CommercialAdministrativeMedium impact
21-321 Medical Policies - 1st Quarter 2021
Health Net·CA·Medical Policy
Effective date
Apr 30, 2021
We identified it
Jun 20, 2026
Summary
HealthNet California has released their 1st Quarter 2021 medical policy updates, which include new and updated clinical criteria for procedures and services. Providers need to review the updated policies PDF to understand changes to coverage requirements and clinical guidelines.
Action Required
By May 15, 2021: Billing team and providers must download and review the new and updated policies PDF from the HealthNet California provider library to understand changes to clinical criteria for procedures and services. Update billing workflows and prior authorization processes based on any new requirements identified in the policy review.