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MedicaidPrior AuthMedium impact

20-787 Use Updated Prior Authorization Forms for Easier Completion

Health Net·CA·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

CalViva Health (through Health Net) has released updated Medi-Cal prior authorization forms with auto-fill features and new address fields. The forms are now separated into inpatient and outpatient versions to simplify completion and ensure all required information is included for faster processing.

Action Required

Action needed
Immediately: All staff submitting Medi-Cal prior authorizations must begin using the new updated IP and OP forms available on the Health Net provider website and Provider Library. Update workflows to use the new forms with auto-fill features and ensure provider address information is completed. Old forms will still be processed but new forms are preferred for faster processing.