3-month approval period effective August 19, 2021. All new prior authorizations will be valid for 3 months instead of the extended 6-month period, though existing extended PAs will be honored until their expiration dates.

Action Required

Action needed
Immediately: Billing and scheduling teams must update workflows to track Health Net prior authorizations expiring after 3 months instead of 6 months for all new requests. Update scheduling systems and staff training to ensure services are scheduled within the 3-month window. Monitor existing extended PAs for their original expiration dates.