CommercialAdministrativeMedium impact
20-785 Use Updated Prior Authorization Forms for Easier Completion
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net has updated their prior authorization forms for all lines of business, adding new inpatient and outpatient forms with auto-fill features, provider address fields, and clearer fax numbers. The new forms are available immediately and should be used for all future PA requests, though old forms will still be processed to prevent delays.
Action Required
Immediately: Billing team and providers should download and begin using the new Health Net prior authorization forms (separate IP and OP forms) for all Commercial, Medicare, and Medi-Cal lines of business. Access forms through the Provider Library or provider portal. Update PA request workflow to use new forms with auto-fill features and ensure provider address is completed. Old forms will still be processed but new forms are preferred for easier completion.